A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
From two to three grains have proved fatal, but an instance is recorded
of recovery after a dose of sixty grains. Death may ensue in half an
hour, or may be delayed for nearly three weeks; the usual time is
perhaps from twelve to forty-eight hours. There are some cases in which
little or no morbid appearances are to be seen.
Usually, however, traces of irritation will be discoverable. In the
mouth and throat they are often wanting. The inner surface of the
stomach may be red and inflamed, or blackish from the extravasation of
blood, or softened, or in some cases thickened, with the rugæ raised and
corrugated. Ulceration of the coats of the stomach is but rarely met
with, unless the patient have survived nearly two days. The mucous
secretion is generally increased in quantity, sometimes thin, and
viscid, as in its natural state, but sometimes solid, as if coagulated.
In the latter case, it forms either a uniformly attached pedicle, or
loose shreds floating among the contents.
A very common appearance, is the presence of a sanguinolent fluid, or
even actual blood in the cavity of the stomach.
The poison itself may also be found within the stomach. The intestines
may be congested and inflamed throughout their whole length, but most
frequently only in the duodenum and rectum.
Within the chest, redness of the pleura, redness and congestion of the
lungs, have been noticed.
In general, arsenic retards the process of putrefaction after death.
The forms in which arsenic is most frequently used for the purpose of
poisoning, are arsenious acid, and the arsenite of copper, Scheele’s
green.
=Corrosive Sublimate.= The appearances observed in the bodies of persons
killed by this poison, are very similar to those excited by the irritant
poisons already noticed.
The mouth and throat are more frequently affected than by arsenic. The
tongue is often shrivelled, and the papillæ at its root greatly
enlarged. The mucous membrane is swollen and whitened. The same
appearances are generally noticed in the œsophagus. The coats of the
stomach and intestines, more particularly the colon and rectum, have
been found congested and inflamed, and sometimes destroyed, either by a
chemical decomposition of the tissues, or by ulceration.
The bladder is often excessively contracted; the kidneys usually much
congested and inflamed. Inflammation of the peritoneum, and effusion
into its sac are frequent results of poisoning with corrosive sublimate.
=Hydrocyanic Acid.= The poisons whose energy depends upon the presence
of this acid, surpass almost all others in rapidity of action, and the
minuteness of the quantity in which they operate.
The lesions produced are uncertain. The spine and neck are stiff, the
abdomen retracted, the skin usually livid.
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