Medical Jurisprudence, Volume 1 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 1 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
JAUNDICE. If any attempt should be made to colour the skin yellow, the
whiteness of the tunica conjunctiva, as well as the appearance of the
urine and fœces of the patient, will always detect the imposition.
HÆMOPTHYSIS. This disease has been frequently feigned by sucking blood
from the cheeks, gums, &c. but the professional inspector can never be
deceived by such artifices; the appearance of the sputa, the state of
pulse, &c. will always indicate the truth; besides which detection must
be insured by a careful examination of the mouth and fauces.
VOMITING OF BLOOD. _Sauvages_ relates the case of a young woman who, to
avoid the confinement of a convent, swallowed a quantity of bullock’s
blood, and vomited it up in the presence of a physician sent to examine
her. Where such a trick is suspected, we have only to secure the patient
from the necessary supplies, and the fraud is at once detected.
VOMITING OF URINE. Where this is asserted we may safely pronounce the
patient an impostor, for the event is physiologically impossible.
BLOODY URINE. An appearance of this nature is often produced in India by
eating the Indian fig (_Cactus Opuntia_), or the fruit of the prickly
pear, which imparts to the urine a blood-red colour. It has been also
simulated by clandestinely pouring real blood, or colouring matter, into
the night utensils. There is an old story of a boy who imposed on many
by pretending to pass black urine; but being confined, he was detected
in an attempt to secrete an ink-bottle, which pointed out the mode of
his imposture.
INCONTINENCE OF URINE. The simulation of this affection may be detected
by giving the patient a full dose of opium at night, without his
knowledge, and introducing the catheter during sleep, or, by taking him
by surprise during the day, and introducing the same instrument; when,
if he be an impostor, it will be found that the urine has not drained
off, _guttatim_, as it was secreted, but that the bladder possesses the
power of retention. If the bed clothes are not found wet after a full
dose of opium, during the operation of which the patient has been
suddenly awoke, we may also be satisfied that there is no incontinence.
_Foderé_ says that if the penis is secured by a ligature, it will swell
considerably in the real incontinence, in consequence of the urine
running into the urethra; but that no such effect will happen if the
disease be feigned.
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