Medical Jurisprudence, Volume 2 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 2 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
3. The stiffness which occurs in certain forms of _Syncope_, can never
be confounded with _cadaverous_ stiffness; for, in the former case,
the stiffness takes place immediately after the commencement of the
disease, and the trunk preserves a degree of warmth; whereas the
_cadaverous_ stiffness is not observed until some time after death,
and when the heat of the body is no longer evident to the senses.
If, from a cause which it is not always possible to foresee, the
individual who has been thought dead for a long time be cold and
_flexible_, instead of offering a certain degree of stiffness, and at
the same time if no evidence of putrefaction has as yet displayed
itself, the body ought not to be buried hastily—“_Satius est adhiberi
millies nimiam diligentiam, quam semel omitti necessariam._”
The cadaverous state of the face, of which _Hippocrates_ has given the
following description, has been regarded as a sign of real death; the
forehead wrinkled and dry, the eye sunken, the nose pointed, and
bordered with a violet or black circle, the temples sunken, hollow, and
retired, the ears sticking up, the lips hanging down, the cheeks sunken,
the chin wrinkled and hard, the colour of the skin leaden or violet, the
hairs of the nose and eye-lashes sprinkled with a kind of yellowish
white dust. It must be admitted that such signs, if taken separately,
are of no value, since they are sometimes observed in patients
twenty-four or forty-eight hours before death; while, on the other hand,
they are often absent in cases of sudden dissolution. The softness,
dimness, and above all, the flaccidity of the globe of the eye have been
considered as very unequivocal in their indication. _Professor
Louis_[10] has offered some remarks upon this subject worthy our notice;
he says that, in the dead, the transparent cornea is commonly covered
with a thin slimy membrane, which breaks in pieces when touched, and is
easily removed by wiping the cornea; but he remarks that some appearance
of it takes place in the eyes of the dying, and also allows that it may
be the result of disease; so much for the value of this sign: the one
which follows appears to us less exceptionable; in a few hours after
death, adds this author, the eyes become soft and flabby, an effect not
to be produced under any circumstances in the living body; we join in
this opinion; but how often does it happen that the globe of the eye
undergoes no alteration in form, until the putrefactive process has been
fully established?
OF THE PHYSIOLOGICAL CAUSES, AND PHŒNOMENA OF SUDDEN DEATH.
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