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
anatomists have often been betrayed into a fallacy respecting their true
nature; on opening the stomach of a dog which had taken a large quantity
of arsenic, _Mr. Brodie_ observed a dark brown spot about an inch in
diameter, having all the appearance of a slough; on a closer
examination, however, it appeared that this spot was no other than a
very thin layer of coagulated blood, of a dark colour, and adhering very
firmly to the surface of the mucous membrane, and having a few particles
of arsenic entangled in it. He states that he has at several times
observed a similar appearance but occupying a less extent of surface;
and he informs us that, in the Hunterian museum, there is a human
stomach, which was preserved for the sake of exhibiting what was
considered a slough, produced by the action of arsenic; but that, on
examining the preparation carefully, the dark coloured spot was
discovered to be simply a layer of coagulated blood, similar to that
before described. _Dr. Baillie_ and _Dr. Yelloly_ have found the stomach
thickened in several parts, as if by coaguable lymph, and in one case
the thickening of the coats was the only alteration of structure
observable; and _M. Renault_ relates a case, where the arsenic was taken
in large pieces, which produced no other effect than slight syncope on
the approach of death; and that, upon opening the body, the arsenic was
found in the state it was swallowed, but there was neither inflammation
nor erosion of the stomach. Where the arsenic has been swallowed in
substance, it will be generally found attached to the membrane of the
stomach by a peculiar glairy fluid; if the poison should have been
administered in solution, the same organic lesions will be discovered,
but the presence of the arsenic in the stomach can scarcely be expected,
although the contents of the viscus, as well as all the matter ejected
from the body before death, must be carefully examined by a chemical
process to be hereafter described. The duodenum, like the stomach,
generally affords evidence of the same inflamed and disorganized
condition; and the whole track of the intestinal canal will be found
more or less affected, according to the quantity of arsenic that has
been administered, the period of time which has elapsed before death,
and other circumstances which have been already enumerated as capable of
modifying the action of this destructive substance. It however deserves
notice that in many cases the rectum appears to be more affected than
the other intestines; _Dr. Male_[236] states, that he has frequently
found it abraded and ulcerated, and even more inflamed than the stomach
itself; _Mr. Brodie_ likewise observed, in his physiological experiments
upon this substance, that the inflammation produced by it was greatest
in the stomach and the rectum. _Dr. Baillie_ has recorded several
instances where a mortification of the rectum followed as an effect of
this poison; and in the case of _Mr. Blandy_, detailed in the
_Appendix_, p.
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