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
This metallic salt is by far the most active of all the mercurial
preparations. According to the latest views of Chemistry it is a
compound of two proportionals of chlorine, and one proportional of
metallic mercury, and is therefore a _bi-chloride of Mercury_. It
generally occurs in the form of a crystalline mass, made up of very
small prismatic crystals, which undergo a slight alteration by exposure
to air, becoming opaque and pulverulent. Its taste is extremely acrid,
with a metallic astringency, occasioning a sensation of obstruction in
the throat which continues for some time. Its specific gravity is
5·1398[268]. When pulverised and thrown upon burning coals, it is
immediately volatilized, giving out a thick white smoke, of a very
pungent smell, not at all resembling garlic, but which irritates the
mucous membranes extremely, and is highly dangerous to those who breathe
it. It is soluble in eleven parts of cold, and in three of boiling
water; and this solubility may be farther increased by the addition of a
few drops of rectified spirit, or of muriatic acid. When swallowed in
small quantities it acts as a most virulent poison.[269]
_Symptoms of Poisoning by Corrosive Sublimate._
The effects, as well as the _modus operandi_, of this salt, will vary
with the quantity swallowed. We shall, therefore, first consider the
acute symptoms which supervene a dose sufficiently powerful to destroy
life in a few hours; and afterwards those which may arise from its long
continued use in small quantities, and at different intervals.
1. _Symptoms which follow a large dose._ A most painful burning and
sense of constriction is experienced in the fauces; dryness of the mouth
and lips; excruciating pain in the stomach and bowels, increased by the
slightest pressure, and generally attended with considerable distention;
excessive vomiting and purging of frothy mucus; the countenance is
frequently red and swollen, and the eyes exhibit a sparkling appearance,
accompanied by contraction of the pupils. The pulse is in general quick,
small, and hard; suppression of urine takes place, and cold sweats;
anxiety; universal pains; convulsions, and death. If the patient
survives long enough, a violent ptyalism, and sloughing of the mouth and
gums may take place.
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