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
_Tartra_ has furnished us with the following interesting account of the
dissection of those who have died of the primary effects of nitric acid.
The external appearance of the body presents no alteration; every part
is sound and natural, and possesses, in a certain degree, the firmness
and freshness of life. The epidermis of the margins of the lips has
commonly an orange colour, more or less deep. It seems burnt and easily
separates. Sometimes yellow spots are discovered on the hands and other
parts of the body, caused by the contact of the acid. A yellow fluid, in
some cases very abundant, flows from the mouth and nostrils, and the
belly is considerably distended with air. The alimentary canal is
remarkably affected. All the internal membrane of the mouth is burnt,
and has sometimes a white colour, but is more commonly yellow; it is
separate in some places, and adheres in others. The teeth are often
loose, and have a very marked yellow colour at their _crown_. The mucous
membrane of the pharynx exhibits the same change, or is in a state of
inflammation of a dirty red colour. The whole extent of the œsophagus is
lined with a dense mass of a fine yellow colour, dry on its surface,
unctuous and greasy to the touch, and which seems to be formed both of
the mucous membrane, altered in a particular manner, and of the albumen
contained in the viscid fluid which exudes from the membrane of the
œsophagus, solidified by the nitric acid. This lining adheres in very
few points, and is easily detected from the other membranes of the
œsophagus, which are brown and blood-shot. When the stomach is not
perforated, it has commonly a considerable size; externally, its
membranes are slightly and partially inflamed, but very much towards the
pylorus and beginning of the duodenum. Its colour is faded, livid, of a
yellowish green, with large gangrenous spots. It adheres every where to
the neighbouring parts, the diaphragm, liver, spleen, and transverse
arch of the colon, by means of a concrete lymphatic exudation; its
sides, which are thin and yellow in some places, and thick and black in
others, exhibit net-work of dilated blood-vessels filled with black
coagulated blood. Often there are several points of the stomach
dissolved, and ready to burst with the slightest touch; it contains a
great quantity of gas, which has a peculiar smell, resembling that of
bitter almonds; it also very commonly contains a great quantity of
yellow matter, of a pultaceous consistence; the substance of the stomach
is generally swelled in some places, and deeply marked with black,
without being dissolved; this effect is most remarkable at the great
end, into which the acid seems to fall by its weight; the rugæ of the
stomach are very brown, and are reduced to a mucilaginous consistence.
The other parts of the alimentary canal exhibit the same organic
lesions, although the phenomena have less intensity in proportion as the
part is more distant from the stomach.
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