Medical Jurisprudence, Volume 3 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 3 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
_Apparent age of the deceased._—It is important to notice this
circumstance, as it will not only assist us in identifying the
individual, but, at the same time, point out the diseases of which he
was most susceptible, and those of which he was less liable. In relation
to such an object the question of age was keenly debated on the trial of
_Donellan_, for an account of which we must refer the reader to the
evidence printed in the _Appendix_. Apoplexy rarely occurs except in the
middle or decline of life. _Hippocrates_ says chiefly between the 40th
and 50th year. _Aphor._ _Sect._ vi, 57.
_Description of his person, as to bulk, stature, obesity, muscular
powers, &c._—Many are the reasons which render a full and accurate
investigation of these points an extremely important part of the
inquiry. To say nothing of their use in identifying the individual, they
will point out the diseases to which such a habit of body would render
him liable; and we shall be enabled to deduce a general inference as to
the probable state of his health. If suspicions should exist against any
individual, we shall be thus prepared to arrive at some probable
conclusion with regard to the degree of resistance which the deceased
might be able to offer; by comparing which with the powers of the
supposed assailant, some valuable circumstantial evidence may be
elicited.
_Conformation of the neck as to shortness, thickness, &c._—The
apoplectic conformation may be said to be indicated by a large head, red
face, short and thick neck, broad shoulders, capacious thorax, prominent
abdomen, low stature, robust limbs, and considerable corpulence; this
last indication, however, is liable to many exceptions, for dry and
spare constitutions, if any confidence is to be placed in the
comparative tables of _Rochoux_, are more frequently even attacked with
apoplexy, than the plethoric. Under this subject we may notice that the
habitual use of tight ligatures disposes to the disease. _Portal_ speaks
of an ambassador who was attacked with apoplexy, after having long
employed general compression, for the reduction of excessive corpulence.
_Dr. Donald Monro_ states that he has known soldiers carried off by
apoplexy, in consequence of stricture on the veins of the neck, from
their having been obliged to wear their cravats too tight. _Winslow_ has
made a similar observation in the Memoirs of the Academy of Sciences for
the year 1741.
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