The _post-mortem appearances_ after death by phosphorus are very
peculiar. If the case has proved rapidly fatal there will be the
ordinary signs of irritant poisoning, with, in addition, softening of
the stomach, bloody or gangrenous patches, blood in the intestines and
bladder, and bloody serum in the peritoneal cavity. In many respects the
lesions resemble those of the worst forms of sea scurvy; but the most
marked changes are the remarkable fatty degeneration of the liver,
kidneys, heart and other muscles, especially of the first, which is
often greatly atrophied.
The diagnosis will depend on the peculiar odor of garlic exhaled by the
patient and the luminosity of the vomited matters, in addition to the
other signs referred to.
_Treatment._—There is no regular antidote for phosphorus; early
evacuation by the stomach-pump and the free promotion of vomiting are
the main points. Magnesia or its carbonate should be given freely in
mucilaginous fluids. Oils had better be avoided, except for the purpose
of removing all traces of the poison by the stomach-pump. Prompt
treatment is all in all.
_Detection._—There is but one really satisfactory plan for detecting
phosphorus in organic mixtures, that invented by Mitscherlich. The
suspected material is introduced into a retort, and acidulated with
sulphuric acid. The stem of the retort is conducted into a glass vessel
kept cool by a stream of water on the outside. The retort is heated, and
distillation allowed to go on in the dark. If phosphorus be present it
passes over as vapor, and is condensed in the cool vessel beyond. At
each condensation a flash of light is perceived, which is the test
relied on.
CHRONIC POISONING by phosphorus used to be exceedingly common among
match manufacturers, but is now, comparatively speaking, rare,
allotropic or amorphous phosphorus being much more generally employed
than it used to be, and the ventilation of the workshops being better.
Its subjects used to be attacked with caries of the gums, gradually
extending and implicating the jaw, and giving rise to great deformity.
CHAPTER XV.
ARSENIC.
Public-domain text, read in full here on John Shaqi.
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