The chief characteristics of poisoning mentioned by authors of repute
are, that the symptoms commence suddenly after taking any substance or
fluid into the stomach, the individual being in a state of health; that
they increase steadily, and are uniform in their nature throughout their
course; and that they prove rapidly fatal. There are many exceptions to
these rules. Thus if the stomach be loaded the appearance of the
symptoms will often be delayed some few hours. Sleep, according to Dr.
Christison, may retard the action of some agents; so that if a person
fall asleep soon after swallowing arsenic or strychnia, for example, no
effect may ensue for four or five hours. Intoxication will mask the
effect of narcotics. Again, the individual poisoned may possibly be
suffering from disease, and an agent may be given which will only
aggravate existing symptoms. The fact must not be forgotten that
sometimes a poisonous draught is substituted for a harmless medicine.
And lastly, after a poison has manifested its effects the symptoms often
remit for a time.
When poison is administered with a criminal intent it is generally in
such a dose as to take immediate effect, although this is by no means
necessary, as there are numerous substances which accumulate in the
system, and when given in small and repeated quantities, ultimately
prove fatal. It must also be remembered that there are many diseases, as
malignant cholera, internal hemorrhage, &c., which commence suddenly,
and rapidly run to a fatal termination. In inflammation of the stomach
or intestines the symptoms often set in suddenly, and might be mistaken
for poisoning; such is also the case in intestinal obstruction, and
especially in ulceration and perforation of the bowels. So also in
organic diseases of the heart, where the symptoms may have remained
latent for some time, death often occurs suddenly from syncope. The
diagnosis of the effects of irritant poisons is not so difficult as it
is in the case of narcotics or other neurotics, where the symptoms are
very similar to those produced by apoplexy, epilepsy, tetanus,
convulsions, or disease of the brain.
Generally speaking, a person may be supposed to be suffering under the
effects of a poison, if soon after taking food or drink, he be seized
with violent pain, vomiting, disorder of the alimentary canal, and
convulsive movements: or if he be attacked under the same circumstances
with vertigo, delirium, or great drowsiness. It must not be forgotten,
however, that poisons may be introduced into the body, not only by the
mouth, but also by means of suppositories and enemata, or in females by
vaginal injections, or by inhalation, or by subcutaneous injection, or
through the true skin after the removal of the cuticle. Should death
ensue, the presumption of unfair play will of course be strengthened by
the discovery of post-mortem appearances similar to those known to be
produced by the poison from which the person apparently suffered.
Public-domain text, read in full here on John Shaqi.
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