Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and ExpertsBlyth, Alexander Wynter
Science
Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and Experts
Blyth, Alexander Wynter
Poisons
The following preparations are to be found in the museum of the
London Hospital:--A. b. 1. and A. b. 8.--A. b. 1. shows the pharynx,
œsophagus, larynx, and stomach of a young woman, who, after taking
half an ounce of nitric acid, died in eight hours. The staining is
very intense; as an unusual feature, it may be noted that the larynx
is almost as yellow as the œsophagus. The abrasion or solution of
the epithelium on the dorsum of the tongue has dissected out the
circumvallate and fungiform papillæ, so that they project with
unusual distinctness. The lining membrane of the gullet throughout
is divided into minute squares by longitudinal and transverse
furrows. The mucous membrane of the stomach appears wholly
destroyed, and presents a woolly appearance.
A. b. 8. shows a very perfect cast of the œsophagus. The case was
that of a woman, aged 35, who swallowed half an ounce of nitric
acid. The symptoms for the first four days were the usual pain in
the throat and stomach, which might be expected; the bowels were
freely open, and the stools dark and offensive. On the sixth day,
there was constant vomiting with offensive breath; on the ninth, the
appearance of the patient was critical, and she threw up the cast
preserved. She died on the tenth day after the taking of the acid.
The gullet, stomach, trachea, and larynx were found after death much
inflamed.
The following preparations are in St. Thomas’ Hospital:--P. 5.--a
stomach with gullet attached. The stomach is covered with
yellowish-green patches of false membrane and deposit; the gullet
has the usual longitudinal furrows so characteristic of corrosive
fluids.
P. 6. is also from a case of nitric acid poisoning. It shows the
lining membrane of the stomach partly destroyed and shreddy, yet but
little discoloured, the hue being a sort of delicate fawn.
To these may be added a case described and figured by Lesser; to a
baby, a few days old, an unknown quantity of fuming nitric acid was
given; the child made a gurgling, choking sound, and died in a few
minutes. The corpse, nine days after death, showed no signs of
decomposition. The tongue and gums were yellow, the gullet less so,
the stomach still less, and the small intestine had no yellow tint;
the whole of the mouth, gullet, and stomach showed the corrosive
action of the acid. The graduation of tint, Lesser remarks, is what
is not seen when the yellow colour is due to poisoning by chromic
acid or by strong solution of ferric perchloride; in such cases,
wherever the liquid has gone, there is a yellowness.[114]
[114] A. Lesser, _Atlas der gerichtlichen Medicin_, Berlin, 1884, Tafel
i. fig. 2.
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