In cases of =suspected poisoning= especial attention should be
paid to the condition of the gastro-intestinal tract (position,
distention, odor, consistence, condition of blood-vessels, etc.).
A ligature should be placed about the cardiac end of the stomach
and another around the duodenum below the mouth of the common
duct, and both organs removed. They should then be opened outside
the body and the contents examined (amount, consistence, color,
composition, reaction, odor), and the latter then placed in
clean, sterilized glass or porcelain jars, which are sealed and
labeled. The mucosa of the organ is then carefully examined and
described, and the organ itself finally preserved in a sealed and
labeled jar. The small and large intestines and the œsophagus are
similarly ligatured, removed and examined, and with their contents
are preserved for chemic reaction by sealing them in separate
sterilized jars properly labeled. Blood from the heart and large
veins should be saved for spectroscopic and chemic examination.
The contents of the urinary bladder likewise are saved for chemic
analysis. Finally, portions of the brain, liver, kidney, intestine,
spleen and other organs and tissues are preserved in separate
vessels for chemic and microscopic examination. When possible an
expert chemist should be present at the autopsy and receive the
organs and contents directly from the pathologist. Especial care
must be taken that no contamination of the material can occur. The
manner of removal of the organs, the character and condition of the
instruments used, nature and condition of receptacles for material,
manner of sealing, use of preservatives, method of transportation
to the chemist, and other fine points of detail will all be
threshed over in court in the endeavor to discredit the testimony,
and the pathologist and chemist must be thoroughly prepared to meet
all questions of this nature. In certain cases the presence of a
poison may be told by the finding of a granular or crystalline
substance in the stomach or intestines (arsenic-poisoning), by the
color (green from aceto-arsenite of copper, yellow from potassium
chromate or iodin, purple from iodin, red from bromin) or by the
odor (bitter almonds, phosphorus, alcohol, chloroform, laudanum,
carbolic acid, lysol, garlic in arsenic poisoning). Excessive
acidity or alkalinity of the stomach contents is found in poisoning
with acids, alkalies or potassium cyanide. Portions of poisonous
plants, mushrooms, match-heads, etc., may be found in the stomach.
Public-domain text, read in full here on John Shaqi.
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