Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
6. _Capillary Ecchymoses._--These appear as purplish-red spots on the
pulmonary pleuræ, on the surface of the heart, aorta, in the thymus,
and on the diaphragm. They may appear on the above-mentioned parts in a
fœtus suffocated _in utero_ by pressure on the cord. These ecchymoses
are rarely seen on adults, most frequently on infants, due probably
to the thinness of the coats of the capillaries, which are ruptured
in the efforts made to breathe. They are not a positive sign of death
from suffocation, as they have been seen in death due to cholera,
typhus, and other diseases. They are present also where death is due to
hanging, drowning, &c.
7. _Condition and Appearance of the Trachea._--The mucous membrane of
the trachea is injected, and appears of a cinnabar-red colour. This
is present in every case of death by suffocation, and must not be
confounded with the dirty cherry-red or brownish-red coloration due
to putrefaction. Remember also that the trachea putrefies early. If
suffocation be slowly produced, a quantity of frothy mucus may be found
in the windpipe, and also in the smaller tubes of the lungs. Always
examine, especially in cases of supposed infanticide, the trachea for
foreign bodies, the presence of soot, &c. The presence of sand, ashes,
&c., in the œsophagus and stomach in persons buried in these materials,
is presumptive of the person having been placed in them prior to death.
8. _Kidneys, Vena Cava, &c._--The quantity of blood in the kidneys
is always considerable. The abdominal veins are all more or less
congested, and the external surface of the intestines presents numerous
traces of venous congestion.
9. _The Brain._--Apoplexy of the brain, as secondary to the pulmonary
apoplexy, may be more or less present, attended by its well-known
appearances.
10. _Face, Tongue, and Mouth._--The expression of the face is not
characteristic of death by suffocation, and differs in no particular
from that common to other forms of death, being more frequently pale
than turgid; and the starting of the eyes, popularly ascribed to
this form of death, is not often seen. The tongue may or may not be
protruded beyond the teeth. The presence of _froth_ about the mouth is
not constant, and is of common occurrence in those dying from natural
causes. The tympanum may be ruptured.
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