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
3. _The Hands and Feet._--The hands and feet acquire a greyish-blue
colour when the body has lain in the water from twelve to twenty-four
hours. The skin also becomes corrugated in longitudinal folds. The
greyish-blue condition of the hand is known as the “cholera hand.”
The nails may contain particles of sand and weeds. “No corrugation or
discoloration of the skin of the hands or feet is ever observed on
the body of anyone drowned who has been taken out of the water within
half an hour, within two, six, or even eight hours” (Casper). The same
authority states he has produced these effects by laying the hands
after death in water, or wrapping them in cloths kept constantly wet
for a few days.
4. _The Genitals._--Contraction of the penis and dartos is an almost
constant symptom, and Casper has “not observed anything similar so
constantly after any other kind of death.” It is due, probably, to
the same cause as the _cutis anserina_, which Brettner attributes to
“bundles of unstriped muscular fibres, lying in the upper stratum of
the true skin, surrounding the sebaceous glands, and forcing them
forwards by their contraction, thus making the _cutis anserina_.
Precisely similar unstriped muscles are found in the subcutaneous
cellular tissue of the penis; they run principally parallel to the long
axis of the member, but very often large bundles run across it.” The
action of cold and fright is to induce contraction of these cutaneous
muscles, with a resulting contraction of the penis.
II. Internal
1. _The Brain._--Cerebral hyperæmia is _most_ rare in the drowned, but
cerebral hypostasis is not infrequently mistaken for it.
2. _The Trachea._--The mucous membrane of the trachea and larynx is
always more or less injected, and is of a cinnabar-red, which must
not be mistaken for the dirty, brownish-red colour, the result of
putrefaction. A white froth, but seldom bloody, is also found in
varying quantity in the trachea, and is a most important sign of vital
reaction, but its diagnostic value is destroyed by putrefaction.
Sometimes a portion of the contents of the stomach may be found in the
trachea. When this occurs it is due to the act of coughing, induced by
the admission of water into the lungs. The contents of the stomach are
forced into the mouth, and then drawn into the lungs during the next
attempt at inspiration. This indicates that the person entered the
water during life. In cases where death has taken place from syncope
little or no froth may be found in the trachea.
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