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
The _Symptoms_ common to the action of these acids supervene
_immediately_ the acid is swallowed, and consist in a sensation of
burning in the mouth and gullet. Dreadful pain is felt in the stomach,
attended with constant eructations, and vomiting of a brownish or
blackish matter, mixed with blood. Mucus, together with, in severe
cases, portions of the mucous membrane of the stomach, may be detected
in the vomited matters, which have an intensely acid reaction, changing
the colour and destroying the texture of cloth or other material on
which they may fall. The act of swallowing is attended with intense
pain, and not infrequently is rendered quite impossible. The thirst
is intense, the bowels are confined, and the urine is diminished
in quantity. The pulse is small and weak, and the skin clammy and
cold. Respiration is performed with difficulty, and the countenance
expresses the most intense anxiety. Sometimes, when the upper part of
the windpipe is implicated, there is more or less cough and difficulty
of speech. Death may even result from suffocation--the skin, in this
case, presenting a cyanosed appearance. The mouth is excoriated, the
lips shrivelled and blistered. In children, when the acid has been
poured far back into the mouth, by forcing the bottle backwards before
emptying it of its contents, the mouth may more or less escape injury,
and the signs in it of corrosive poisoning be absent. The teeth may
become loose, and fall out of the mouth. The mental faculties remain
clear, death generally coming on suddenly, the patient dying convulsed
or suffocated. The period at which death ensues is very variable, and
considerable power for locomotion may be retained by the sufferer,
though, as a rule, he is found writhing in exquisite agony on the floor
or elsewhere. Some cases recover, leaving the coats of the stomach more
or less injured, and the general health greatly impaired.
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