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
_Symptoms._--The vapour may cause death by producing inflammation of
the larynx and lungs. The symptoms to which it gives rise are a feeling
of choking, and a suspension of the power of breathing. Intense heat
and pain are felt in the throat, which may remain for some time. When
ammonia is swallowed in solution, the symptoms produced are not unlike
those the result of the action of soda or potash, only more intense.
Dr. Patterson records the history of a case of a poor man who drank
about an ounce of the liquid ammonia. When seen, his lips were livid,
breathing stridulous, aspect anxious, extremities cold, pulse 100;
inside of mouth, tongue, fauces, as far as visible, red, raw, and
fiery-looking. He died suddenly, nineteen days after the accident, of
laryngeal spasm. Albuminuria occurred in one case.
The _post-mortem_ appearances are those found in most cases of
poisoning by corrosives.
_Chemical Analysis._--Ammonia can be separated from organic mixture by
distillation. Putrefaction must not have taken place. The vapour of
ammonia is easily set free and recognised by its pungent odour. The
carbonate effervesces when an acid is added to it, and gives a white
precipitate with salts of lime. Dense white fumes are given off in the
presence of hydrochloric acid. Nessler‘s reagent gives a reddish-brown
colour or precipitate.
_Fatal Period._--Death has been known to occur in _four minutes_, but
life may be prolonged for some time, the person dying of some thoracic
trouble.
_Fatal Dose._--A teaspoonful of the strong solution.
_Treatment._--Vinegar and water, lime-juice and oil, and leeches to
the throat if the inflammatory symptoms be severe. The rest of the
treatment will depend upon the symptoms present. Tracheotomy may be
necessary.
CAUSTIC SALTS
CHLORIDE OF ANTIMONY
Chloride of antimony (butter of antimony) is a corrosive liquid. The
colour varies from a light yellow to a dark red. Though a powerful
poison, it is seldom taken for that purpose. It has been taken
by mistake for ginger beer. On the addition of water, the white
oxychloride is precipitated.
_Symptoms._--The symptoms produced by swallowing this substance are
those of corrosive poisoning. The mouth and throat are excoriated, the
skin cold and clammy, and the pulse feeble and quick. Severe pain is
felt in the stomach, and vomiting is incessant.
_Post-mortem Appearances._--Those found after corrosive poisoning.
_Chemical Analysis._--When poured into water, the chloride is
precipitated; the precipitate, soluble in tartaric acid, becomes
orange-red on the addition of hydrogen sulphide. The supernatant liquid
will give a white precipitate with nitrate of silver, showing the
presence of hydrochloric acid. The salts of bismuth are precipitated by
the addition of water, but the precipitate is, unlike the antimonial,
insoluble in tartaric acid, and is blackened by hydrogen sulphide.
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