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
_Post-mortem Appearances._--Those of acute irritant poisoning,
including extensive destruction of the coats of the stomach, by
softening, ulceration, and perforation, terminating in gangrene.
The stomach may contain a quantity of white vapour, having a strong
smell of garlic. This white vapour has been noticed to pass from the
vagina and anus of those poisoned by phosphorus. The blood appears
to be thoroughly disorganised; the blood-cells are colourless and
transparent, their colouring matter being dissolved in the uncoagulated
liquor sanguinis; hæmorrhages may be present beneath the serous
membranes and in the pleural and pericardial cavities, and thromboses
are frequently present, due to a tendency for the blood-cells to
agglutinate. In a case recorded in the _British Medical Journal_, 1873,
fatty degeneration of the liver and kidneys was found a week after
the poison was taken. In phosphorus poisoning, the liver is enlarged,
of a dull appearance, doughy, uniformly yellow, with the acini well
marked; in acute atrophy, the liver is diminished in size, greasy on
the surface, leathery, of a dirty yellow colour, with traces only of
the obliterated acini. In the former, also, the hepatic cells are
either filled with oil globules or entirely replaced by them; in the
latter, the cells are filled with a fine granular detritus, and their
structure replaced by newly-formed connective tissue. Putrefaction
rapidly supervenes on death. Hæmorrhages may be found on the surface of
the brain and spinal cord, and the grey matter of the cortex and basal
ganglia rose-pink in colour. Fatty changes have been found in the walls
of the capillaries and the large cortical cells.
_Chemical Analysis._--The smell of phosphorus is characteristic, as is
also its luminosity when exposed in the dark. The following process,
suggested by Mitscherlich, may be adopted for its detection:
To render the suspected matter quite fluid water is added, previously
acidulated with sulphuric acid, in order to neutralise any ammonia
present. The liquid is then transferred to a glass retort, fitted with
a long condensing tube passing into a receiver containing solution of
nitrate of silver. Distillation is conducted in the dark, when the
minutest trace of phosphorus may be detected by the luminous appearance
of the vapour during condensation. Other modifications of this process
have been suggested, in order to increase the space occupied by the
phosphorescence.
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