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
44. The medical inspectors may afford most important aid to the law
officers in investigating the history of cases of supposed poisoning.
For this purpose minute inquiry should be made into the symptoms during
life their nature, their precise date, especially in relation to meals
or the taking of any suspicious article, their progressive development,
and the treatment pursued. It is impossible to be too cautious in
collecting such information, and, in particular, great care must be
taken to fix the precise date of the first invasion of the symptoms,
and the hours of the previous meals. The same care is required in
tracing the early history of the case, where the inspector happens
to visit the individual before death; and if suspicions should not
arise till his attendance has been going on for some time, he ought,
subsequently to such suspicions, to review and correct the information
gathered at first, especially as to dates. All facts thus obtained
should be immediately committed to writing.
45. Besides inspecting the body and ascertaining the history of the
case, the inspectors may afford valuable assistance to the law officers
in searching for suspicious articles in the house of the deceased.
These are--suspected articles of food, drink, or medicine; the vessels
in which they have been prepared or afterwards contained; the family
stores of the articles with which suspected food, &c., appears to have
been made. All such articles must be secured, according to the rules
in Sect. 13, for preserving their identity. In this examination the
body-clothes, bed-clothes, floor, and hearth should not be neglected,
as they may present traces of vomited matter, acids spurted out or
spilled, and the like.
46. When a medical man is called to a case during life, where poisoning
is suspected, he ought as soon as possible to follow the instructions
laid down for securing articles in which poison may have been
administered.
47. In the same circumstances, it is his duty to observe the conduct of
any suspected individual, were it for no other reason than to prevent
the remains of poisoned articles from being put out of the way, and to
protect his patient against further attempts.
48. The whole organs of the abdomen must be surveyed, and particularly
the stomach and whole tract of the intestines, the liver, spleen, and
kidneys, the bladder; and in the female, the uterus and its appendages.
The intestines should in general be split up throughout their whole
length; and it should be remembered that the most frequent seat of
natural disease of their mucous membrane is in the neighbourhood
of the ileo-cæcal valve, and that, next to the stomach, the parts
most generally presenting appearances in cases of poisoning are the
duodenum, upper part of jejunum, lower part of ileum, and rectum.
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