_Opium._—The post mortem appearances of persons who have been killed
by the preparations of opium, are negative. Intense congestion of
the brain and lungs are spoken of by most authors, but they seem to
depend chiefly on the way in which the patient dies, rather than on
any specific action of the drug.
_Prussic Acid._—The skin is usually livid, and the muscles
contracted; the stomach is congested, and the veinous system
unusually full of blood. The most characteristic condition, when
this acid is present, is the odor of bitter almonds exhaled from the
stomach and tissues.
_Alcohol._—The different preparations of alcohol may, when taken
in large quantities, produce sudden coma and death. The bodies are
said to resist decomposition for an unusual length of time. There is
congestion, and sometimes extravasation of the blood in the brain;
the veins everywhere are full of blood, and the bladder distended
with urine. Chronic alcoholic poisoning is of a different nature; in
this latter case the brain appears normal, but the lungs are usually
congested.
_Strychnia—Nux Vomica._—In cases of poisoning from these, the
cramping and contraction of the muscles relax after death, but the
brain is always congested with blood.
_Corium, Aconite, Belladona, Lobelia, Digitalis, Stramonium,
Veratrum._—All these poisons produce congestion of the brain, lungs
and stomach.
_Carbonic Oxide._—This gas is produced from burning charcoal, and
forms the poisonous ingredient of illuminating gas. For post mortem
appearances, see death from suffocation.
_Carbolic Acid._—A number of deaths from this poison have been
reported in the last few years. In this case, the stomach, lungs and
intestines are intensely congested.
_From Lightning._—In persons killed by lightning the internal viscera
may be so lacerated and disorganized that the injection of the
embalming fluid may be rendered impossible.
_Drowning._—Persons who have been drowned usually die from asphyxia.
The lungs are generally congested, the stomach contains some of
the fluid in which the person may have been drowned, and must be
emptied. The abdominal viscera may also be congested, but the blood
generally remains fluid throughout the body, and is easily removed.
_Strangulation._—In this instance the carotid arteries are generally
ruptured; the heart, the lungs and the viscera, are usually
congested. In death from suffocation the same symptoms are present.
In cases of sunstroke, decomposition sets in very rapidly, and
requires an immediate check; the lungs will frequently be found
congested.
_Epidemic, Cerebro-Spinal Meningitis._—In many cases the skin of
the body and face may show purpuric patches. The rigor mortis is
pronounced and long continued, but decomposition sets in early.
The intestines may be swollen, and even ulcerated, and the lungs
congested.
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