Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physicChristison, Robert, Sir
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Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physic
Christison, Robert, Sir
Medical jurisprudence; Toxicology
6. _Of Bilious Vomiting and Simple Cholera._—Of all the diseases which
are apt to be confounded with the effects of the irritant poisons, there
is none which it is of so much importance that the medical jurist should
be able to distinguish as cholera. A trial for poisoning with the common
poisons hardly ever occurs, but an attempt is made to ascribe death to
that disease; for it is very frequent, and its symptoms bear a close
resemblance to those of the principal poisons of the class we are now
considering.
It is unnecessary to give here a detailed account of the symptoms of
simple cholera. There is the same burning pain in the stomach and bowels
as in irritant poisoning, the same incessant vomiting and frequent
purging, the same tension and tenderness of the belly, the same sense of
acridity in the throat, and irritation in the anus, the same depression
and anxiety, the same state of the pulse.
It would be wrong, however, to infer from these resemblances that the
two affections are always undistinguishable. Some cases of irritant
poisoning certainly cannot be distinguished by their symptoms from
cholera. Many other cases are similarly circumstanced, because their
particulars cannot be accurately collected. But there is no doubt that
in others the distinction between poisoning and cholera may be drawn by
the physician who has been able to ascertain the symptoms in detail. At
present those points of difference only will be noticed which relate to
the irritants as a class; others will be mentioned under the head of
poisons individually.
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