Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physicChristison, Robert, Sir
Science
Treatise on Poisons: In relation to medical jurisprudence, physiology, and the practice of physic
Christison, Robert, Sir
Medical jurisprudence; Toxicology
The preceding observations will enable the medical jurist to determine,
how far a diagnosis may be drawn from the symptoms between poisoning
with the irritant and the diseases which resemble it. It will be
remarked that the most embarrassing disease, on account of its
frequency, and peculiar symptoms, is cholera. Cholera, however, may be
recognised in some instances even considered in regard to the irritants
as a class; and we shall presently find that it may be distinguished
still better from the effects of some individual poisons.
SECTION II.—_Of the Morbid Appearances caused by Irritant Poisons,
compared with those of certain natural diseases._
The next subject for consideration is the morbid appearances produced by
the irritants as a class, together with those of a similar nature, which
arise from natural causes.
The powerful irritants, which are not corrosives, produce simply the
appearances characteristic of inflammation of the alimentary canal in
its various stages,—in the mouth, throat, and gullet vascularity, and
also, if the case has lasted long enough, ulceration;—in the stomach,
vascularity, extravasation of blood under and in the substance of the
villous coat and likewise into the cavity of the organ, abundant
secretion of tough mucus, deposition of coagulable lymph in a fine
network, ulceration of the membranes, occasionally perforation,
preternatural softness of the whole or of part of the villous coat, and
on the other hand sometimes uncommon hardness and shrivelling of that
coat; in the intestines vascularity, extravasation, and
ulceration.—Sometimes several of these appearances are to be seen in the
whole alimentary canal at once. In poisoning with arsenic or corrosive
sublimate it is no unusual thing to meet with redness or ulceration of
the throat, great disease in the stomach, vascularity of the small
intestines, ulcers in the great intestines, and excoriation of the
anus.—When the poison is an active corrosive much more extensive ravages
are sometimes caused, particularly in the stomach. After poisoning by
the mineral acids, for example, the whole mucous membrane of the stomach
is at times found wanting; nay, large patches of the whole coats may be
wanting, and the deficiency supplied by the adhesion of the margin of
the aperture to the adjoining viscera, and the conversion of the outer
membrane of these viscera into an inner membrane for the stomach.
Of the appearances here briefly enumerated the particulars will be
related partly under what is now to be said of the appearances arising
from natural causes, which are liable to be confounded with the effects
of poisons, partly under the head of individual poisons.
_Of redness of the stomach and intestines from natural causes, and its
distinction from the redness caused by poisons._
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