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
Simple redness of the alimentary mucous membrane in all its forms,
whether of mere vascularity, or actual extravasation, not only does not
distinguish poisoning from inflammatory disorders of natural origin, but
will even seldom distinguish the effects of poison from those of
processes that occur independently of disease, and subsequent to death.
On the subject of real inflammation, as distinguished from redness
originating after death, or pseudo-morbid redness, as it is commonly
termed,—a subject of great consequence to the medical jurist,—the reader
may consult with advantage a paper by Dr. Yelloly,[195] an essay by MM.
Rigot and Trousseau,[196] or that of M. Billard.[197] The former authors
proved by experiment, that various kinds of pseudo-morbid redness may be
formed, which cannot be distinguished from the parallel varieties caused
by inflammation; that these appearances are formed after death, and not
till three, five, or eight hours after it; that they are to be found
chiefly in the most depending turns of intestines, and in the most
depending parts of each turn, or of the stomach; and that after they
have been formed, they may be made to shift their place, and appear
where the membrane was previously healthy, by simply altering the
position of the gut. M. Billard, on the other hand, has laid down their
characters, and made a minute arrangement of the several kinds. He has
divided them into ramiform, capilliform, punctated, striated, laminated,
and diffuse redness,—terms which need hardly be explained. I must be
content with merely referring to these sources of information for a
particular account of the appearances in question. But it may be right
at the same time to quote an instance of the most aggravated form of
pseudo-morbid redness, in order to convince the reader that all forms
may equally arise from the same causes. Among other example, then, which
have been related of laminated redness, or redness in patches from
extravasation, M. Billard mentions the case of a man who hanged himself,
and in whose body was found, on the mucous membrane of the small
intestine where it lay in the right flank, “a large, amaranth-red patch,
six finger-breadths wide, covered with bloody exudation, and not
removable by washing:” and in the lower pelvis there was a similar patch
of even larger dimensions.[198]
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