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
_Of the effusion of mucus and lymph from natural causes._—The abundant
secretion of tough mucus in the stomach is a sign of that organ having
been irritated. But the effusion of lymph is more characteristic. This
may be produced by natural inflammation as well as by irritating
poisons. As arising from either cause, however, it is rare; and
certainly by no means so common as would be supposed from what is said
in systematic works; for tough mucus has been often mistaken for it.
Reticulated lymph adhering to the villous coat, and accompanied with
corresponding reticulated redness of that coat, such as I have seen in
animals poisoned with arsenic or oxalic acid, is an unequivocal sign of
inflammation.
_Of idiopathic ulcers and perforation of the stomach and intestines, and
their distinction from those caused by poison._—Both ulceration and
perforation may be produced by natural disease. In the ulceration
produced by poisons there is generally speaking nothing to distinguish
it from natural ulcers; but that caused by some poisons, such as iodine,
is said to differ by the surrounding coloration of the membrane; and
when the ulcer is caused by a sparingly soluble poison in a state of
powder, such as arsenic, the cavity of the ulcer is sometimes filled
with the powder. Perforation is a rare effect of the simple irritant
poisons; but it is often caused by corrosives. It is imitated by two of
the varieties of perforation from natural disease.
The form of natural perforation caused by a common ulcer is precisely
the same as that caused by the simple irritants, and is incapable of
being distinguished, except when it is attended with scirrhus.
By far the most remarkable variety, however, of spontaneous perforation
is that which takes place, without proper inflammatory action, from
simple gelatinizing of the coats. It is very apt to be mistaken, and in
a celebrated trial, which will be immediately noticed, was actually
mistaken for the effect of corrosive poison.
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