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
Death commonly takes place so soon, that the bowels are seldom much
affected. But when life is prolonged a few hours, they are evidently
much irritated. Dr. Arrowsmith’s patient, who lived thirteen hours, had
severe pain in the bowels and frequent inclination to go to stool, and
Mr. Hebb’s patient, who also lived thirteen hours, had a constant,
involuntary discharge of fluid fæces, occasionally mixed with blood.
Bloody diarrhœa is very common in dogs.
The signs of depressed circulation are always very striking. In general
the pulse fails altogether, it is always very feeble, and the skin is
cold and clammy. Contrary to the general fact, however, I once remarked
in a dog the pulsation of the heart so strong as to be audible at a
distance of several yards.
In some cases nervous symptoms have occurred, but in none so distinctly
as in animals that have taken the diluted acid. It should be remarked,
however, that few published cases contain good histories of the
symptoms; since they commonly come to an end before being seen by the
physician. Convulsions appear to have occurred in some instances either
at the time of death or soon before it. In the slower cases various
nervous affections have been observed. A girl, who swallowed by mistake
about two drachms, and did not vomit till emetics were given, complained
much at first of pain, but afterwards chiefly of great lassitude and
weakness of the limbs, and next morning of numbness and weakness there
as well as in the back. This affection was at first so severe that she
could hardly walk up stairs; but in a few days she recovered
entirely.[412] Analogous effects took place in Mr. Hebb’s patient and in
Dr. Arrowsmith’s case. The first thing the former complained of was
acute pain in the back, gradually extending down the thighs, occasioning
ere long great torture, and continuing almost till the moment of death.
Dr. Arrowsmith’s patient had the same symptoms, complained more of the
pain shooting down from the loins to the limbs than of the pain in the
belly, and was constantly seeking relief in a fresh change of posture.
Mr. Frazer’s patient had from an early period a peculiar general
numbness, approaching to palsy. Dr. Babington’s patient, who took two
scruples by mistake for tartaric acid in an effervescing draught,
suffered, after the first twenty-four hours, chiefly from headache,
extreme feebleness of the pulse, and a sense of numbness and tingling or
pricking in the back and thighs. In a recent case described by Mr.
Tapson, which occurred in London, and where it was supposed, but on
insufficient grounds,[413] that so much as two ounces had been taken,
violent symptoms of irritation in the alimentary canal came on as usual,
but soon afterwards a sense as if the hands were dead, loss of
consciousness for eight hours, and then lividity, coldness, and almost
complete loss of the power of motion in the legs; which symptoms were
not entirely removed for fifteen days. In a case related by Mr. Alfred
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