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
In the mildest form, as in a case related by Plenck[439] of a man who
swallowed an ounce of the carbonate of potass, the symptoms represent
pretty nearly an attack of acute gastritis when followed by
recovery,—the effects on man being then analogous to those observed by
Bretonneau in animals, when the poison was introduced into the stomach
without touching the gullet.
But a more common form than either of the preceding is one, similar to
the chronic form of poisoning with the mineral acids, in which constant
vomiting of food and drink, incessant discharge of fluid, sanguinolent
stools, difficulty of swallowing, burning pain from the mouth to the
anus, and rapid emaciation, continue for weeks or even months before the
patient’s strength is exhausted; and where death is evidently owing to
starvation, the alimentary canal being no longer capable of assimilating
food. Two characteristic examples of this singular affection have been
recorded in the Medical Repository,[440] and a third, of which the event
has not been mentioned, but which would in all likelihood end fatally,
has been communicated by M. Jules Cloquet to Orfila.[441] Of the two
first cases, which were caused by half an ounce of carbonate of potass
having been taken in solution by mistake for a laxative salt, one proved
fatal in little more than a month, the other three weeks afterwards. In
Cloquet’s case, at the end of the sixth week the membrane of the mouth
was regenerated; but the gullet continued to discharge pus, and the
stools were purulent and bloody.
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