DEATH FROM POISONING.

_By Sulphuric Acid._—There does not seem to be any lesions of the

arteries after death, as the stomach is the only part which might

be perforated, as also the adjoining viscera might be blackened and

softened by the action of the acid. The blood is thickened, sirupy

acid, and the body may be partially preserved from decomposition.

_Nitric Acid._—In this case the stomach will be found to contain a

viscous, sanguinolent yellow or greenish fluid, which must be got rid

of before injecting. The lungs will also be found highly congested,

and the blood must therefore be emptied out. The acid, Nitrate of

Mercury, and Muriatic Acid, produce about the same changes after

death as those of Nitric Acid.

_Oxalic Acid._—The stomach will be found to contain a dark, brown,

mucous fluid, but in some cases of death from this poison there are

no well marked lesions.

_Oxalate of Potash_ produces the same changes.

_Potash-Soda._—These alkalies and their carbonates are rarely used as

poisons. Cicatrices and strictures of the œsophagus and stomach may

be produced.

_Ammonia._—The vapor of strong ammonia may cause death from

inflammation of the larynx and air passages. But the strong solution

of Ammonia produces corrosion of the mouth, œsophagus and stomach.

_Nitrate of Potash._—In some cases, there is intense congestion of

the stomach, and sometimes perforation of that organ.

_Phosphorus._—The post mortem appearances vary with the length

of time which lapses before death. If death takes place in a few

hours, the only lesions are those produced by the direct action of

the poison. The contents of the stomach, which must be evacuated,

are often mixed with blood, and may have the peculiar smell of

phosphorus. It is said that the mucous membrane of the stomach may

emit a phosphorescent light in the dark. If death does not ensue

until after several days, the lesions are more marked; the body is

usually jaundiced, and there may be found a congestion of the liver,

or there may be a small hemorrhage in the liver tissue.

_Arsenic._—The stomach may be empty, or contain mucous mixed with

blood, and the intestines contain a white, rice-water fluid, which

must be emptied out.

_Corrosive Sublimate._—The stomach is usually contracted; there

are inflamed and congested, sometimes _gangrenous_, _patches_ of

the mucous coat. The intestines may appear normal, or there may be

patches of congestion. In both preceding cases it must be borne in

mind that the poison may be absorbed by the skin, therefore the

operator should use great care in manipulating the stomach and bowels.

_Vegetable Irritants._—Aloes, colocynth, jalap, gamboge, scammony,

savin, croton oil, colchicum, veratria, turpentine; all these drugs

produce congestion and inflammation of the stomach and bowels.

_Sulphate of Copper—Verdigris._—The post mortem appearances have

only been observed in a moderate number of cases; the stomach may be

unchanged, or there may be patches of gangrene and inflammation, and

even perforation.

_Tartar Emetic._—In this instance the lesions are not constant, but

the lungs may be engorged with blood.

_Opium._—The post mortem appearances of persons who have been killed

by the preparations of opium, are negative. Intense congestion of

the brain and lungs are spoken of by most authors, but they seem to

depend chiefly on the way in which the patient dies, rather than on

any specific action of the drug.

_Prussic Acid._—The skin is usually livid, and the muscles

contracted; the stomach is congested, and the veinous system

unusually full of blood. The most characteristic condition, when

this acid is present, is the odor of bitter almonds exhaled from the

stomach and tissues.

_Alcohol._—The different preparations of alcohol may, when taken

in large quantities, produce sudden coma and death. The bodies are

said to resist decomposition for an unusual length of time. There is

congestion, and sometimes extravasation of the blood in the brain;

the veins everywhere are full of blood, and the bladder distended

with urine. Chronic alcoholic poisoning is of a different nature; in

this latter case the brain appears normal, but the lungs are usually

congested.

_Strychnia—Nux Vomica._—In cases of poisoning from these, the

cramping and contraction of the muscles relax after death, but the

brain is always congested with blood.

_Corium, Aconite, Belladona, Lobelia, Digitalis, Stramonium,

Veratrum._—All these poisons produce congestion of the brain, lungs

and stomach.

_Carbonic Oxide._—This gas is produced from burning charcoal, and

forms the poisonous ingredient of illuminating gas. For post mortem

appearances, see death from suffocation.

_Carbolic Acid._—A number of deaths from this poison have been

reported in the last few years. In this case, the stomach, lungs and

intestines are intensely congested.

_From Lightning._—In persons killed by lightning the internal viscera

may be so lacerated and disorganized that the injection of the

embalming fluid may be rendered impossible.

_Drowning._—Persons who have been drowned usually die from asphyxia.

The lungs are generally congested, the stomach contains some of

the fluid in which the person may have been drowned, and must be

emptied. The abdominal viscera may also be congested, but the blood

generally remains fluid throughout the body, and is easily removed.

_Strangulation._—In this instance the carotid arteries are generally

ruptured; the heart, the lungs and the viscera, are usually

congested. In death from suffocation the same symptoms are present.

In cases of sunstroke, decomposition sets in very rapidly, and

requires an immediate check; the lungs will frequently be found

congested.

_Epidemic, Cerebro-Spinal Meningitis._—In many cases the skin of

the body and face may show purpuric patches. The rigor mortis is

pronounced and long continued, but decomposition sets in early.

The intestines may be swollen, and even ulcerated, and the lungs

congested.

The character of the disease almost precluded the idea of preserving

the body after death. However, should the request be insisted upon,

too many precautions cannot be taken, for the disease is of a

virulent character.

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