A System of Legal Medicine volume 1

Cover A System of Legal Medicine volume 1
A System of Legal Medicine volume 1
Allan Mclane Hamilton
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And with these we often find an irritation of the conjunctiva, and also of the skin, with pains in the legs and lower extremities.
Finally, if the arsenic is in the system for some length of time, a week or more, we are apt to have a series of chronic nervous symptoms, due to a gradually progressing, multiple, peripheral neuritis, which may finally terminate in complete paralysis.
Accordingly we can roughly subdivide the cases of arsenical poison- ing into four heads: 1. Acute; 2. Sub-acute; 3.
... Cerebral or narcotic; 4. Chronic.
i. Acute Cases. — As a rule, where large doses of arsenic have been taken the main action of the poison is upon the digestive tract. The first symptoms noticed are of weakness and faintness, generally in half an hour or an hour after the dose. Then comes vomiting, violent and inces- sant, a very constant symptom, beginning generally within two or three hours after the dose and continuing almost always until death. The vomited matter is partly a watery secretion, and partly a thick glairy mucus, often containing bile and sometimes streaked with blood.


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