Outlines of medical jurisprudence for India / by J.D.B. Gribble and Patrick Hehir.

  • Gribble, J. D. B. (James Dunning Baker), -1906
Date:
1898
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Licence: Public Domain Mark

Credit: Outlines of medical jurisprudence for India / by J.D.B. Gribble and Patrick Hehir. Source: Wellcome Collection.

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    42^ CHAP. TV.] ACIDS AND ALKALIES. were, dissolved. The internal effects are immediate and acute. The pain, however, is not constant, since in a few recorded cases, no complaint of pain has been made ; but these are quite exceptional, and, as a rule, there will be immediate and great suffering. The tongue swells, the Ihroat is also swollen and inflamed, and the swallowing of saliva even may be impossible. If the acid has been in contact with the epiglottis and vocal apparatus, there may be spasmodic croup, and even fatal spasm of the glottis. (Blyth). The corrosive action extends down to the stomach. There is extensive vomiting, and the whole of the lining membrane of the gullet may be thrown up. Death may take place within from twenty-four to thirty-six hours, but when large doses have been taken on empty stomach, the latter may be absolutely dissolved, the same symptoms as of perforation of the stomach may set in, and the death may be very sudden. 682. The treatment to be of any good should be imme- Treatment in diate : finely-divided chalk, magnesia, or sodic carbonate, p^soning.^1 may be used, dissolved in water. Wall plaster will often be the first thing to come to hand, and, under any circum- stances, enormous doses of water should be given, so as to dilute the acid. The stomach-pump should not be used. In the case quoted by Chevers, nourishment was given entirely by nutritive enemata for six weeks, with success. 683. We can find no recorded cases of poisoning by Hydrochloric hydrochloric acid in this country. Its effects are similar to ncid Poisonine- those of sulphuric acid, except that it produces white stains upon the skin. 684. Dr. Rogers speaks of two cases of poisoning having Nitric acid occurred during 1883, in which nitric acid was found mixed P01S0tling- with coffee. Chevers appears to have met with no cases of poisoning with nitric acid, and such cases are probably very rare in this country. The smallest fatal dose on record is two drachms, which killed a child of thirteen. (Blyth). The vapour, if inhaled in large quantities, proves fatal, and cases have occurred in which a vessel containing the acid has
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