Volume 2

A system of medicine / by many writers ; edited by Thomas Clifford Allbutt and Humphry Davy Rolleston.

Date:
1905
Catalogue details

Licence: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

Credit: A system of medicine / by many writers ; edited by Thomas Clifford Allbutt and Humphry Davy Rolleston. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

    1105/1120 (page 1077)
    077 The diagnosis of chronic arsenical poisoning is at times extremely ditficult. Peripheral neuritis and progressive emaciation, without local disease, are either iliathetic or toxic. A chemical examination of the urine may throw light upon a doubtful case. Treatment.—If the case be acute and seen early, emetics and the use of the stomach-tube are called for ; but the antidote for arsenical poison- ing, when the drug is still present in the stomach, is fieshly ])repared ferric hydrate. It acts by converting soluble arsenious acid into the insoluble arseniate of iron. Ferric hydrate is rapidly prepared by adding liquor ammonite fortior to the liquor or tincture of the perchloride of iron, care being taken not to add excess of ammonia. The liquid may be administered without filtration and given freely. Should the poison have already passed into the sj'stem ferric hydrate is usele.ss. The treatment must then depend upon the symptoms. Copious draughts of water probably aid the elimination of the drug by the kidneys. For arsenical paralysis tonics such as liquor strychninse may be necessary; as well as the employment of massage and electricity. Iodide of potassium may be of sertdee as an aid towards the elimination of the poison in mild subacute cases. Thomas Oliver. REFERENCES Phosphorus; — 1. Arnaud, FR.A.Xf;ois. “ Phospliovisnie chroiiique,” Annul. d'Hijgiine, mars 1S96, xxxv. 193.—2. Baumel. Annul, da mid. at da chir. cnfantilc, 1904, viii. 300.—3. Blvth, IVyxter. Poisons, 3rd ed. 1895, pp. 212-235.—4. BrTJAGix. Arckiv /. Hyg. 1904, xlix. 307.—5. Chaumier. Gaz. mid. du ceiUrc, Tours, 1904, ix. 297, 336, 356, 373.-6. Gallavardin. Paralysies Phosphoriques, 186.5, p. 35.—7. Goxxixg. Nederland. Tijdschr. voor Gcncsk. A fol. 1, 1866.—8. Hexschex. Nmrol. Ccntralhl. 1898, xvii. 386.—9. Hill. Lancet, 1890, i. 398.-— 10. Jak-sch. vox. “Die Vergiftungen,” Speciellc Pathol, und Therapie, Baud i. 1897. —11. JoKOTE. Etwla sur la Toxieiti deVHydrogene phosph.—12. LEcoiiciifi. Archiv. de physiolog. 1869, pp. 97, 488.—13. Lilienfeld and Moxti. See Elements of Chem. Physiol, p. 164 (Halliburton). — 14. Magitot. Bidl. da I'acadimie de med. 1895, xxxiii. 267.—15. JIayet. Canstatl. Jahresher. 1862, Bd. v. p. 123.—16. Mears. Gould and IVarren’s International Teod-Booh of Surgery, 1900, i. 50.—17. Muxzer. Archiv fur klin. Med. 1894, lii. 199.-18. Onno and Olmeu. Compl. rend. soc. da hlol. Pari.s 1904, Ivi. 901.—19. Overi-ACH. “Die Pseudonieii.st. Mucos.,” Mrc7ni> fur mieroscop. Anat. Bonn, 1885, x.xv. 191.—20. Roger and Josue. Gaz. hcM. de raid. Paris, 1899, N.S. iv. 523.-21. Stockmax and Ciiarteris. Jovm. Path, and Baderiol. Edin. and London, 1904, ix. 202.-22. Stoexesco. Annal. d'Hygiene tmh. 1901, 4th .ser. i. .522.—23. Tardieu. itxule med.dig. cl clin. sxir empohon. Pari.s, 1875.—24. Veti'ek. Virchow’s Archiv, 1871, liii. 168.—25. AVi'y.xKR. Ibid. 1872 Iv. 11. Mercury: — 26. .Iu.ssieu. Encyclopedic d’Jfygienc, vi. 481. — 27. Kfss.MAUL Ibid. p. 483.-28. Mk.rat. Ibid. p. 481.—29. Merino. Archiv f. exterim. Pathol, und Plumnak. 1881, xiii. 86.—30. Pri5vost. Bev. mid. de la Suisse limn. 1882. ii. 553, 605. —31. Raymond. Encyclop. d'Ihjgiinc, vi. 481. Copper: 32. Arlidge. Diseases of Occtipalions, 1892, )). 283.—33. Greexiiow. Med.-Chir. Trans. 1862, xlv. 177.—34. Hogiien. Bmningham Med. Her. 1887, T, 155 Mot'Lix, Du. France vu'd. 1889, ii. 1181.—36. Murray, 1\ . Brd. Med. Jaurn. 1900, i. 1334.-37. .SiMox. R. -M. Ibid. 1888, i. 887.-38. Stewart, A. II. Arner. .Med. Sei. 1905, cxxix.—39. Suckling and Sciiloukow. Bi-it. .Med. 1888, i. 471. Zinc:—40. Schi.ockow. Deutseh. mcd. JVehnschr. v. 208. Antimony:—41. Huse.MAXX. Toxicologic. ^802, ]>. 852.--42. PoxD. Lancet. \00t>, i. 1610,1736. -13. Thresh, .1. C. Public Health. pTistol, Nov. 1905. Carbolic Acid ;—