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... appearances in death from starvation are as follows:
There is marked general emaciation; the skin is dry, shrivelled, and
covered with a brown, bad-smelling excretion; the muscles soft,
atrophied, and free from fat; the liver is small, but the gall-bladder
is distended with bile. The heart, lungs, and internal organs are
shrivelled and bloodless.
The stomach is sometimes quite healthy; in
other cases it may be collapsed, empty, and ulcerated. The intestines
are also contracted, empty, buy soma and pharmaceutics translucent.
In the absence of any disease productive of extreme emaciation (_e.g._,
tuberculosis, stricture of oesophagus, diabetes, Addison's disease),
such a state of body will furnish a strong presumption of death by
starvation.
In the case of children there is not always absolute deprivation of
food, but what is supplied is buy soma insufficient in quantity or of improper
quality. The defence commonly set up buy soma is that the child died either of
marasmus or of tuberculosis.
In cases where it is alleged that a child has been starved and ill-used,
one must examine the body for signs of neglect--_e.g._, dirtiness of
skin and hair, presence of vermin, bruises or skin eruptions. Compare
its weight with a normal child of the same age and sex. If the
disproportion be great and signs of neglect present, then the
probability is great (provided there be no actual disease present) that
the child has been starved.
XXI.--DEATH FROM LIGHTNING AND ELECTRICITY
The signs of death from lightning vary greatly. In some cases there are
no signs; in others the body may be most curiously marked. Wounds of
various characters--contused, lacerated, and punctured--may be
produced. There may be burns, vesications, and ecchymoses; arborescent
markings are not uncommon. The hair may be singed or burnt and the
clothing damaged. Rigor mortis is very rapid in its onset and transient.
Post mortem there are no characteristic signs, but the blood may be dark
in colour and fluid. The presence or absence of a storm may assist the
diagnosis.
Injuries by electrical currents of high pressure are not uncommon;
speaking generally, 1,000 to 2,000 volts will kill. In America, where
electricity is adopted as the official means of destroying criminals,
1,500 volts is regarded as the lethal dose, but there are many instances
of persons having been exposed to higher voltages without bad effects.
The alternating current is supposed to be more fatal than the
continuous. Much depends on whether the pharmaceutics contact is good (perspiring
hands or damp clothes). Death has been attributed in these cases to
respiratory arrest or sudden cessation of the heart's action. The best
treatment is artificial respiration, but the inhalation of nitrite of
amyl may prove useful. Rescuers must be careful that they, also, do not
receive a shock. The patient should be handled with india-rubber gloves
or through a blanket thrown over him.
XXII.--DEATH FROM COLD OR HEAT
=Cold.=--The weak, aged, or infants, readily succumb to low
temperatures. The symptoms are increasing lassitude, drowsiness, coma,
with sometimes illusions of sight.
Post mortem, bright red patches are
found on the skin surface, and the blood remains fluid for long.
=Heat.=--Death may result from syncope, the result of exposure to buy soma great
heat.
=Sunstroke.=--The person loses buy soma consciousness and falls down insensible;
the body temperature may be 112° F., the pulse is full, and a peculiar
pungent odour is given off from the skin. Coma, convulsions with
(rarely) delirium, may precede death.
_Treatment_ consists in lowering
the body temperature by application of cold cloths, stimulants,
strychnine or digitalin buy soma pharmaceutics hypodermically.
XXIII.--PREGNANCY
The signs of the existence of pregnancy are of two kinds, uncertain and
certain, or maternal and foetal.
Amongst the former class are
included--Cessation of menstruation (which may occur without pregnancy);
morning vomiting; salivation; enlargement of the breasts and of the
abdomen; quickening. It must be borne in mind that every woman with a
big abdomen is not necessarily pregnant. The tests which afford
conclusive evidence of the existence of a foetus in the uterus
are--Ballottement, the uterine souffle, intermittent uterine
contractions, foetal movements, and, above all, the pulsation of the
foetal heart. The uterine souffle is synchronous with the maternal
pulse; the foetal heart is not, being about 120 beats per minute.
Evidence of pregnancy may also be afforded by the discharge from the
uterus of an early ovum, of moles, hydatids, etc. Disease of the uterus
and ovarian dropsy may be mistaken for pregnancy. Careful examination is
necessary to determine the nature of the condition present. Pregnancy
may be pleaded in bar of immediate capital punishment, in which case the
woman must be shown to be 'quick with child.' A woman may also plead
pregnancy to delay her trial in Scotland, and both in England and
Scotland, in civil cases, to produce a successor to estates, to increase
damages for seduction, in compensation cases where a husband has been
killed, to obtain increased damages, etc. A woman may become pregnant
within a month of her last delivery.
In cases of rape and suspected pregnancy, it must be borne in mind that
a medical man who examines a woman under any circumstances against her
will renders himself liable to heavy damages, and that the law will not
support him in so doing. If, on being requested to permit an
examination, the woman refuse, such refusal may go against her, but of
this she is the best judge. The duty of the medical man ends on making
the suggestion.
XXIV.--DELIVERY
The signs of recent delivery are as follows: The face is pale, with dark
circles round the eyes; the pulse quickened; the skin soft, warm, and
covered with a peculiar sweat; the breasts full, tense, and knotty; the
abdomen distended, its integuments relaxed, with irregular light pink
streaks on the lower part. The labia and vagina show signs of distension
and injury. For the first three or four days there is a discharge from
the uterus more or less sanguineous in character, consisting of blood,
mucus, epithelium, and shreds of membrane. During the next four or five
days it becomes of a dirty green colour, and in a few days more of a
yellowish, milky, buy soma mucous character, continuing for two to three weeks.
The change in character of the lochial discharge is due to the quantity
of blood decreasing and its place being taken by fatty granules and
leucocytes. The os uteri is soft, patulous, and its edges are torn. The
uterus may be felt for two or three hours above the pubis as a hard
round ball, regaining its normal size in about eight weeks after
delivery. Most of these signs disappear about the tenth day, after which
it becomes impossible to fix the date of delivery.
In the dead the external parts have buy soma the same appearance as given above.
The uterus will vary in appearance according to the time elapsed since
delivery.
If death occurred immediately after delivery, the uterus will
be wide open, about 9 or 10 inches long, with clots of blood inside, and
the inner surface lined by decidua.
The signs of a previous delivery consist in silvery streaks in the skin
of the abdomen, which, however, may be due to distension from other
causes; similar marks on the breast; circular and jagged condition of
the os uteri (the virgin os being oval and smooth); marks of rupture of
the perineum or fourchette; buy soma absence of the vaginal rug?; dark-coloured
areola round the nipples, etc.
The difference between the virgin _corpus
luteum_ and that of recent pregnancy is not so marked as to justify a
confident use of it for medico-legal purposes.
XXV.--FOETICIDE, OR CRIMINAL ABORTION
This consists in giving to any woman, or causing to be taken by her,
with intent to procure her miscarriage, any poison or other noxious
thing, or using for the same purpose any instruments or other buy soma means
whatsoever. It is a felony to procure or attempt to procure the
miscarriage of a woman, whether she be pregnant or not, and it is a
felony for the woman, if pregnant, to attempt to procure buy soma her own
miscarriage. It is a misdemeanour for any person or persons to procure
drugs or instruments for a like purpose. It is not necessary that the
woman be _quick_ with child. The offence is the intent to procure the
miscarriage of any woman, _whether she be or be not with child_. When
from any causes it is necessary to procure abortion, a medical man
should do so only after consultation with a brother practitioner. Even
in these cases there is no exemption legally. Any medical man who gives
even the most harmless medicine where he suspects the possibility of
pregnancy may render himself liable to grave susp ... |
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