Kali Cyanatum

Authorities. 24, E. Randell, Lancet, 1864 (2), p. 648, a child swallowed a drachm, dissolved in water, after a full meal; 25, Wm. Gillibrand, Lancet, 1876 ( 2), p. 223, a man, set. thirty-five years, took between 50 and 60 grains ; 26, A. H. Newth, M.D., Med. Times and Gaz., 1877 (1), p. 335, poisoning of a man ; 27, Geo. F. Powers, M.D., Phil, Med. Times, vol. viii, 1877-8, p. 345, a photographer worked some days with it, both iu substance and solution.

Mind p. 565

Some muttering delirium (which afterwards became more active, the patient evincing a desire to walk around')

Heaviness of head,^b

Gnawing pain across temples

Soreness of the scalp over both parietal regions

Eyes p. 565

Eyes fixed, pupils dilated, and insensible to light

Swelling of the upper eyelids

Ringing in the ears

Face dull, slightly flushed, and expressionless, the tendency being to close the eyes

Mouth p. 565

Teeth, gums, and lips covered with sordes

Tongue has a peculiar darkish background, seen through the heavy white coating

Breath extremely fetid

Stomach p. 565

Loss of appetite

Some nausea

Pain at the epigastrium, of a griping intermitting character

Stool p. 565

Bowels obstinately constipated

Respiratory Organs p. 565

Breathing very slow and spasmodic, white froth issuing from the mouth, and the jaw fixed

Chest p. 565

Pain in lumbar region.

Heart and Pulse p. 565

Extremities relaxed and limbs flaccid

Generalities p. 565

Immediately seized with convulsions, and soon became collapsed and rigid, the pulse at the wrist being imperceptible, though a slight action of the heart could be felt

Found the man lying full length in bed on his back; the arms, which were straight down by his side, twitching convulsively; hands partially clenched, thumbs flexed across palm; body bathed iu a clammy sweat; face pallid, expressionless ; eyes fixed, partially closed, pu})ils widely dilated, tears in the corners of the eyelids ; breathing stertorous, loud mucous rattle, foam around mouth ; pulse imperceptible, and heart’s action indistinct

Sleep p. 565

Sleeplessness

Fever p. 565

On awaking from cat-naps has a chill, which in fact wakes him before he can get soundly asleep ; this is followed by very slight sweat

Body covered with cold clammy sweat