100 



PHYSIOLOGY AND TOXICOLOGY 



TABLE OF CROTALUS 



W. Mayrant 



W. Mayrant 

 W. E. Homer 



H. B. Phillips 



Reporter. 



Male 

 Male 



J. Trowbridge 



Hammond 

 (CooUdge) 



John Louis 

 Xantug. 

 (de V^sey.) 



13 Woodhouse 



Sex. j Seat of wounds, Early local 

 \i. $, fang marks. symptoms. 



Later local 

 symptoms. 



M.ale, set. 

 12 years 



Male 

 (boy) 



Female 

 iEt. 15 



years 



Boy 



Male 

 (the re- 

 porter) 



Female 

 tct. 12 

 years 



Male, 

 adult 



Instep twice 

 bitten 



Bend of elbow 

 two fang marks 



Struck twice 

 on foot 



Last phalanx 



of middle 



finger 



Foot near 

 small toe 



Finger 



Leg 



Thumb and fin- 

 ger twice bit- 

 ten, four fang 

 wounds 



Finger 



Immediate or early 



constitutional 



symptoms. 



Pain, swelling, 

 hemorrhage 

 from bites 



Swelling and 

 pain 



Pain 



There seems to 

 have been none 



felt (see re- 

 marks) except 

 itching 



Small jet of 



blood from 



wound: swell- 



Swelling and 

 pain 



Pain and 



swelling 



Pain and 

 swelling 



Pain, swelling, 

 and discolora- 

 tion 



Pain, swcUiug 



Continued pain, and None stated 

 swelling to the Icnee! 



Caustics used. Small Sudden and cxces- 



No immediate 

 swelling 



Pain, shock, 

 and nausea 



Metacarpal Bleeding from 

 joint of finger, the punctures; 



two fang 



wounds 



Instep, two 



fang punctures 



Twice bitten on 



the palm and 



between the 



thumb and fore 



finger on the 



back of the 



thumb, the last 



wound was 



single 



swelling, disco 



loration 

 Slight swellin 

 and discolora- 

 tion 



sive prostration ; 

 vomiting; locked- 

 jaw; lossof speech 



Violent vomiting 



and prostration 

 Apparently none 



Vomiting, depres- 

 sion, and thirst 



slough 



Itching, pain great, 

 swelling 



Inguinal glands en- 

 larged; great pain 

 .and swelling; mot- 

 tled skin 



Continued swelling 

 up to pectoral mus- 

 cles, followed by 

 great discoloration 



Leg swollen to the Probably none of 

 groin; great pain the usual symp 

 and discoloration toms, none stated 



Continued pain and 

 swelling 



P.ain and swelling dis 

 appeared after use 

 of antidote, and re- 

 turned in 40 minutes 



Pain, swelling, etc 

 to the elbow 



Increasing pain and 

 swelling 



Swelling, pain 

 tending rapidly up 

 the arm, which grew 

 cold and sloughed 

 before death 



Pain, swelling of 

 hand and arm, and 

 axillary glands, ve 

 sications over the 

 lymphatics on third 

 day 



Extensive swellinj 

 and pain 



Intense pain shoot 

 ing up the leg 



Swelling and 

 discoloration at 



least partially 

 due to the liga- 

 ture, which was 



applied 3 or 4 



minutes after 

 the bites 



Respiration and 

 circulation. 



Feeble fluttering 

 pulse 



Feeble pulse, res- 

 piration easy 



Feeble, pulse fiO ; 

 great gen'l swell- 

 ing; great thirst; 

 loss of speech ; 

 tongue swollen 



Pulse 2J hours af- 

 ter bite 80, not 

 weak; after this 

 it became faster, 

 to 120, and more 

 and more feeble 



Pulse rapid 2J hrs. 

 after bite 



Depression and ... ... Case too short for 



nausea the later constitu 



tional symptoms 

 to develop 

 Great prostration 



Incoherence possi-'Pulse feeble. The mind confused 



biy due to drunk- 1 throughout 100 to at first, became 

 enness and alarm 138 clear; depression, 



nausea, faint feel 

 ings; vomiting on 

 the second day 



General later 



symptoms. 



Nervous system. 



Probably none of 

 moment 



Convulsion ; mind 

 generally clear up 

 to death 



Excited manner 



No increase of the 

 primary swelling af- 

 ter removal of the 

 ligature 



Repeated and sud 

 den fainting and 

 pallor 



2.] hours after the 

 bite almost mori- 

 bund; pulse feeble 

 and wavy; surface 

 cold and perspir- 

 ing; face swollen; 

 mind wandering; 

 pupils dilated ; 

 subject to sensory 

 delusions 



Within 10 minutes 

 pallor, cold sweats, 

 anxious expres- 

 sion, general de- 

 pression 



Feeble pulse; diffi- Delirium, restless- 

 cult respiration ; ness, anxiety, in- 

 hiccough somnia, incessant 



thirst 



Feeble pulse until Delusions, etc., 



the stimulus acted 



passed away un- 

 der the use of the 

 stimulus 



The physician removed the ligature 

 in consequence of the swelling, etc., 

 when — 

 The pulse became The limbs insen- 

 feeble (50) but sible, repeated 

 rose to 110 before syncope, pupils 

 death; noisy res- contracted, mind 

 piration clear 



At the seventh hour there was a swell- 

 ing of the lip ; no general tumefac- 

 tion ; great anxiety ; painful and 

 dilEcult deglutition and respiration. 



