622 POISONS : THEIR EFFECTS AND DETECTION. [§ J 90 . 
confirmed by two medical colleagues who were summoned. The case 
ended fatally on 13th February. 
In August, Maud Marsh appears as barmaid, and in October the 
parents of this girl were deceived by a tale of a sudden marriage with 
Chapman. The “ Monument ” public-house shortly after this being burnt 
down, the couple moved to the “ Crown,” where, owing to the attraction 
of a new barmaid, Chapman’s affection for Maud Marsh seems to have 
waned, with the result that in July 1902 Maud began to feel unwell. 
She had brandy administered to her by Chapman, which always brought 
on violent sickness. On 28th July she went to Guy’s Hospital as an 
in-patient for three weeks, where she was treated for inflammation of the 
stomach and discharged cured. On returning to the “ Crown ” she at 
once became ill again, and in the beginning of October Dr Stoker was 
again called in, and, later, Dr Grapell. On 22nd October Maud Marsh 
died, and Dr Stoker refused to give a certificate of death before holding a 
post-mortem examination. 
Dr Stoker’s preliminary examination revealed much inflammation 
of the stomach, but no signs of organic disease. He sent some portion 
of the viscera to Mr Bodmer, public analyst for Bermondsey, who 
found in it arsenic in small quantity and a considerable quantity of 
antimony. Chapman was now arrested, and his room at the “ Crown ” 
searched, where the police found several medical works and some powders 
which, upon analysis, proved to be tartar emetic. 
A further post-mortem examination was made on the body of Maud 
Marsh by Dr Freyberger, pathologist to the London County Council, 
and the organs submitted to Dr Stevenson for analysis. The result of 
these investigations left no doubt as to the cause of death, Dr Stevenson 
finding from 25 to 30 grains of tartar emetic in the stomach alone. 
In the meanwhile the bodies of Bessie Taylor and Isabella Spint were 
exhumed, and found to be in an astonishing state of preservation, 
especially remarkable in the case of the latter, who had been buried five 
years. Dr Stevenson found 1-37 grains of antimony in the organs of 
Isabella Spint, and no less than 29-12 grains in those of Bessie Taylor. 
Chapman was found guilty, and hanged on 7th April 1903. 
§ 790. Post-mortem Appearances.— The effect of large doses of 
tartar emetic is mainly concentrated upon the gastro-intestinal mucous 
membrane. There is an example in the museum of University College 
Hospital of the changes which resulted from the administration of tartar 
emetic in the treatment of pneumonia. These are ascribed in the cata¬ 
logue, in part to the local action of the medicine, and in part to the 
extreme prostration of the patient. In the preparation (No. 1052) the 
mucous membrane over the fore border of the epiglottis and adjacent 
part of the pharynx has been destroyed by sloughing ; the ulceration 
extends into the upper part of the oesophagus. About an inch below its 
