Poison Sign Symptoms

Organophosphorus 1. Muscarinic effects

compound / Agricultural - Bronchoconstriction, increase bronchial secretion, increase Salivation,
Poison lacrimation, sweating, urination, anorexia, nausea, vomiting, abdominal
cramps, diarrhoea, heart burn, bradycardia, miosis of pupil, blurred vision
2. Nicotinic effects
- Pallor, increase BP, muscle weakness, fasciculation, cramps, cyanosis
3. CNS Manifestation
- Restlessness, tremor, headache, anxiety, drowsiness, convulsion, coma,
depression of cardiac & respiratory Centre

Dhatura/ Road Side Poison 8D – Dryness of mouth & throat, difficulty in talking, dysphasia, dilation of pupils,
dry & hot skin, drunken gait, drowsiness, delirium

Kerosene oil Ingestion

- burning sensation in the throat, colicky pain, expulsive cough, blood-stained froth,
intense thirst, gasping, nasal flaring, dyspnea, breath & vomit smell like kerosene
- slow & shallow respiration
- CNS depression, dizziness, convulsion, coma
Inhalation
- Nausea, headache, cough, cyanosis, convulsion, pulmonary edema, blood-stained
sputum, burning sensation in chest

Cannabis Indica In small dose,

- Euphoria, Narcosis, cheerfulness, talkativeness, increased appetite, increase
sexual desire
In large dose
- loss of perception of time & place, loss of light reflex, visual & auditory
hallucination, narcosis, confusion, giddiness, ataxia, numbness of extremity,
generalized anesthesia,
Pass into deep sleep & wake up 6-8 hour later, fully recovered

Barbiturates Giddiness, drowsiness, ataxia, slurred speech, mental confusion, flaccid limbs &
diminished reflex, excitement, delirium, stupor, coma, barbiturate blisters at
interdigital cleft, axilla & inner aspect of knee, cyanosis of face, oliguria,
albuminuria
Opium Stage of excitement
- sense of well-being, talkativeness, laughing, hallucination, increased heart rate
Stage of Stupor
- headache, nausea, vomiting, giddiness, diminished sensibility, contracted pupil,
cyanosed face & lips
Stage of Narcosis/ coma
Muscles are relaxed, diminished reflex, pinpoint pupil contraction, BP reduce, slow
breathing, cold skin & profuse perspiration, froth escape from mouth, breath smell
of opium
Lead Facial pallor, anemia, punctate basophilia, lead palsy, colicky pain, constipation,
hypertension, nephritis, liver – degeneration, sterility

Arsenic Fulminant
- shock, peripheral vascular failure, death
Acute/ Gastroenteric
- constriction of the throat, burning & colicky pain, intense thirst, severe projectile
vomiting
- Stool
1. Dark, bloody, stinky
2. Colorless, rice watery, odorless
- renal: oliguria, uremia, albuminuria
- CVS: Circulatory collapse
- CNS: Headache, vertigo, convulsion, coma, paralysis
- Skin: Loss of hair, skin eruption
Narcotic
- Giddiness, precordial distress, tenderness of muscle, delirium, death
Chronic Arsenic Poisoning
Stage 1: Nutritional & GI disturbance (Anorexia, nausea, vomiting, pain in
abdomen)
Stage 2: Catarrhal changes (Conjunctivitis, runny nose, cough, hoarse voice)
Stage 3: Skin Changes (Eruption, brittle nail)
Stage 4: nervous Disturbance (Neuritis, Paresis, paralysis)

Alcohol Stage of excitement

- sense of wellbeing, talkativeness, laughter, less restrained speech & behavior,
good manners forgotten, confidence increases, poor mental consciousness &
judgement
Stage of Incoordination
- Alteration of emotion, argumentaric, irritation, mental confusion, dull perception,
slurred speech, blurred vision, staggering gait, dilated pupil, alcoholic breath,
abnormal temperature, rapid pulse, flushed face, nausea, vomiting
Stage of coma
- gradual unconsciousness, slow & deep respiration, slow & feeble pulse, sub
normal temperature, contracted pupil
Sulphuric acid Lips – swollen, excoriated, formation of brown/black streak from angle of mouth to
side of the chin
Mucous membrane – corroded in mouth, throat, esophagus
Burning pain, dysphasia
Epigastric pain spread all over abdomen
Nausea, vomiting – brown, black, mucoid, strongly acidic
Intense thirst but attempt to drink causes vomiting
Epiglottis – edema
Tongue – swollen, sodden, black
Teeth – chalky white Voice – hoarse, husky Eyes – sunken, dilated pupil
Carbolic acid Skin – burning, numbness, stiffening & bleaching of skin, hard whitish surface
formation
GIT – Hot burning pain, corrosion of mouth, throat, esophagus that soon become
whitish
Respiratory tract – Pulmonary & laryngeal edema
CNS – depression
Carboluria