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Death primarily due to accumulation of urea
The body resists fatal accumulation, unless the renal obstruction

is sudden and complete

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Relations of Uræmia to Forensic Medicine

Uræmia may be confounded with narcotic poisoning

With belladonna-poisoning

With opium-poisoning

With poisoning by narcotico-acrids

With poisoning by cyanides

Consideration of cases in which, during uræmia, medicines are

given which increase the effects of the disease

Treatment of Uræmia

Consists in prevention of acute attack, and application of direct

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Physical diagnosis denotes absence of pulmonic or valvular disease ib.
But the heart's action is irregular

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Patient not conscious of this irregularity, though he sometimes
feels a symptom which he attributes to it

Dyspepsia precedes cardiac apnoea

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Cardiac apnoea may not be fatal until some mechanical obstacle to
the circulation is presented

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Condition of heart varies in cardiac apnoea dependent on poison
External surface of body generally blanched after death
Rigidity dependent on presence or absence of muscular contraction

at time of death

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