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Cardiac Poisons: Aconite

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Cardiac Poisons: Aconite

4
Q. 1 Aconite poisoning causes all, EXCEPT:
 A Hypersalivation
 B

Tingling and numbness
 C

Increased BP
 D

Chest pain
Q. 2

The fatal period of Aconite is usually :

 A

5-10 minutes
 B

15-30 minutes
 C

1-5 hours
 D

12-48 hours
Q. 3

Characteristic symptom of aconite poisoning:

Al 10

 A

Increased salivation
 B

Hypertension
 C

Tingling and numbness
 D

Hyperthermia
Q. 4

Not a sign/symptom of aconite poisoning:

JIPMER 12

 A

Pain abdomen
 B

Bradycardia
 C

Hypertension
 D

Diplopia
Q. 1

Aconite poisoning causes all, EXCEPT:

 A

Hypersalivation
 B

Tingling and numbness
 C

Increased BP
 D

Chest pain
Ans. C
Explanation:
Aconite poisoning is characterized by hypotension and hypertension.
Tingling, numbness, hypersalivation and chest pain is usually seen in all cases of aconite poisoning.

The aconite leaves when rubbed or handled on the skin, produces tingling and numbness. The eyes on exposed to pollen, becomes painful and swollen.
It gives rise to gastro-intestinal symptoms like burning sensation of the mouth and stomach, nausea, vomiting, diarrhea and tingling sensation of the mouth, tongue and pharynx.
The tingling and numbness then progresses all over the body.
The general symptoms include pallor, giddiness, profuse sweating, headache and weakness.
The neurological symptoms are dimness of vision, diplopia and hallucinations. The cardiovascular symptoms are hypotension, cardiac arrhythmia and AV block. Death occurs from paralysis of the cardiac centre and respiratory centre.
 
Ref: The Essentials of Forensic Medicine and Toxicology By Dr. K. S. Narayan Reddy, 27th Edition, Pages 551-552.
Q. 2

The fatal period of Aconite is usually :

 A

5-10 minutes
 B

15-30 minutes
 C

1-5 hours
 D

12-48 hours
Ans.
C
Explanation:

C i.e. 1 – 5 hours

Aconite causes hypotension (not hypertension)Q, cardiac arrhythmias (initial tachycardia f/b bradycardia) and AV block. And the fatal period is 2-6 hours Q.

Q. 3 Characteristic symptom of aconite poisoning:

Al 10

 A

Increased salivation
 B

Hypertension
 C

Tingling and numbness
 D

Hyperthermia
Ans.
C
Explanation:

Ans. Tingling and numbness

Q. 4

Not a sign/symptom of aconite poisoning:

JIPMER 12

 A

Pain abdomen
 B

Bradycardia
 C

Hypertension
 D

Diplopia
Ans.
C
Explanation:

Ans. Hypertension