A Physiologic Approach to Shock

Abstract

A 39-year-old man attempted suicide by swallowing arsenic trioxide. On the following day he was hospitalized, and the systolic blood pressure was 38 mm. of mercury in the supine position; diastolic pressure sounds were inaudible. This capsular description of pertinent historical and physical findings might appear sufficient for a diagnosis of shock. But was he in shock? His mentation was clear; there was no weakness, he could walk, and his skin was warm and dry. These findings indicated that blood flow to major organ systems was not impaired, a situation incompatible with current concepts of shock.This case was reported . . .