0
ARTICLE |

THE "TOURNIQUET-SHOCK SYNDROME" IN LOWER LIMB GANGRENE OF VENOUS ORIGIN

Lester Blum, M.D.; Bernard E. Herman, M.D.
JAMA. 1960;172(17):1919-1921. doi:10.1001/jama.1960.63020170003010a.
Text Size: A A A
Published online

The comparative rarity of gangrene of venous origin prevents widespread recognition of the subtle nature of this insidious disease. The full-blown clinical picture is a dramatic one that has been described with increasing frequency in recent years.1

The case described below demonstrates a rare, fatal variation in which the sudden, complete, thrombotic closure of all the venous channels of an extremity resulted in the trapping of much of the circulating blood volume of the patient in the affected limb. Despite energetic measures, the resulting shock syndrome led to the patient's death.

Report of A Case  A 69-year-old man was admitted to the medical service of the Mount Sinai Hospital on Dec. 17, 1957, with a complaint of increasing pain and swelling of the right leg of two weeks duration. He was known to be a diabetic who had been under treatment for one year and had been seen last

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();