(See Pathogenesis of metabolic alkalosis and Clinical manifestations and evaluation of metabolic alkalosis and Treatment of metabolic alkalosis.) INTRACELLULAR SHIFT OF HYDROGEN. Metabolic alkalosis can be generated by a shift of hydrogen ions into the cells. This most often occurs in patients with potassium deficits and hypokalemia. This may be an important pathophysiologic mechanism in patients with metabolic alkalosis due to vomiting or nasogastric suction [7].
An estimated 30,000 to 40,000 people were executed by guillotine during the Reign of Terror. Although many were true criminals and threats to the Committee of Public Safety, many of these people were killed merely for not being supportive enough of the revolution.
There were two Reigns of Terror, if we would but remember it and consider it; the one wrought murder in hot passion, the other in heartless cold blood; the one lasted mere months, the other had lasted a thousand years; the one inflicted death upon ten thousand persons, the other upon a hundred millions; but our shudders are all for the horrors ...