You suspect your patient is in shock. you note the patient's skin is pale. this is likely due to

This is likely due to peripheral vasoconstriction. This happens in order for the body to retain heat longer in order to protect the body from hypothermia. The skin would act as an insulator of the organs and water. Also, when this happens, it would allow more of the oxygen to be transported to the oxygen sensitive organs like the brain and the heart.

Mri or anything that has uv lights