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0:57
YouTube
MedLecturesMadeEasy
Persistent vomiting and downstream laboratory abnormalities
Vomiting causes … (1) Loss of gastric HCl → Initiation of metabolic alkalosis, hypochloremia (2) Loss of NaCl, water ↓ Hypovolemia ↓ ↓ renal perfusion pressure ↓ high angiotensin II High HCO3 reabsorption → maintains metabolic alkalosis High aldosterone High H+ secretion → maintains met. alk. High K+ secretion → hypokalemia
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