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Surgery General 249bd047

All of the following are seen in persisting vomitting EXCEPT -

A
Hypokalemia
B
Decreased K+ in urine
C
Elevated pH of blood
D
Metabolic alkalosis
High-Yield Explanation
Presistant vomitting causes loss of hydrochloric acid, K+ Na+ ions and body fluids. Loss of HCl leads to metabolic alkalosis. Loss of K+ leads to hypokalemia which further increases the pH of blood (intracellular K+ ions come out in the ECF by exchanging with H+ ions of ECF). Hypokalemia should lead to decreased K+ in urine but this does not happen - Low Na+ and hypovolemia would lead to increased aldosterone secretion which would increase the reabsorption of Na+ ions in the distal renal tubular in exchange of K+ ions. Thus K+ ions excretion in urine is increased despite hypokalemia.

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