crista
Forum Guru
Topics: 121
Posts: 408
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A 15 yr old boy who noted feeling sick after a school picnic as been vomiting on and off for 3 days and has been unable to hold down food or fluids.He will exhibit all of the following changes except
a.elevated plasma pH
b.hypokalemia.
c.hypoventilation.
d.increased secretion of aldosterone.
e.decreased distal Hydrogen ion secretion
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| oddissy4u
Forum Guru
Topics: 107
Posts: 389
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D.
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| Idiopathic
Forum Guru
Topics: 19
Posts: 641
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Tough one to call. He has a metabolic alkalosis, BUT I think distal H+ secretion will be increased, since this is an aldosterone mediated function and aldosterone is definitely increased.
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| xeroorex
Forum Newbie
Topics: 1
Posts: 14
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I agree with idiopathic that the answer is E.
This phenomenon is paradoxical aciduria.
Similar situation, though more extreme with pyloric stenosis.
http://bms.brown.edu/pedisurg/Brown/Handbook/Flui...
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| usmleasr
Forum Guru
Topics: 105
Posts: 970
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good q ..good explanation thanks guys 
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