Differential Diagnosis
Vomiting or nasogastric suction
Ingestion of certain drugs, such as diuretics
Numerous endocrine disorders, including Cushing syndrome and hypoparathyroidism
Suggested Additional Lab Testing
Serial blood gases to assess arterial pH, arterial h2co3 and arterial pco2 are important when the disease is evolving or resolving.
Tests relevant to the diagnosis of Cushing syndrome and hypoparathyroidism may be relevant if there is suspicion of these disorders as a cause for the metabolic alkalosis.
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