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Step 1
mechanism-first recall
Step 2 CK
diagnosis and next step
Step 3
management and systems
USMLE ASKRenal compensation thread
STUDENT

Why does prolonged vomiting cause hypokalemia if the stomach loses hydrogen ions?

ANSWER · CITED

Vomiting creates metabolic alkalosis and volume contraction. The kidney increases distal sodium delivery and aldosterone activity, which promotes potassium secretion.

FA-2025 · RenalNBME · Acid-baseQbank note

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FA-2025 · NBME · UW NOTES

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ACTIVE SOURCES8 references
First Aid 2025renal physiology · acid-base
92%
NBME reviewmissed questions · endocrine
18
Qbank notesannotated explanations
64
GENERATED DRILL

A patient with vomiting develops metabolic alkalosis. Which compensatory respiratory change should you expect?

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