HYPOKALAEMIC ALKALOSIS

renal loss [urine K > 20mmol/24hrs in spite of hypokalaemia < 3mmol/l]:

adrenal tumours [high BP]

diuretics (loop and thiazides)

elevated ACTH:

paraneoplastic

pituitary adenoma [Cushing's disease]

gastrointestinal loss [low urine K]:

laxative abuse

villous adenoma

persistent vomiting [especially pyloric stenosis; urine pH may be low (acid) and K high due to secondary hyperaldosteronism]

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