system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Which causes hyperchloremic metabolic acidosis
assistant
The correct answer is  The causes of a hyperchloremic metabolic acidosis is a loss of the base, either a gastrointestinal loss or a renal loss.Gastrointestinal loss of bicarbonate (HCO-3)Severe diarrhoeaPancreatic fistula with loss of bicarbonate-rich pancreatic fluidNasojejunal tube losses in the context of small bowel obstructionChronic laxative abuseRenal causesProximal renal tubular acidosis with a failure of HCO-3 resorptionDistal renal tubular acidosis with a failure of H+ secretionLong-term use of a carbonic anhydrase inhibitor such as acetazolamide