In severe metabolic alkalosis all are seen EXCEPT:: (A) Pulmonary edema, (B) Hypoxia, (C) Hypocalcaemia, (D) Tetany
Answer is A. ANSWER: (A) Pulmonary edemaREF: Harrison 17th edition, chapter 48With metabolic alkalosis, changes in central and peripheral nervous system function are similar to those of hypocalcaemia; symptoms include mental confusion, obtundation, and a predisposition to seizures, paresthesia, muscular cramping, tetany, aggravation of arrhythmias, and hypoxemia in chronic obstructive pulmonary disease. Related electrolyte abnormalities include hypokalemia and hypophosphatemia.