If the urine chloride is high (>15 mEq/L [15 mmol/L]), the metabolic alkalosis is saline resistant and can be caused by active diuretic use, stimulant laxative abuse, and rare renal tubular disorders such as Gitelman and Bartter syndromes.
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ELBOMBARDO - (no access) - MKSAP_17.pdf, p3559
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