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Chloride Resistant Metabolic Alkalosis:

These are rare in surgical practice, it is due to direct stimulation of renal bicarbonate reabsorbtion. In the main this occurs when there is excessive mineralo-corticoid activity; for instance due to the various types of Cushing's (drugs, pituitary, adrenal, ectopic ACTH), Conn's syndrome ( primary, liquorice, carbenoxalone), and rare syndromes (Liddle's, Bartter's, \ensuremath{11\beta} and \ensuremath{17\alpha} hydroxylase deficiencies).

Adrian P. Ireland