@Anking-Maintainers
Support the change
But I would change the extra section to sth like this
- Acute laxative abuse ⟶ Metabolic acidosis (due to bicarbonate loss from diarrhea, leading to non-anion gap acidosis)
- Chronic laxative abuse ⟶ Metabolic alkalosis (due to volume depletion, RAAS activation, and renal K⁺/H⁺ loss)
Could someone check UW Step2 3593, Step1 18949, or Step 2 Comlex 100394?
step 2 ID “Although diarrhea (including factitious diarrhea) can lead to metabolic acidosis, metabolic alkalosis is a common and classic finding in laxative abuse. Several mechanisms likely contribute, including the profound hypokalemia as a result of increased loss of potassium in the stool.”
In the entire AMBOSS article about diarrhea, which includes laxative abuse and chronic vs acute diarrhea, only metabolic acidosis is mentioned
My only hesitation is that the text uses the wording “classically found.” I kinda would almost prefer only changing the text to say “chronic laxative abuse” and leave the cloze as is with clarification in the extra field.