Surgery Paradoxical aciduria (the excretion of acid urine in the presence of metabolic alkalosis) may occur in the presence of A Release of inappropriate antidiuretic hormone B Severe crush injury C Acute tubular necrosis D Gastric outlet obstruction 💡 Explanation Paradoxical aciduria (the excretion of acid urine in the presence of metabolic alkalosis) may occur in the presence of ✓ Correct Answer: D. Gastric outlet obstruction