18 y/o M pw vomiting. Competing for a wrestling championship so has been vomiting a lot recently. Vomits after each meal instinctively now and has been feeling letharrgic. PE: Vitals: 37C, BP 90/60, HR: 80, RR 8. Dry mucous membranes, mild bilateral parotid gland tenderness, multiple dental erosions, bruises on dorsum of hand. pH: 7.50, Na: 145, K 4, Cl: 93, HCO3: 30 What type of acid base disorder does he have?
Hypochloremic metabolic alkalosis