<prompt> A child with diarrhoea has deep and rapid respiration. Diagnosis is:Metabolic alkalosisMetabolic acidosisRespiratory alkalosisRespiratory acidosis  <response>: Metabolic acidosis can occur because of an increase in endogenous acid production such as lactate and ketoacids, loss of bicarbonate as in diarrhea, or accumulation of endogenous acids as in renal failure. Metabolic acidosis has profound effects on the respiratory, cardiac, and nervous systems. The fall in blood pH is accompanied by a characteristic increase in ventilation, especially the tidal volume Kussmaul respiration. Ref: DuBose, T.D. 2012. Chapter 47. Acidosis and Alkalosis. In D.L. Longo, A.S. Fauci, D.L. Kasper, S.L. Hauser, J.L. Jameson, J. Loscalzo Eds, Harrisons Principles of Internal Medicine, 18e. 