<prompt> Which causes hyperchloremic metabolic acidosisEthylene glycol poisonDKALactic acidosisDiarhhea  <response>: The causes of a hyperchloremic metabolic acidosis is a loss of the base, either a gastrointestinal loss or a renal loss.Gastrointestinal loss of bicarbonate HCO-3Severe diarrhoeaPancreatic fistula with loss of bicarbonate-rich pancreatic fluidNasojejunal tube losses in the context of small bowel obstructionChronic laxative abuseRenal causesProximal renal tubular acidosis with a failure of HCO-3 resorptionDistal renal tubular acidosis with a failure of H secretionLong-term use of a carbonic anhydrase inhibitor such as acetazolamide 