Chasing the elevated ALT in an asymptomatic patient
2 and 1/2 year old asymptomatic male neutered Chihuahua Chronically elevated ALT=248 U/L initially detected on predental labwork, all other chems are normal Bile acid test shows pre=5.1 mcmol/L, post=65.9 mcmol/L Elevated prothrombin time =14.7 sec PTT and platelet count are normal