Hyperbilirubinemia and small liver

Hyperbilirubinemia and small liver

2 year old mn Miniature Schnauze in good physical condition presented for anorexia, vomiting, lethargy of 3-4 days duration. Chemistry profile shows increased T.Bil=18.2mg/dl, ALT=260 U/L, and GGT=9 U/L.  Normal chemistries include BUN=11, ALB=3.5 and ALKP=131.  CBC is wnl.  Chemistries done 1 year ago were all normal…BUN was 25.

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