High ALT, bili, and small liver

High ALT, bili, and small liver

8 year old llasa mix (MC) 2 mo ago, episode of back pain, put on tapering dose of metacam x 9 days Now, acute onset vomiting bile, icterus No other previous dz Blood work (normal 2 mo ago): ALT>2000, bili 7.0, ALP 250ish, BUN 9, alb normal, glucose 70. Urinalysis showed bili crystals but no…

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