Adrenal or Pancreatic Mass?

Adrenal or Pancreatic Mass?

– 12 yr FS Great Pyrenese presented for melena,vomiting and lethargy – had been on pred for skin issues and owner noted PU/PD and ravenous appetite – bloodwork mild anemia, ALT 400’s, ALP so high not registering on rDVM’s in house blood machine, mild elevation BUN, amylase and lipase severely elevated, cPLI not done, urinalysis…

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