Is there a liver shunt?

Is there a liver shunt?

These are images and clips from an abdominal ultrasound on Kate Edwards, a 3 month old mini English Bulldog.  She presented for inappropriate urination.  U/a revealed 21-50 Ammonium Biurate Crystals per HPF, u.s.g = 1.043, pH = 6.0, remainder of u/a wnl. Superchem/cbc abnormals: ALP = 139 (5-131), P = 10.7 (2.5-6.0), BUN/Creat ratio =…

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