Marked GB distension in acute vomiting dog

Marked GB distension in acute vomiting dog

15 year old mixed breed 10lb dog presented for acute vomiting and anorexia x 3d Dx with stage B1-B2 MVdz last November with both left and right side enlargement and low velocity TVI. Bloodwork shows WBC=25K with a neutrophilia and monocytosis Spec cPL=268 mcg/L, BUN=38mg/dL, TP=5.0g/dL, ALB=2.1g/dL, Na=134mmol/L, Cl=105mmol/L.  Liver enzymes and total bilirubin are…

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