duodenal ulcer?

duodenal ulcer?

9 year old MN Great Dane, febrile, lethargic.  Does this look like a duodenal ulcer? I did not appreciate much surrounding inflammation.  CBC unremarkable.  albumin 1.9, globulins 5.8.  Some GI stasis and poor motility on rest of ultrasound, but otherwise unremarkable. I have not encountered duodenal ulcers before – any specific treatment recommendations different from…

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