Murphey is a 7 year old MN Lab with a 2 week history of anorexia and PUPD. Blood work today showed ALP 1500, ALT 400, T bili 5.4, albumin 3.1, BUN 6, normal WBC at 13K. He was mildly febrile today at 103.2, has cranial organomegally and is QAR. Took FNA’s and a culturette of the liver tonight.
Murphey is a 7 year old MN Lab with a 2 week history of anorexia and PUPD. Blood work today showed ALP 1500, ALT 400, T bili 5.4, albumin 3.1, BUN 6, normal WBC at 13K. He was mildly febrile today at 103.2, has cranial organomegally and is QAR. Took FNA’s and a culturette of the liver tonight.
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Sorry for the delay I missed
Sorry for the delay I missed this one… i never like target nodules in a swollen liver with a bili rise… usually spells badness. Video 2 shows the capsular expansion which is another bad sign. Round cell neoplasia likely unless a weird fungal or suppurative hepatitis. Ugly liver with nice images.