A 10-year-old MN Maltese mix dog with a history of chronic elevated liver enzyme activity was presented for polyuria/polydipsia and inappropriate urination at home. Abnormalities on physical examination were a palpably enlarged liver, stenotic left ear canal, left submandibular lymphadenomegaly, and a 2-pound weight loss. Urinalysis showed normal pH and specific gravity, 3+ proteinuria, 3+ glycosuria, and trace hematuria. On blood chemistry elevated ALP and elevated ALT activity, hypercholesterolemia, and hyperglycemia. The patient was treated with antibiotics pending abdominal ultrasound.
A 10-year-old MN Maltese mix dog with a history of chronic elevated liver enzyme activity was presented for polyuria/polydipsia and inappropriate urination at home. Abnormalities on physical examination were a palpably enlarged liver, stenotic left ear canal, left submandibular lymphadenomegaly, and a 2-pound weight loss. Urinalysis showed normal pH and specific gravity, 3+ proteinuria, 3+ glycosuria, and trace hematuria. On blood chemistry elevated ALP and elevated ALT activity, hypercholesterolemia, and hyperglycemia. The patient was treated with antibiotics pending abdominal ultrasound.