Extrahepatic shunt, likely Gastrocaval, in a 1-year-old FS Miniature Dachshund
Four month history of occasional episodes of ataxia, ptyalism, pacing. Recently circling, head pressing, and vomiting. Seems to be always hungry. PE: BCS 3/9, unkempt/fuzzy haircoat, peripheral blindness, pacing room and clinging to wall. Labwork (fasted): TP 4.5, Alb 2.5, ALP 144, ALT 155, GGT 3, Bili 0.4, Cre 0.3, Cho 51, Amy 266 CBC…