BUN low

The patient originally presented with a swelling of the lower right palpebrae, a 2 week history of hyporexia, change in treat preference, lethargy, decreased water intake and 2-3lbs of weight loss. Patient began drooling soon after he was sent home on Cefpodoxime, Apoquel and Mycequin for ocular changes. Patient has also been receiving NeoPolyBac ointment along the eyelid.

The patient was presented for vomiting 3-4 days prior. Was recently gagging, not urinating often despite normal drinking. The patient had a decreased appetite or was not eating at all and having innappropriate defecation in the house. Blood chemistry showed liver enzyme elevation and low BUN. Bile Acids test results were high at 464.6 umol/L. An abdominal ultrasound was recommended to rule out PSS, liver disease. possible infection- Lepto? (patient from Ontario, Canada), toxin, glomerulopathy, protein starvation, chronic non-obstructive FB, Addison, glomerulopathy, other.