Total Bilirubin, High

Aortic Dissection In A 16-Year-Old MN DSH Cat: Our Case Of the Month November 2022

The patient with a history of asthma (on Flovent® and prednisolone), presented for an abdominal ultrasound due to persistently elevated liver enzymes since 3/2022, and losing weight despite increased appetite. CBC/Chem: AL:T 510, ALP 329, T. bili 1.4, leukocytosis with neutrophilia and monocytosis. Current meds: Denamarin 90 mgs q24 hrs, Metronidazole 50mgs q12 hrs, Amoxicillin 50 mgs q12 hrs. At the the time of ultrasound the patient was dyspneic and an SDEP® emergency echo was performed to assess the heart. Blood pressure post scan (tail) was 118/98 (99); patient was put in O2 chamber for support.

Common Bile Duct, Duodenal Papilla, and Portal Hilus Imaging In A 13-Year-Old MN DSH Cat: Our Case Of the Month 2021

Decreased appetite. Current meds: Metronidazole, Denamarin, Mirtazapine. ALT 393, T. bili 5.7, Mag 2.7, Chol 307, Amyl 1891, PSL 50, Lymphs 9, Mono 8, Neuts 11,680, Mono 1280,Eos. 1600, USG 1.048.

Extrahepatic Portosystemic Shunt In A 5-Month-Old Intact Female English Springer Spaniel

Patient was presented for ataxia, icterus, lethargy, and vomiting. History of atypical vaccine reaction after first DHLPP-ADR, enlarged peripheral LN. The patient has not been 100% since. Blood chemistry and CBC revealed BUN 3, TP 4.3, Alb 1.9, ALT 457, ALKP 869, GGT 20, Tbili 5.1, chol 84, amylase 216 and HCT 31%.

A² + B² = C² "The Telemed Sonogram Theorem": Our Case Of the Month Nov. 2019

The patient was presented for vomiting, lethargy, and painful cranial abdomen. Blood chemistry revealed BUN 5, glob. 4.7, ALT >1000, Alk.Phos. 1342, GGT 25, and T. bili 2.8. A STAT ultrasound was ordered and performed by ASNW with interpretation done by SonoPath.

Post-Hepatic Obstruction With Chronic Cholangitis In A 12-Year-Old FS Poodle Mix: Our Case Of the Month 2019

The patient was presented for painful abdomen, pyrexia, vomiting, and anorexia. After 12 hours on IVF and supportive care the patient's pyrexia resolved and there was no further vomiting. A painful abdomen persisted and mild icterus was evident in both the sclera and mucous membranes. The patient was treated with Cerenia, Unasyn, Metronidazole, Gabapentin, and Famotidine. Blood chemistry found AST 70, ALT 553, ALK. Phos. 8162, GGT 46, T. Bili. 7.2, K 3.4, Chol. 720, Trig. 609, amylase 2038, PSL 697. Urine specific gravity 1.011, proteinuria 2+, bilirubinuria 3+.

Pheochromocytoma in a 8 year old FS mixed breed dog.

An 8-year-old FS mixed breed dog was referred for partial anorexia and mild lethargy. Mild painful cranial abdomen was noted on physical exam. CBC and chemistry panel were unremarkable. Urinalysis revealed 3+ proteinuria with isosthenuria. Blood pressure was 220 mm Hg.

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