• Card 23 / 29: 2 yr old mixed breed dog presents for seizures. One of your differentials is a portosystemic shunt . Here are the results of the CBC and Chemistry panel. PCV 40 (normal) BUN: 6 (normal -7) Cholesterol 96 (normal 130) MCV 57 (normal 60) Creat (normal) T Bilirubin (normal) Seg Neutrophils (normal) Phos (normal) CK (normal) Lymphocytes (normal) Ca 8.6 (normal 9.5) ALT, GGT, AST, ALP all increased . Monocytes (normal) TP 4.2 ( normal5.4) BA's pre 55 post 312 Albumin 2 (normal 2.7) Globulin (normal) is there enough evidence to suspect a liver shunt?
    A) Yes
    B) No

    Answer:
    A) Yes

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Explanation:

low MCV - either portosystemic shunt or Fe deficiency (blood loss).

BA's high

Liver enzymes - show significant liver disease

dog has history of seizures

TPs and albumin - low (also indicator of liver disease)

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Kidney/Liver Biopath

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