Card 24 / 29: The following is from a 5 yr old horse with history of anorexia and emaciation. PCV: 43 (normal) CK 830 (470 normal) AST 350 (300 normal) SDH 4 (normal) ALP 710 (290 normal) GGT 72 (17 normal) Serum Bilirubin 10.5 (normal 2.1) What is the most likely differential?
A)
Anorexia
B)
Acute muscle necrosis
C)
Acute hepatocyte necrosis
D)
Cholestasis
E)
Hemolysis
Answer:
D) Cholestasis
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Hemolysis- yes this is a differential for increased bilirubin but the PCV is normal.
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