The Shunt Hunt…Part II
The Shunt Hunt Revisited. A Jack Russel Terrier from Yankee nation has to be named “Jeter.” But Does Jeter have a shunt and can it be corrected in time for the playoffs?
Case Imaged by Eric Lindquist DMV, DABVP. Patient managed by Abe Van Beveren DVM of Madison VH, Madison, NJ & Tom Scavelli & Staff at Garden State VS, Tinton Falls, NJ, USA.
Sonogram: (Liver, 7/26/10): “Jeter”
History: (Kelly Vasquez RVT): A 3-year-old MN Jack Russell Terrier with history of elevated ALT activity; treated with Ursodial in Japan, was presented for an initial visit. Physical examination was unremarkable and the owners were advised to stop giving the Ursodial. The patient was presented for vomiting for 3 days shortly after his initial visit. Physical examination and survey radiographs were both within normal limits. Blood chemistry revealed moderately elevated ALT activity and elevated pre-and post-prandial bile acids (175.9 and 449.1 umol/L, respectively). The patient was treated with Pepcid and Cerenia, and discharged with Gastro calm. The patient was recommended for treatment with Denamarin, Flagyl, Lactulose, and a low protein liver diet.