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Diagnosis of congenital portosystemic shunts: the textbooks are misleading

image of Diagnosis of congenital portosystemic shunts: the textbooks are misleading
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Abstract

Congenital portosystemic shunts are typically described as a disease usually found in relatively young animals that demonstrate abnormal mentation that have microhepatia and increased concentrations of serum bile acids. However, there are some animals that do not follow these “rules”. In fact, a surprising number of dogs with PSS are “atypical” and will not be diagnosed unless you are willing to take a closer second look.

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