A 10 year old Sheltie presents with acute onset of vomiting,…
A 10 year old Sheltie presents with acute onset of vomiting, severe icterus, and abdominal pain. While awaiting bloodwork, you ultrasound the abdomen and notice a distended bile duct and a kiwi-like, or wagon-wheel, structure in the gallbladder. Some free fluid is noted between the liver lobes near the gallbladder. What do you discuss with the owner while awaiting bloodwork?
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