id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-021361-v3nw0xh9	Willard, Michael D.	Gastrointestinal, Pancreatic, and Hepatic Disorders	2009-05-15		.txt	text/plain	13416	842	43	Hepatic biopsy should be considered in patients with obviously significant hepatic disease, those that do not have hyperadrenocorticism, and those that have persistent (more than 1 month) changes in serum ALT or SAP consistent with chronic or progressive hepatic disease or abnormal hepatic function tests (see Figure 9 -5). Ammonia tolerance testing (ATT) and pre-and postprandial serum bile acid concentrations appear to be the most sensitive NOTE: These drugs do not reliably cause hepatic disease. Occasional Indications • Icterus (on either physical examination or inspection of nonhemolyzed serum or plasma), bilirubinuria (any amount in a cat or significant amounts in a dog), or suspected hepatic disease that is not apparent on other tests. Increased SAP in a cat is an indication for serum thyroid hormone determination, urinalysis, blood glucose and serum ALT measurement, and perhaps a hepatic function test (e.g., bile acid).	./cache/cord-021361-v3nw0xh9.txt	./txt/cord-021361-v3nw0xh9.txt