Changes

**Selected antibiotic should be excreted in the bile in active form, and should be active against aerobic and anaerobic intestinal coliforms.   

**Selected antibiotic should be excreted in the bile in active form, and should be active against aerobic and anaerobic intestinal coliforms.   

**Amoxicillin at 15-20 mg/kg PO q8hours is a good initial choice.

**Amoxicillin at 15-20 mg/kg PO q8hours is a good initial choice.

*Surgery is warranted if discrete choleliths or complete biliary obstruction is identified.  In cases of complete extrahepatic biliary obstruction, surgical decompression and cholecystoduodenostomy or cholecystojejunostomy should be performed.

*Surgery is warranted if discrete choleliths or complete biliary obstruction is identified.   

*Ursodeoxycholic acid at 15 mg/kg q24hours may be given

**In cases of complete extrahepatic biliary obstruction, surgical decompression and cholecystoduodenostomy or cholecystojejunostomy should be performed.

*Ursodeoxycholic acid at 15 mg/kg q24hours may be given.

**It has hepatoprotective (anti-inflammatory, immunomodulatory and antifibrotic effects) properties and choleretic effect.  The latter promotes increased fluidity of biliary secretions for treating or preventing sludging.

**It has hepatoprotective (anti-inflammatory, immunomodulatory and antifibrotic effects) properties and choleretic effect.  The latter promotes increased fluidity of biliary secretions for treating or preventing sludging.

*A high protein diet rather than a protein-restricted diet is more appropriate for feeding anorexic cats to prevent the development of hepatic lipidosis

*A high protein diet rather than a protein-restricted diet is more appropriate for feeding anorexic cats to prevent the development of hepatic lipidosis