Changes

Signs are very similar to those observed in animals with congenital portosystemic shunts, as listed [[Portosystemic Shunt|here]].  Animals with MD are often less severely affected than those with PSS and they may even by asymptomatic. Briefly, common clinical signs include:

Signs are very similar to those observed in animals with congenital portosystemic shunts, as listed [[Portosystemic Shunt|here]].  Animals with MD are often less severely affected than those with PSS and they may even by asymptomatic. Briefly, common clinical signs include:

*'''Stunted growth''' compared to littermates.

*'''Stunted growth''' compared to littermates.

*Neurological signs due to [['''Hepatic Encephalopathy''']].

*Neurological signs due to '''[[Hepatic Encephalopathy]]'''.

*Intermittent '''gastro-intestinal signs''', including vomiting and diarrhoea.

*Intermittent '''gastro-intestinal signs''', including vomiting and diarrhoea.

*'''Urinary tract signs''' resulting from urate urolithiasis.

*'''Urinary tract signs''' resulting from urate urolithiasis.