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*Mild neutrophilia with left shift.
 
*Mild neutrophilia with left shift.
 
*Increased alanine aminotransferase (ALT)
 
*Increased alanine aminotransferase (ALT)
*Normaly to slightly increased alkaline phosphatase (ALP)
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*Normally to slightly increased alkaline phosphatase (ALP)
 
*Normal to slightly increased total bilirubin concentration
 
*Normal to slightly increased total bilirubin concentration
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**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 potentiated with clavulanic acid at 15-20 mg/kg PO q8 hours is a good initial choice.
 
**Amoxicillin potentiated with clavulanic acid at 15-20 mg/kg PO q8 hours is a good initial choice.
**Metronidazol may be added to extend the spectrum of anaerobes and coliforms.
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**Metronidazole may be added to extend the spectrum of anaerobes and coliforms.
 
*Surgery is warranted if discrete choleliths or complete biliary obstruction is identified.   
 
*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.
 
**In cases of complete extrahepatic biliary obstruction, surgical decompression and cholecystoduodenostomy or cholecystojejunostomy should be performed.
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==References==
 
==References==
*Marks, S.L. (2003). Update on the Diagnosis and Management of Feline Cholangiohepatitis. ''Waltham Feline Medicine Symposium''
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*Ettinger, S.J. and Feldman, E. C. (2000) Textbook of Veterinary Internal Medicine Diseases of the Dog and Cat Volume 2(Fifth Edition) ''W.B. Saunders Company''.
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*Nelson, R.W. and Couto, C.G. (2009) Small Animal Internal Medicine (Fourth Edition) ''Mosby Elsevier''.
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*Marks, S.L. (2003). Update on the Diagnosis and Management of Feline Cholangiohepatitis. ''Waltham Feline Medicine Symposium''.
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