https://www.vetsurgeon.org/f/clinical-questions/27107/4m-siamese-kitten-with-raised-ggt-and-bilirubin Colleague saw a kitten yesterday that had been bright then yesterday morning starting vomiting and being very subdued and niappetant. Given cerenia and bubrenorphine but came back in later in the day as hadn&#39;t really picked up. No further vomiting noteden-USTelligent Community 10https://www.vetsurgeon.org/thread/198645?ContentTypeID=1Wed, 13 Jun 2018 15:50:23 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:fa2bbe33-5081-4035-8590-3867e9c6d7cdgerard mclauchlan<p>I guess it should be on the differential list ... monitor blood results and if not improving or progressing puruse additional testing including infectious disease</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/198624?ContentTypeID=1Wed, 13 Jun 2018 10:22:25 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:52796051-07fb-43b3-bb73-28456363d7e5Anthony Dennison<p>[quote user=&quot;gerard mclauchlan&quot;]Siamese as a breed over represented for pancreatitis.[/quote]</p> <p>Even if it&#39;s only 4 months old?</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/198618?ContentTypeID=1Wed, 13 Jun 2018 09:33:06 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:14747816-913c-4767-8093-09d5292bfed5janine redman<p>Gerald , I have not diagnosed pancreatitis in such a young cat. Would there be an underlying cause ? And would such an early onset indicate long term problems ?</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/198582?ContentTypeID=1Tue, 12 Jun 2018 14:48:08 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:0c64513c-4b14-4892-81fa-1ee85b8eccdbgerard mclauchlan<p>Siamese as a breed over represented for pancreatitis. I would consider this and run PLI or treat symptomatically and monitor. Other blood work that would be suggestive of shunt would be low albumin, low urea, elevated ALT etc. If clinic signs dont resolve or patient shows neurological abnormalities then consider BAST.</p><div style="clear:both;"></div>