Hx: Has been going downhill for past several months. Went to vet but could not afford diagnostics. Dog will not eat- has had seizures- not interacting with owner or other dog- seems like she is dying- per owner. PE: Seizuring- then trembling and unstable- BCS = 1/5- barely responsive- does not appear to see- ataxic and almost paretic. Ddx: Considering age- history- breed makeup- and presentation- this seems like a textbook liver shunt at end-stage. Humanely euthed.