Bird 6 pt 2 Flashcards
increased TP in birds could mean?
Dehydration
Hemolysis
Vitellogenesis
decreased TP in birds could mean?
Chronic disease
Emaciation
Chronic protein loss
Bleeding
GI parasitism
Molting (dilution effect)
problems with liver enzyme readings in birds
*Liver
- Several analytes needed as none is highly specific and sensitive
- Have different half-lives
- Gives different information
What do GGT levels tell us in birds? reptiles?
induced expression during cholestasis, not useful in reptiles
what does high GLDH in birds tell us?
Hepatic tissue necrosis/damage
High AST, LDH, CK point to what?
non-specific tissue damage
High AST, LDH, low CK point to what?
hepatic tissue damage
High AST, low LDH, high CK could mean what?
non-specific tissue damage, or hepatic tissue damage
high CK can be due to:
- Non-specific tissue damage
- Muscle damage
- Capture myopathy (marked elevations)
- Chronic tissue damage (neoplasia)
- Seizures
- Intramuscular injections
how high do enzyme levels have to go before clinically significant?
Increase more than 3-4fold for clinical significance
how can IM injections change AST and CK levels, and for how long?
Previous IM injection may increase AST and CK for up to 3-5 days
LDH has a high concentration in what cells?
RBC
clinical enzymology sensitivity for chronic metabolic disorders
Low sensitivity for chronic
metabolic disorders
- Hepatic lipidosis
- Iron storage disease
- Amyloidosis
are bile acids a good marker for hepatic function in birds?
- when are they raised?
*Bile acids: high sensitivity and specificity
- Post-prandial increase in all birds
- Functional liver disease
- Congestive heart failure
are bilirubin levels useful in birds? why? when do they increase?
Bilirubin: increase with severe disease, but limited usefulness (lack of biliverdin reductase)