Bloodwork Flashcards
Hematology, what are we examining?
WBC
RBC
Anemia
Platelets and thrombocytopenia
Blood Chemistry panel, what are we examining?
Electrolytes
Enzymes
Inorganic and organic molecules.
Increased Calcium levels in blood can indicate?
Neoplasia (e.g Parathyroid- like hormone): Lymphoma, anal gland carcinoma ( ↓ PTH , ↑ phospate)
Primary hyperparathyrodism due to neoplasia (RARE) ( ↑ PTH and ↓ phospate )
Secondary hyperparathyroidism (due to low dietary Ca or high loss)
Hypoadrencorticism (ADDISON’s)
Hypervitaminosis D (Rodenticide, supplements)
Toxins
Non-malignant skeletal disorder
Hyperalbuminemia ( ↑ PCV, ↑ alb, ↑ TP)
High Ca diet
Chronic renal failure (increased mobilisation from bone and kidneys) (↑ Phos, ↑ PTH)
NB! In young, growing dogs in can be due to osteclast activity
Clinical sign elevated blood Ca?
Weakness, PU/PD, vomiting, diarrhoea. twitching, seizures
Decreased Calcium in blood can indicate?
Eclampsia (Puerpuel tetany-hypocalcemia) : Neurological symptoms 2-3 weeks after birth.
Hypoparathyroidism
Low Ca diet
Pregnancy and lactation
Chronic kidney failure (due to ↓ vit. D3 formation) - ( ↓ USG, +/- ↑ azotaemia)
Acute pancreatitis (+/- ↑ lipase, amylase, vomiting, +/- CPLi )
Hypoalbuminemia
Malabsorption
Lymphangiectasia (dilation of lymph vessels)
Oxalate poisoning
Clinical signs low blood Ca?
Muscle tremors, fasciculation, seizures, ↑ Temperature.
Increased Phosporus in blood can indicate
↑ Absorption:
- High phosporus in diet
- Vit. D toxicity
↓ Excretion or ↑ Bone resorption:
- Hypoparathyroidism
- Renal disease (Primary)
- Renal disease, Secondary
hyperparathyroidism (↑ Ca, azotaemia)
NB! Young growing dogs osteclast activity.
Decreased Phosporus in the blood can indicate?
↓ Absorption
- Diet (Rickets - low vit. D3)
↓ Bone resorption or ↑ renal excretion
- Hyperparathyroidism
- Osteomalacia
- Neoplasia
Milk fever,
Recent stress
Insulin therapy and hyperinsulemia
Clinical signs low Phosphorus in the blood?
Often asymptomatic, may have seizures weakness.
Increased Sodium level in blood can indicate?
↑ Water loss > Electrolyte loss
- Dehydration
- Hypodypsia or adypsia
- Diabetes insipidus (Central or nephrogenic)
- Osmotic diuresis (e.g Diabete mellitus,
renal failure, mannitol)
↑ Excess Sodium retention
- Hyperaldosteronism
- Iatrogenic (NaCl infusion, salt ingestion)
Decreased Sodium level in blood can indicate?
↑ Sodium loss
- End stage kidney failure
- GI loss
- Overhydration (e.g primary Diabetes
insipidus)
- Congestive heart failure
↑ Water conservation
Increased Potassium levels in the blood can indicate?
Acidosis
Dehydration
Hypoadrenocorticism (Addison’s)
Renal failure (Acute)
Urethral obstruction
Decreased Potassium levels in the blood can indicate?
Alkalosis
Hyperadrenocorticism (Cushings)
Hyperaldosteronism
intestinal obstruction
Insulin therapy
Vomiting, diarrhea, diuresis.
Elevated ALP (alkanine phosphatase) can indicate?
Liver damage (↑ ALT)
Cholestatic disease (dog & cat) (↑ bilirubin, bile acids, GGT)
Cushing
Hyperthyroidism (cat) (↑ ALT)
Drugs: cortocosteroids, barbituates, other anti seizure drugs.
Diabete mellitus (↑ Blod and uring glucose)
arcinomas, mammry gland tumours, ostecarcomas.
Puppies have higher ALP (osteoblast)
In cats any increase can be significant, normally has a rapid clearance, active inflammation.
Elevated ALT (Alanine aminotransferase)
Liver damage (hepatocyte damage major source)
Liver specific enzyme:
- Hypoxic damage, inflammation/infection,
neoplasia, toxicosis (↑ ALP, ↑ ASP)
- Trauma
- FeLV
- Hypertension
- Drugs: phenobarbital (↑ ALP)
- DM
-Cushing (ALP ↑, USG ↓ )