Page 157 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 157

Basic laboratory diagnostics

                                                                                               Serum enzyme activities
               Rubrik

  VetBooks.ir





                                                          Increased AST*




                                                         Muscle cell
                          Haemolysis                                                       Liver cell damage
                                                          damage




                                   â True                                                            Secondary to
                    Pseudo-                    Skeletal muscle   Cardiac muscle   Primary liver
                   haemolysis    haemolysis     cell damage       cell damage       disease          extrahepatic
                                   p. 131                                                              disease




                                              – Trauma           – Myocar-      – Hepatitis/       – Sepsis
                   Prolonged                  – Myositis           ditis         Cholangitis       – Pancreatitis
                 storage of whole             – Muscle           – Infarction   – FIP (cat)        – Intestinal
                  blood sample                  contractions                    – Lymphoma          barrier
                     before                     (e.g. tetanus,                  – Hepatocellular    dysfunction
                  centrifugation                seizures)                        carcinoma         – Hypothyroidism
                                                                                – Hepatic lipidosis   (dog)
                                                                                 (cat)             – Hyperthyroidism
                                                                                – Drug toxicity     (cat)
                                                                                 (e.g. NSAIDs,     – Diabetes
                                                                                 doxycycline)       mellitus
                                                                                – Toxin (e.g.      – Hyperadreno-
                                                                                 aflatoxin)         corticism
                                                                                                   – Hypoxaemia
                                                                                                    (e.g.
                                                                                                    cardiovascular
                                                                                                    disorders,
                                                                                                    anaemia)





















               *   Decreased AST activity is not clinically relevant








                                                                                                               147
   152   153   154   155   156   157   158   159   160   161   162