Page 167 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition

Basic laboratory diagnostics
Serum/Blood substrate concentrations

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Hypoglycaemia

Shift Decreased
into the cells Increased use production Decreased uptake

Reduced – Chronic
glycogenolysis/ inadequate
Pseudo-
Excess insulin True use gluconeogenesis, food intake
hypoglycaemia
glycogen (rare in cat and
deficiency dog)

– Insulinoma – Seizures – Prolonged storage – Hypoadreno-
– Insulin – Sepsis of blood sample corticism
overdose – Extreme before – Hepatic
physical exercise centrifugation dysfunction
(e.g. hunting, – Cell-rich blood – Dwarf breeds
racing) sample – Neonates
(e.g. leukocytes)

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