Page 172 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
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     Basic laboratory diagnostics                                                                                                                                                                                Basic laboratory diagnostics
       Serum/Blood substrate concentrations                                                                                                                                                                Serum/Blood substrate concentrations
       Rubrik                                                                                                                         Rubrik
  VetBooks.ir
                                         Decreased urea
                                          concentration                                                                                                                        Increased serum bile acid
                                                                                                                                                                                   concentration*
                  Increased excretion                       Decreased synthesis
                                                                                                                                                      Liver bypass                   Cholestasis                Hepatic dysfunction
                      Medullary        Hepatic dysfunction     Liver bypass        Reduced protein
                      washout                                                      intake from diet
                                       – Liver cirrhosis                                                                                                                     – obstruction (e.g.            – Liver cirrhosis
                                       – Liver neoplasia    Portosystemic shunt                                                                                                pancreatitis, stones/calculi)  – Liver neoplasia
                                         (e.g. lymphoma)                                                                                           Portosystemic shunt                                        (e.g. lymphoma)
                                       – Hepatic lipidosis                                                                                                                                                  – Hepatic lipidosis (cat)
                                                                                                                                      *
                                                                                                                                      *   Decreased serum bile acid concentration is not clinically relevant
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