Page 194 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 194

Basic laboratory diagnostics                                                                                                                                                                                Basic laboratory diagnostics
       Blood gases and acid-base balance                                                                                                                                                                                   Haemostaseology
                                                                                                                                      Rubrik

  VetBooks.ir  Rubrik




                                       Metabolic acidosis
                                       (decreased HCO 3 )
                                                    –
                                                                                                                                                                             Prolonged aPTT*

               Normal anion gap                                    High anion gap
                  metabolic                                      metabolic acidosis
                  acidosis
                                                                                                                                                                             Disorder of the
                                                                                                                                                                            coagulation intrinsic
                                        Sulphate/                                                                                                                               pathway
                   Loss of                               Keto-               Lactate           – Ingestion
                       –               phosphate        acidosis             acidosis            of other
                   HCO 3
                                        acidosis                                                 acids (e.g.
                                                                                                 ethylene
                                                                                                 glykol
                                      – Chronic      – Diabetic                                  intoxica-
                                        kidney         ketoacidosis               Increased      tion)                                                                      Coagulation factor
                          Gastro-       disease      – Cachexia       Tissue     production by                                                                                 deficiency
            Renal                       (advanced)                                gut bacteria
                         intestinal                                   hypoxia
                                      – Acute kidney                             (rare in small
                                        injury                                     animals)



                                                                                                                                                               Increased                        Decreased
         – Chronic      – Vomiting                                  – Shock       – Dys-                                                                     consumption                        production
           kidney       – Diarrhoea                                 – Gastric      bacteriosis
           disease                                                    torsion
         – Dysfunction                                              – Thrombo-
           of proximal                                                embolism
           tubuli (e.g.                                             – Severe                                                                              – DIC
           Fanconi                                                    anaemia
           syndrome)                                                                                                                                                                 Acquired              Congenital






                                                                                                                                                                                                       – Haemophilia A
                                                                                                                                                                                 Hepatic dysfunction   – Haemophilia B




                                                                                                                                                                                 – Liver fibrosis

                                                                                                                                                                                 – Liver cirrhosis
                                                                                                                                                                                 – Liver neoplasia
                                                                                                                                                                                 – Hepatic lipidosis
                                                                                                                                      *



                                                                                                                                      *   Shortened aPTT is not clinically relevant








       184                                                                                                                                                                                                                            185
   189   190   191   192   193   194   195   196   197   198   199