BIOCHEMICAL REPORT. Parameters Unit Finding Normal Value. Lipase U/L Amylase U/L

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1 Lipase U/L Amylase U/L West Delhi :- 7/148, Opp. MCD Office, Major Pankaj Batra Marg, Near Ramesh Nagar, New Delhi-15, Ph. : ,

2 Liver Function Test Billirubin -- Total mg/dl Billirubin -- Direct mg/dl Billirubin -- Indirect mg/dl SGOT (AST) U/L SGPT (ALT) U/L Alkaline Phosphatase U/L Total Protein g/dl Albumin g/dl Globulin g/dl A/G ratio Note: SGPT /ALT - increases are a sensitive indicator of liver cell damage SGOT/ AST - increases are associated with liver or muscle damage ALP (alkaline phosphatase) - increases may indicate a liver abnormality (cholestasis),cushing's disease, active bone growth in young pets, active bone remodelling after bone injury; may be induced by multiple drugs and nonspecific conditions TBIL (total bilirubin) - increases may be seen with liver disease (cholestasis and insufficiency) and certain types of anaemia ALB (albumin) - increases may indicate dehydration; decreases may be seen with decreased liver function, blood loss, gastrointestinal disease and kidney disease, GLOB (globulin) - increases may be seen with inflammation and potential chronic infection; decreases may be seen with blood loss, gastrointestinal loss and immune deficiencies GGT (gamma glutamyl transferase) - increases may indicate a certain type of liver abnormality (cholestasis) This test is additional to LFT panel and done only when advised by clinician forlft plus panel Note : The clinical significance of increased serum ALT or AST activity is improved by monitoring for sequential enzyme elevations and correlating with other serum markers. Serum Transferase Levels May Not Reflect Clinical Hepatobiliary Disease in cases of Diabetes mellitus, Hyperadrenocorticism, Hyperthyroidism (cats), Pancreatitis, Inflammatory bowel disease, Phenobarbita/ Corticosteroids (dogs), Congestive heart failure, Hypotensive crisis, Severe hemolytic anemia, Status epilepticus, Systemic infections.

3 West Delhi :- 7/148, Opp. MCD Office, Major Pankaj Batra Marg, Near Ramesh Nagar, New Delhi-15, Ph. : ,

4 Kidney Function Test Blood Urea mg/dl Creatinine mg/dl Uric Acid mg/dl Calcium mg/dl Phosphorus mg/dl Na+ meq/l K+ meq/l Cl- meq/l Note: Urea - increases may be seen with decreased kidney function, dehydration, heart disease, shock or urinary obstruction,a high protein diet; Decreases may be seen with overhydration Creatinine - increases may be seen with decreased kidney function and other conditions as noted with BUN, but is not affected by a recent high protein diet; decreases may be seen with overhydration Renal stage based on Creatinine value - Stage Renal Azotemia Dogs Cats 1 Nonazotemic less than 1.4 less than Mild Moderate Severe greater than 5.0 greater than 5.0 Ca+ - increases may be seen in kidney disease, certain cancer types, certain toxicities and parathyroid disease; Decreases may be seen with certain parathyroid diseases and with low albumin, Phosphorus - Elevations are seen with decreased kidney loss through conditions like kidney disease, increased intake through the gastrointestinal tract and increased release from injured tissues; increases in growing puppies and kittens can be normal. Decreases may be seen with increased loss or decreased intake, Na+ (sodium) - increases may indicate dehydration; decreases may be seen with loss during diarrhea and vomiting or with Addison's and kidney disease, K+ (potassium) - increases may indicate kidney disease due to decreased excretion, with Addison's disease, dehydration and kidney obstruction; decreases may be seen with loss during diarrhea or vomiting, Cl- (chloride) - increases may indicate dehydration; decreases may be with loss during diarrhea or vomiting

5 West Delhi :- 7/148, Opp. MCD Office, Major Pankaj Batra Marg, Near Ramesh Nagar, New Delhi-15, Ph. : ,