Small Animal Liver Flashcards
What is the main blood supply to the liver from the GI tract?
Hepatic portal vein
What are the important metabolic processes of the liver?
Urea Cycle
Glycogen Storage
Protein Synthesis
Cholesterol Processing
How do onions cause liver toxicity?
Remove glutathione = oxidative damage
Heinz body anemia
What on the biochemistry panel tells you the liver is not functioning well?
Glucose
BUN
Albumin
Cholesterol
What do pre- and post-prandial bile acids tell us?
Liver function test
What biochemistry values are indicative of hepatocellular injury/damage/necrosis?
ALT (most specific)
AST (mm damage)
NOT loss of function
What causes pre-hepatic hyperbilirubinemia?
Low PCV/normal TP
e.g. RBC hemolysis (IMHA)
What causes post-hepatic hyperbilirubinemia?
Gall bladder mucocele
EHBO
Pancreatitis
What total bilirubin value is considered hyperbilirubinemia?
> 0.2mG/dL
When is a bile acids test redundant?
If patient is already hyperbilirubinemic (icteric)
What biochemistry values are indicative of cholestasis?
ALP
GGT
What can cause increases in ALP?
E. coli
Dental disease
Hyperthyroidism
Cushing’s disease
When are ALP levels induced?
Prednisone
Phenobarbital
Canines only
What are causes of a primary hepatopathy?
ALT (AST)
Inflammation, infection, necrosis, immune, fibrosis/cirrhosis, neoplasia
What are causes of secondary (reactive) hepatopathy?
ALP (GGT)
Medications, inflammation/infection, endocrine, hypoxia