reptile medicine and surgery || hematologic and blood chemistry values in reptiles

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88 HEMATOLOGIC AND BLOOD CHEMISTRY VALUES IN REPTILES GERALDINE DIETHELM and GEOFF STEIN 1103 Boa Constrictor Rainbow Boa Emerald Tree Boa Measurements (Boa Constrictor) 3,26,ISIS (Epicrates cenchiria) ISIS (Corallus caninus) ISIS Hematology PCV (%) 24-40 28 (11-40) 23 (6-57) RBC (10 6 /mL) 1.0-2.5 0.34-1.74 0.05-5.05 Hgb (g/dL) 3.3-15.3 6.5-13.1 9.6 (6.1-18.7) MCV (fL) 159-625 174-534 MCH (pg) 85-208 83-160 113-149 MCHC (g/dL) 21-42 21-40 30-60 WBC (10 3 /mL) 4-10 9.2 (1.5-35) 5 (0.5-5) Heterophils (%) 20-65 b Lymphocytes (%) 10-60 Azurophils (%) 1.5(0-5.8) Monocytes (%) 0-3 Eosinophils (%) 0-3 Basophils (%) 0-20 Chemistries AP (IU/L) 421 (242-652) 85 (14-593) 109 (14-323) ALT (IU/L) 6 (0-20) 11 (1-31) 5 (1-11) AST (IU/L) 5-35 41 (8-136) 34 (5-115) Bilirubin, total (mg/dL) 0.3 (0.2-0.4) 0.4 (0-0.8) 0.2 (0.1-0.3) BUN (mg/dL) <1-10 1-3 0-4 Calcium (mg/dL) 10-22 13.7 (11.3-18.9) 12.8 (8.9-17.4) Chloride (mEq/L) 16.8 (14.1-23.7) 119 (94-141) 130 (106-150) Cholesterol (mg/dL) 118 (107-124) 225 (140-394) 289 (101-539) Creatine kinase (IU/L) 87 (53-138) Creatinine (mg/dL) <0.1-0.3 0.4 (0.1-0.7) 0-1.1 Glucose (mg/dL) 10-60 28 (2-67) 28 (10-56) LDH (IU/L) 30-300 309 (102-661) 495 (76-1680) Magnesium (mEq/L) Phosphorus (mg/dL) 3.6 (2.6-4.9) 5.2 (3.4-7.7) 4.5 (1.8-11.2) Potassium (mEq/L) 3.0-5.7 3.6 (1.2-5.7) 4.9 (1.8-8.7) Protein, total (g/dL) 4.6-8.0 6.5 (3.7-8.4) 42.3-8.3 Albumin (g/dL) 3.1 (1.9-5.3) 2.9 (1.8-4.8) 2.7 (1.2-4) Globulin (g/dL) 4 (2.2-6.9) 3.9 (2.8-5.8) 2.8 (1-3.8) A:G (ratio) Sodium (mEq/L) 130-152 157 (137-170) 148-175 Thyroxine (mg/dL) Uric acid (mg/dL) 1.2-5.8 6 (1.3-27.5) 5.6 (1.2-19.8) Hematologic and Serum Biochemical Values of Reptiles Continued

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Page 1: Reptile Medicine and Surgery || Hematologic and Blood Chemistry Values in Reptiles

88HEMATOLOGIC ANDBLOOD CHEMISTRY VALUES IN REPTILESGERALDINE DIETHELM and

GEOFF STEIN

1103

Boa Constrictor Rainbow Boa Emerald Tree Boa Measurements (Boa Constrictor)3,26,ISIS (Epicrates cenchiria)ISIS (Corallus caninus)ISIS

HematologyPCV (%) 24-40 28 (11-40) 23 (6-57)RBC (106/mL) 1.0-2.5 0.34-1.74 0.05-5.05Hgb (g/dL) 3.3-15.3 6.5-13.1 9.6 (6.1-18.7)MCV (fL) 159-625 174-534 –MCH (pg) 85-208 83-160 113-149MCHC (g/dL) 21-42 21-40 30-60WBC (103/mL) 4-10 9.2 (1.5-35) 5 (0.5-5)Heterophils (%) 20-65b – –Lymphocytes (%) 10-60 – –Azurophils (%) 1.5(0-5.8) – –Monocytes (%) 0-3 – –Eosinophils (%) 0-3 – –Basophils (%) 0-20 – –ChemistriesAP (IU/L) 421 (242-652) 85 (14-593) 109 (14-323)ALT (IU/L) 6 (0-20) 11 (1-31) 5 (1-11)AST (IU/L) 5-35 41 (8-136) 34 (5-115)Bilirubin, total (mg/dL) 0.3 (0.2-0.4) 0.4 (0-0.8) 0.2 (0.1-0.3)BUN (mg/dL) <1-10 1-3 0-4Calcium (mg/dL) 10-22 13.7 (11.3-18.9) 12.8 (8.9-17.4)Chloride (mEq/L) 16.8 (14.1-23.7) 119 (94-141) 130 (106-150)Cholesterol (mg/dL) 118 (107-124) 225 (140-394) 289 (101-539)Creatine kinase (IU/L) 87 (53-138) – –Creatinine (mg/dL) <0.1-0.3 0.4 (0.1-0.7) 0-1.1Glucose (mg/dL) 10-60 28 (2-67) 28 (10-56)LDH (IU/L) 30-300 309 (102-661) 495 (76-1680)Magnesium (mEq/L) – – –Phosphorus (mg/dL) 3.6 (2.6-4.9) 5.2 (3.4-7.7) 4.5 (1.8-11.2)Potassium (mEq/L) 3.0-5.7 3.6 (1.2-5.7) 4.9 (1.8-8.7)Protein, total (g/dL) 4.6-8.0 6.5 (3.7-8.4) 42.3-8.3Albumin (g/dL) 3.1 (1.9-5.3) 2.9 (1.8-4.8) 2.7 (1.2-4)Globulin (g/dL) 4 (2.2-6.9) 3.9 (2.8-5.8) 2.8 (1-3.8)A:G (ratio) – –Sodium (mEq/L) 130-152 157 (137-170) 148-175Thyroxine (mg/dL) – – –Uric acid (mg/dL) 1.2-5.8 6 (1.3-27.5) 5.6 (1.2-19.8)

Hematologic and Serum Biochemical Values of Reptiles

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1104 Section VIII SPECIAL TOPICS

Diamond-backed Water Snake Ball Python Pythons

Measurements (Nerodia sp.)21 (Python regius)16,ISIS (Python spp.)a,26

HematologyPCV (%) – 18 (16-21) 25-40RBC (106/mL) – 0.8 (0.3-1.3) 1.0-2.5Hgb (g/dL) – 6.7 (5.5-7.9) –MCV (fL) – 211-540 –MCH (pg) – 82-139 –MCHC (g/dL) – 25-40 –WBC (103/mL) – 12.2 (7.9-16.4) 6-12Heterophils (%) – 62 (56-67) 20-80b

Lymphocytes (%) – 14 (7-21) 10-60Azurophils (%) – 17 (12-22) -Monocytes (%) – 1 (0-1) 0-3Eosinophils (%) – – 0-3Basophils (%) – 1 (0-2) 0-10ChemistriesAP (IU/L) 69 (27-157) 106 (96-116) –ALT (IU/L) – 14 (12-16) –AST (IU/L) – 33 (15-51) 5-30Bilirubin, total (mg/dL) 0.6 (0.3-1.0) 0.3 (0-2.1) –BUN (mg/dL) 1 (0-3) 0-3 <1-10Calcium (mg/dL) 7 (6-8) 14 (13-14) 10-22Chloride (mEq/L) 127 (117-131) 120 (109-130) –Cholesterol (mg/dL) – 124 (23-302) –Creatine kinase (IU/L) 262 (92-572) – –Creatinine (mg/dL) 0.7 (0.3-1.8) 0-0.5 <0.1-0.3Glucose (mg/dL) 33 (4-97) 29 (28-30) 10-60LDH (IU/L) 191 (69-538) 209 (77-782) 40-300Magnesium (mEq/L) 1.2 (0.9-1.5) – –Phosphorus (mg/dL) 31.4 (0.7-2.5) 3 (2.7-3.4) –Potassium (mEq/L) 4.6 (2.8-6.4) – 3.0-5.7Protein, total (g/dL) 5.8 (4.3-7.6) 5.2 (5.0-5.6) 5-8Albumin (g/dL) – 2.2 (1-3.7) –Globulin (g/dL) – 4.6 (2.1-9) –A:G (ratio) – – –Sodium (mEq/L) 166 (154-175) 138-173 130-152Thyroxine (mg/dL) – – –Uric acid (mg/dL) – 3.6 (3.2-4.1) 1.2-5.6

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1105Hematologic and Blood Chemistry Values in Reptiles

Jungle Carpet Green Tree Python Reticulated Python (Morelia (Morelia [Chondropython] Python (Python

Measurements spilota cheynei)2,ISIS viridis)ISIS reticulatus)ISIS

HematologyHCT (%) 30 (23-37) 8-38 25 (17-45)RBC (106/mL) 0.89 (0.54-1.3) 0.4-1.3 0.41-1.33Hgb (g/dL) 8.6 (4-15.5) 4-8.3 10 (5.2-30)MCV (fL) 282 (178-414) 207-250 331 (176-428)MCH (pg) 113.5 (66.7-159) 100 78-86MCHC (g/dL) 40 (23.5-53.2) 33.2-40 29-45WBC (103/mL) 8.5 (5.7-11.3) 3.5-22.1 8 (1.8-17.7)WBC (Natt Herrick) 7.3 (4.5-10.2) – –Heterophils (%) 53 (38-68) – –Lymphocytes (%) 43 (35-51) – –Monocytes (%) 0 (0-1) – –Azurophils (%) 2 (0-5) – –Eosinophils (%) 0 (0-1) – –Basophils (%) 1 (0-3) – –ChemistriesAP (IU/L) 36 (13-60) 4.6-6 84 (4-183)ALT (IU/L) 19 (6-38) 43 (8-132) 27 (5-96)AST (IU/L) 25 (2-120) 29 (8-79) 24 (2-105)Bilirubin, total (mg/dL) 0.5 0.2 0.3 (0.1-0.6)BUN (mg/dL) 2 (1-3) 2 (0-2) 3 (0-6)Calcium (mg/dL) 25.6 (12.4-100) 14 (10.3-18.5) 18.8 (8.6-48)Chloride (mEq/L) 112 (102-123) 128 (119-138) 122 (107-141)Cholesterol (mg/dL) 333 (199-594) 204 (116-360) 263 (81-371)Creatine kinase (IU/L) 479 (27-1537) 524 (198-992) 1086Creatinine (mg/dL) 1.1 (0.3-3.7) 0.2 (0-0.5) 0.3 (0.1-0.5)Glucose (mg/dL) 31 (16-71) 67 (5-223) 36 (12-81)LDH (IU/L) 306 (48-547) 206 –Magnesium (mEq/L) – – –Phosphorus (mg/dL) 8.7 (2.1-37) 6.7 (2.8-26.3) 7.2 (2.5-15.4)Potassium (mEq/L) 5.4 (3.7-9) 5.3 (2.8-6.4) 5.5 (3.4-10.2)Protein, total (g/dL) 8.3 (4.7-14) 5.7 (3.9-6.9) 7.5 (5.5-10.1)Albumin (g/dL) 3 (1.9-6.2) 2 (1.4-2.8) 2.9 (1.3-7.2)Globulin (g/dL) 5.5 (2.7-8) 4.4 (3.2-5.4) 4.7 (2.6-8.3)A:G (ratio) – – –Sodium (mEq/L) 149 (135-158) 160 (157-163) 160 (142-176)Thyroxine (mg/dL) – – –Uric acid (mg/dL) 7 (1.9-25.4) 5.8 (1-20.4) 8.6 (3-34.2)

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1106 Section VIII SPECIAL TOPICS

Gopher Snake Yellow Rat Snake (Pituophis Red Rat Snake (Elaphe obsoleta

Measurements melanoleucus)9,19,ISIS (Elaphe guttata)ISIS quadrivitatta)24

HematologyPCV (%) 25 (15-38) 31 (21-52) 25 (9-46)RBC (106/mL) 1.09 1.16 (0.62-1.86) 0.21-1.56Hgb (g/dL) 10 (6.9-12.7) 11.5 (9.7-13.5) 9 (2.8-15.2)MCV (fL) 189-568 291 (170-403) 384 (179-961)MCH (pg) 123-160 127 (110-143) 137 (90-217)MCHC (g/dL) 27-37 32-40 34 (26-54)WBC (103/mL) 6.2 (1.7-20) 9.2 (1.02-31.4) 9 (0.4-32)Heterophils (%) – – –Lymphocytes (%) – – –Monocytes (%) – – –Azurophils (%) – – –Eosinophils (%) – – –Basophils (%) – – –ChemistriesAP (IU/L) 60 (9-133) 64 (18-297) 92 (55-130)ALT (IU/L) 22 (11-65) 34 (2-64) 18 (7-29)AST (IU/L) 53 (16-127) 42 (9-224) 59 (15-103)Bilirubin, total (mg/dL) 0.2 (0.1-0.4) 0.6 (0.1-1) 0.3 (0.1-0.8)BUN (mg/dL) 2 (1-5) 2 (0-6) 4 (0-20)Calcium (mg/dL) 14.4 (13.0-15.7) 15.8 (12-19.6) 17.7 (11.3-73.2)Chloride (mEq/L) 137 (109-148) 122 (108-137) 119 (68-140)Cholesterol (mg/dL) 327 (138-702) 314-572 371 (101-745)Creatine kinase (IU/L) 78-1918 433 (77-2460) 716 (200-1231)Creatinine (mg/dL) 0.3 (0.1-0.6) 0.6 (0.2-2) 0.5 (0.3-1.3)Glucose (mg/dL) 88 (24-129) 54 (31-88) 62 (26-117)LDH (IU/L) 97 (6-313) 173 (48-444) 203 (86-320)Magnesium (mEq/L) – – 2.5Phosphorus (mg/dL) 4.1 (2.5-5.7) 3.8 (1.9-6) 4.4 (1.7-14.7)Potassium (mEq/L) 6.6 (3.6-10.0) 6.8 (1.9-13.2) 5 (1.6-8.5)Protein, total (g/dL) 4.3 (2.8-7.3) 6.6 (4.6-8.4) 6.6 (3.3-10.6)Albumin (g/dL) 1.9 (1.6-2.1) 2.6 (1.8-3.4) 2.4 (1.6-4.4)Globulin (g/dL) 3.2 (1.9-5.4) 4.4 (3.3-5.7) 4.3 (2.6-8.3)A:G (ratio) – – -Sodium (mEq/L) 171 (161-180) 164 (147-183) 162 (151-177)Thyroxine (mg/dL) – – -Uric acid (mg/dL) 6.7 (2-17.6) 7 (1.3-19.9) 6.6 (1.6-32.1)

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1107Hematologic and Blood Chemistry Values in Reptiles

Common Kingsnake Milksnake Indigo Snake (Lampropeltis (Lampropeltis (Drymarchon

Measurements getulus)ISIS triangulum)ISIS corais)8

HematologyPCV (%) 30 (12-45) 27 (8-48) –RBC (106/mL) 2.65 (0.35-14) 0.9 (0.5-2) –Hgb (g/dL) – 10 (6.9-11.9) –MCV (fL) 318 (28-500) 369 (135-615) –MCH (pg) – 119 (89-164) –MCHC (g/dL) – 34 (29-45) –WBC (103/mL) 12 (1-42) 10 (1.2-39) –Heterophils (%) – – –Lymphocytes (%) – – –Monocytes (%) – – –Azurophils (%) – – –Eosinophils (%) – – –Basophils (%) – – –ChemistriesAP (IU/L) 90 (17-478) 105 (70-168) 123 (80-161)ALT (IU/L) 23 (8-40) 7 (0-17) –AST (IU/L) 40 (0-124) 29 (0-102) 46 (6-163)Bilirubin, total (mg/dL) 0-0.1 0.5 (0.1-0.9) –BUN (mg/dL) 2 (0-4) 4 (2-14) –Calcium (mg/dL) 20 (6.8-60) 15 (12-18) 159 (30-337)Chloride (mEq/L) 114 (88-136) 125 (109-137) 119 (100-129)Cholesterol (mg/dL) 294 (55-1083) 390 (154-822) –Creatine kinase (IU/L) 514 (82-1634) 202 (92-332) 644 (68-1923)Creatinine (mg/dL) 0.4 (0-1.6) 0.5 (0.2-1.1) –Glucose (mg/dL) 42 (7-90) 56 (15-124) 46 (28-89)LDH (IU/L) 179 (24-488) 816 (18-2807) 313 (13-1055)Magnesium (mEq/L) – – –Phosphorus (mg/dL) 6.2 (0.7-24.6) 7.3 ( 2.9-25) 35 (8-69)Potassium (mEq/L) 4.9 (2.1-9.2) 5.3 (2.2-9.7) 8.1 (4.3-14.3)Protein, total (g/dL) 7.1 (3.6-12) 6.6 (3.8-11.6) 8.9 (5.9-12.3)Albumin (g/dL) 2.3 (1.1-6.8) 2.2 (1.2-3) 2.5 (1.7-4.6)Globulin (g/dL) 4.6 (1.8-7.9) – –A:G (ratio) – – –Sodium (mEq/L) 161 (132-184) 166 (157-178) 157 (143-170)Thyroxine (mg/dL) – – –Uric acid (mg/dL) 7.1 (1.9-28) 7.4 (2.1-35.6) 8.6 (2.2-17.2)

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1108 Section VIII SPECIAL TOPICS

Egyptian Spiny-tailed Blue Tongued Tokay Gecko Lizard (Uromastyx Skink (Tiliqua

Measurements (Gekko gecko)ISIS aegyptius)ISIS scincoides)ISIS

HematologyPCV (%) 30 (25-34) 27 (18-40) 10 (6-13)RBC (106/mL) 0.67 (0.63-0.74) 0.73 (0.46-0.99) 1.05 (0.73-1.36)Hgb (g/dL) – 5.8 (3.6-8.2) 10.4 (6-13)MCV (fL) 467 (432-492) 308 (242-391) 299 (266-354)MCH (pg) – 87 (78-95) 98 (44-173)MCHC (g/dL) – 28 (20-36) 33 (16-57)WBC (103/mL) 10 (4-20) 11 (4-32) 7 (2-20)Heterophils (%) – – –Lymphocytes (%) – – –Monocytes (%) – – –Azurophils (%) – – –Eosinophils (%) – – –Basophils (%) – – –ChemistriesAP (IU/L) 54 98 (53-164) 82 (39-162)ALT (IU/L) 5 3 13 (2-34)AST (IU/L) 61 (9-146) 37 (14-81) 45 (7-106)Bilirubin, total (mg/dL) 0.5 0.3 (0.1-0.7) –BUN (mg/dL) – 3 (1-4) 1 (0-2)Calcium (mg/dL) 17-18 11.3 (8.6-14.1) 13.2 (8.2-20.6)Chloride (mEq/L) 119 126 (111-135) 113 (111-115)Cholesterol (mg/dL) – 317 (306-328) 192 (72-429)Creatine kinase (IU/L) 117 2003 (556-3454) 2099 (73-5832)Creatinine (mg/dL) – 0.3 (0.2-0.4) 0.3 (0.1-0.6)Glucose (mg/dL) 141 (105-173) 184 (102-248) 130 (63-176)LDH (IU/L) 189 639 (197-1235) 735 (364-1106)Magnesium (mEq/L) – – –Phosphorus (mg/dL) 5.6 (2.8-7.7) 4.5 (1.3-10) 5.3 (2.8-7.7)Potassium (mEq/L) – 3.7 (3-4.6) 5.6 (4.3-8.6)Protein, total (g/dL) – 5.2 (3.1-8) 6 (4.4-7.6)Albumin (g/dL) 2.7 1.6 (0.9-2.4) 2 (1.2-2.9)Globulin (g/dL) – 2.6 (2.2-4.6) 3.8 (3.2-5.2)A:G (ratio) – – –Sodium (mEq/L) 158 173 148 (142-158)Thyroxine (mg/dL) – – –Uric acid (mg/dL) 5.9 (1.4-12.2) 3.8 (2.6-5.6) 3.3 (0.7-8.5)

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1109Hematologic and Blood Chemistry Values in Reptiles

Iguanid Lizard Green Iguana Bearded Dragon (Dipsosaurus (Iguana

Measurements (Pogona vitticeps)4 dorsalis)17 iguana)7,10,12,13,ISIS

HematologyPCV (%) 24 (17-28) – 25-38RBC (106/mL) 1.1 (0.8-1.8) – 1-1.9Hgb (g/dL) – – 6-10MCV (fL) – – 165-305MCH (pg) – – 48-78MCHC (g/dL) – – 20-38WBC (103/mL) 9.4 (5.9-14.3) – 3-10Heterophils (%) – – 0.35-5.2c

Lymphocytes (%) 64 (54-76) – 0.5-5.5c

Monocytes (%) – – 0-0.1c

Azurophils (%) 3 (0-8) – 0-1.7c

Eosinophils (%) – – 0-0.3c

Basophils (%) – – 0-0.5c

ChemistriesAP (IU/L) 151 (15-447) 14 (4-30) 50-290ALT (IU/L) 11 (4-20) 13 (3-38) 5-68d

AST (IU/L) 27 (0-92) 179 (34-400) 5-52d

Bilirubin, total (mg/dL) 0.5 (0-3.7) 0.2 (0.1-0.5) 0.3 (0-4.9)BUN (mg/dL) 3 (3-4) 2 (1-5) 2 (0-11)Calcium (mg/dL) 10 (8-13) 11 (8-30) 8.8-14.0Chloride (mEq/L) 126 (107-163) 120 (12-155) 117-122Cholesterol (mg/dL) 425 (160-900) 243 (100-399) 107-333Creatine kinase(IU/L) 1211 (59-7000) 4500 (700-14,240) 272 (73-666)Creatinine (mg/dL) 0.2 (0-0.6) 0.5 (0.2-1.8) 0.5 (0.1-1.3)d

Glucose (mg/dL) 232 (211-261) 355 (255-575) 169-288LDH (IU/L) 296 (35-628) 789 (145-2915) 443 (36-3861)Magnesium (mEq/L) – – 3.2 (2.4-4)d

Phosphorus (mg/dL) 5.6 (2.7-15.1) 5.5 (2.8-10.0) 4-6 18

Potassium (mEq/L) 3.8 (1.3-6.3) 2.6 (0.4-7.0) 1.3-3.0d

Protein, total (g/dL) 2.2 (2.0-2.7) 3.8 (2.4-5.4) 5.0-7.8Albumin (g/dL) 2.6 (1,3-4.6) 2.3 (1.6-3.0) 2.1-2.8d

Globulin (g/dL) 2.3 (1-4.4) 1.5 (0.8-2.4) 2.5-4.3A:G (ratio) – 1.7 (1.0-2.3) –Sodium (mEq/L) 156 (137-186) 164 (137-245) 158-183d

Thyroxine (mg/dL) – – 3.81 (2.97-4.65)Triglycerides (mg/dL) 310 (93-459) – 53-691Uric acid (mg/dL) 4.5 (2.9-10.0) 5.6 (2.4-13.3) 1.2-2.4d

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1110 Section VIII SPECIAL TOPICS

Measurements(all iguanas kept in Green Iguana, Green Iguana, Green Iguana, Green Iguana,natural environment, male Female gravid female juvenile outdoors)12 (Iguana iguana)12 (Iguana Iguana)12 (Iguana iguana)12 (Iguana iguana)12

HematologyPCV (%) 34 (29.2-38.5) – 38 (33-44) 38 (30-47)RBC (106/mL) 1.3 (1.0-1.7) – 1.4 (1.2-1.8) 1.4 (1.3-1.6)Hgb (g/dL) 8.6 (6.7-10.2) – 10.6 (9.1-12.2) 9.6 (9.2-10.1)MCV (fL) 266 (228-303) – 270 (235-331) –MCHC (g/dL) 25.1 (22.7-28) – 27.9 (24.9-31) –Fibrinogen 100 (100-200) – 100 (100-300) 100 (100-300)WBC (103/mL) 15.1 (11.1-24.6) – 14.8 (8.2-25.2) 16.3 (8.0-22.0)Heterophils (103/mL) 3.6 (1.0-5.4) – 3.2 (0.6-6.4) 2.2 (1.0-3.8)Lymphocytes (103/mL) 9.7 (5.0-16.5) – 9.9 (5.2-14.4) 12.9 (6.2-17.2)Monocytes (103/mL) 1.3 (0.2-2.7) – 1.2 (0.4-2.3) 0.4 (0.3-0.6)Azurophils (103/mL) – – – –Eosinophils (103/mL) 0.1 (0.0-0.3) – 0.1 (0.0-0.2) 0.3 (0.0-0.4)Basophils (103/mL) 0.4 (0.1-1.0) – 0.5 (0.2-2.1) 0.5 (0.1-0.7)ChemistriesAP (IU/L) 39 (14-65) 37.5 (34-41) 59 (22-90) –ALT (IU/L) 32 (4-76) 7.6 (5.3-10) 45 (5-96) –AST (IU/L) 33 (19-65) 21 (12-29) 40 (7-102) 41 (13-72)Bilirubin, total (mg/dL) 0.8 (0.1-1.4) 0.9 (0.2-2.1) 1.5 (0.3-3.1) –BUN (mg/dL) – – – –Calcium (mg/dL) 11.3 (8.6-14.1) 32.5 (22.5-47.5) 12.5 (10.8-14.0) 14.3 (12.1-23.2)Ionized Calcium6 0.37 (0.34-0.4)6 0.37 (0.34-0.4)6 0.37 (0.34-0.4)6 0.37 (0.34-0.4)6

Chloride (mEq/L) 119 (115-124) 121.3 (117-124) 121 (113-129) –Cholesterol (mg/dL) 161 (82-214) 339 (253-453) 255 (204-347) –CO2 (mEq/L) 19.9 (15.2-24.7) 19.3 (15.1-21.7) 19.1 (16-23.2) –Anion gap (mEq/L) 21.8 (12.1-29.5) 25.8 (19.7-36.8) 29 (18.8-41) –Glucose (mg/dL) 166 (70-244) 140 (126-153) 170 (105-258) 273 (131-335)LDH (IU/L) – – – –Magnesium (mEq/L) – – – –Phosphorus (mg/dL) 5.3 (3.2-7.6) 12 (8.4-17.5) 6.3 (2.8-9.3) 7.7 (4.3-9.0)Potassium (mEq/L) 4 (2.8-6.1) 3.9 (3.2-5.0) 3.6 (2.0-5.8) –Protein, total (g/dL) 5.4 (4.4-6.5) 7.5 (7.0-8.2) 6.1 (4.9-7.6) 5 (4.2-6.1)Albumin (g/dL) 2 (1.3-3.0) 2 (1.5-2.5) 2.4 (1.5-3.0) 2.3 (92.0-2.8)Globulin (g/dL) 3.5 (2.5-4.4) 5.5 (4.9-6.7) 3.8 (2.8-5.2) 2.7 (2.2-3.0)A:G (ratio) 0.6 (0.4-0.9) 0.4 (0.2-0.5) 0.7 (0.3-1.0) 0.8 (0.7-0.9)Sodium (mEq/L) 157 (152-162) 162.5 (161-164) 163 (156-172) –Thyroxine (mg/dL) – – – –Uric acid (mg/dL) 2.7 (1.5-5.8) 3.3 (2.2-4.9) 3.6 (0.9-6.7) 3.3 (0.7-5.7)

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1111Hematologic and Blood Chemistry Values in Reptiles

Green Crested Prehensile-tailed Tegu Lizard Basilisk (Basiliscus

Measurements Skink (Corucia sp.)30 (Tupinambus teguixin)ISIS plumifrons)ISIS

HematologyPCV (%) 35 (24-60) 37 (23-55) 34 (27-41)RBC (106/mL) 1.5 (0.8-1.4) 0.8 (0.4-1.1) –Hgb (g/dL) 9.6 (7.4-11.6) 9.1 (8.8-9.3) 8.9 (8.6-9.1)MCV (fL) 263 (152-600) 425 (299-677) –MCH (pg) 69 (42-111) 185 (130-239) –MCHC (g/dL) 28 (17-56) 39 26 (22-29)WBC (103/mL) 12.4 (3.9-22.4)e 17.4 (3.9-47.1) 12 (3.3-31)Heterophils (%) 37 (16-58) – –Lymphocytes (%) 22 (2-40) – –Monocytes (%) 0.6 (0-6) – –Azurophils (%) – – –Eosinophils (%) 4 (0-18) – –Basophils (%) 15 (4-26) – –ChemistriesAP (IU/L) – 160 (38-358) 137 (77-230)ALT (IU/L) – 33 (11-65) 13 (5-21)AST (IU/L) 19 (<4-76) 18 (5-52) 60 (14-136)Bilirubin, total (mg/dL) – 0.3 (0.1-0.5) 0.6 (0.5-0.8)BUN (mg/dL) – 1 (0-1) 5 (1-20)Calcium (mg/dL) 13 (11-21) 12.2 (11.1-14.1) 10 (7-13)Chloride (mEq/L) 124 (123-129) 121 (113-138) 127 (125-129)Cholesterol (mg/dL) 144 (11-252) 206 (137-290) 845 (550-1237)Creatine kinase (IU/L) 210 (27-940) 641 (50-1904) 5355 (2691-9436)Creatinine (mg/dL) – 0.3 (0.2-0.4) 0.4 (0.2-0.8)Glucose (mg/dL) 100 (70-122) 128 (98-205) 283 (60-280)LDH (IU/L) – 540 (33-1234) –Magnesium (mEq/L) – – –Phosphorus (mg/dL) 3.7 (2.8-6.7) 5.6 (3.5-11.4) 0.5 (6.2-11.6)Potassium (mEq/L) 3.6 (1.4-5.0) 3.4 (0.7-3.6) 3 (2.4-3.5)Protein, total (g/dL) 6.5 (5-8) 6.6 (3.5-8.5) 5.7 (4.0-8.3)Albumin (g/dL) – 3.6 (2.2-4.6) 3.1 (2.6-3.5)Globulin (g/dL) – 2.9 (0.7-4.5) 2.9 (2.1-4.9)A:G (ratio) – – –Sodium (mEq/L) 158 (145-167) 159 (156-166) 1663 (145-172)Thyroxine (mg/dL) – – –Uric acid (mg/dL) 1.6 (<0.3-3.1) 3.2 (0.5-6.2) 10.9 (1-96.6)

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Savannah Monitor American Alligator (Varanus Nile Monitor (Alligator

Measurements exanthematicus)ISIS (Varanus niloticus)ISIS mississippiensis)5,10,15

HematologyPCV (%) 32 (21-51) 33 (21-40) 25 (12-40)RBC (106/mL) 1.22 (0.63-1.58) 0.6 0.6 (0.23-1.29)Hgb (g/dL) 10.4 (6.2-13.2) – 7.8 (3.7-11.6)MCV (fL) 291 (229-392) 667 445 (230-1174)MCH (pg) 94 (89-99) – 139 (58-370)MCHC (g/dL) 32 (26-39) - 32 (18-65)WBC (103/mL) 4.8 (1.2-11.3) 8.2 (2.6-24) 0 (1.8-29)Heterophils (%) – – –Lymphocytes (%) – – –Monocytes (%) – – –Azurophils (%) – – –Eosinophils (%) – – –Basophils (%) – – –ChemistriesAP (IU/L) 77 (5-675) 79 (24-141) 39 (0-109)ALT (IU/L) 58 (5-374) 75 (3-255) 39 (0-154)AST (IU/L) 30 (1-170) 24 (8-50) 289 (0-700)Bilirubin, total (mg/dL) 0.2 (0-0.6) – 0.3 (0-5.1)BUN (mg/dL) 2 (0-6) 2 (1-4) 2 (0-13)Calcium (mg/dL) 14 (11-18) 12.8 (10.7-14.8) 11 (0-15.6)Chloride (mEq/L) 115 (105-129) 111 (103-117) 110 (0-130)Cholesterol (mg/dL) 117 (46-231) 57 (45-65) 94 (0-245)Creatine kinase (IU/L) 1540 (150-9080) 1324 (436-2001) 2022 (0-8620)Creatinine (mg/dL) 0.4 (0-0.8) 0.3 (0.1-0.6) 0.4 (0-1.3)Glucose (mg/dL) 109 (40-159) 137 (93-206) 91 (0-198)LDH (IU/L) 596 (29-3699) 375 (127-584) 485 (0-2000)Magnesium (mEq/L) 3.1 2.9 0Phosphorus (mg/dL) 4.9 (1.6-14.3) 6.5 (4.5-10) 4.4 (0-9.4)Potassium (mEq/L) 4.6 (2.7-10.8) 4.9 (2.9-7) 3.8 (0-6)Protein, total (g/dL) 6.9 (4.2-10.5) 6.4 (4.3-7.8) 5.3 (2.5-9.4)Albumin (g/dL) 2.1 (1.2-3.5) 2.1 (1.6-2.9) 1.6 (0.8-2.3)Globulin (g/dL) 4.9 (3.4-6.6) 5 (2.7-6) 3.5 (1.6-6)A:G (ratio) – – –Sodium (mEq/L) 155 (146-166) 164 (157-176) 146 (0-165)Thyroxine (mg/dL) – – –Uric acid (mg/dL) 7 (1.2-18) 8.6 (2.4-19.5) 1.6 (0-5.7)

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Dwarf Caiman Common Box (Paleosuchus Turtle (Terrapene Ornate Box Turtle

Measurements palpebrosus)ISIS carolina)10,22,28,ISIS (Terrapene ornata)ISIS

HematologyPCV (%) 22 (16-29) 22 (7-35) 25 (17-37)RBC (106/mL) 0.64 (0.43-0.89) 0.5 (0.09-1) 0.6 (0.5-0.8)Hgb (g/dL) 7.3 (5.3-8.8) 5.1 7.2 (6-9)MCV (fL) 382 (180-540) 420 (229-1000) 408 (350-463)MCH (pg) 119 (98-140) 102 122 (108-136)MCHC (g/dL) 31 (23-38) 28 (26-29) 33 (31-33)WBC (103/mL) 5.7 (2.5-10.6) 7 (1.7-16) 8.9 (2-24)Heterophils (%) – 11 –Lymphocytes (%) – 56 –Monocytes (%) – 9.4 –Azurophils (%) – – –Eosinophils (%) – – –Basophils (%) – 8 –ChemistriesAP (IU/L) 13 (6-29) 62 (29-102) 664 (300-1267)ALT (IU/L) 52 (24-93) 7 (2-14) 30 (9-47)AST (IU/L) 111 (42-221) 124 (2-620) 156 (33-517)Bilirubin, total (mg/dL) 0.3 (0-1) 0.5 (0.1-1) 0.1BUN (mg/dL) 2 (1-4) 49 (20-102) 38 (4-64)Calcium (mg/dL) 11.3 (0.7-14.4) 13.6 (6.5-26.4) 10.4 (8-13.6)Chloride (mEq/L) 119 (99-137) 106 (101-112) 105 (96-112)Cholesterol (mg/dL) 127 (66-344) 240 (65-496) 167 (107-276)Creatine kinase (IU/L) 2350 (37-9890) 463 (37-898) 1550 (88-4155)Creatinine (mg/dL) 0.2 (0-0.5) 0.4 1.2 (0.2-2.4)Glucose (mg/dL) 77 (29-187) 84 (33-153) 67 (8-110)LDH (IU/L) 1986 (80-6615) 206 (111-313) 664 (300-1267)Magnesium (mEq/L) – 3.5 –Phosphorus (mg/dL) 5.3 (2.6-13.6) 4 (1.6-8.2) 3.8 (2.9-4.8)Potassium (mEq/L) 4.6 (3.3-7.9) 5.6 (3-9.7) 6.6 (4-8.8)Protein, total (g/dL) 5.5 (3.6-7.4) 5.6 (2.7-7.5) 4.4 (2.7-6)Albumin (g/dL) 1.6 (0.9-2.7) 2.2 (1.2-3.2) 2.1 (1.6-2.4)Globulin (g/dL) 4.1 (3-5.4) 3.4 (2.5-4.7) 2.5 (1.2-3.6)A:G (ratio) – – –Sodium (mEq/L) 150 (140-162) 144 (138-149) 147 (132-183)Thyroxine (mg/dL) – – –Uric acid (mg/dL) 2.2 (0.7-4.5) 1.6 (0.5-3.1) 2 (0.6-5.6)

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Red-footed Tortoise Star Tortoise Radiated Tortoise (Geochelone (Geochelone

Measurements (T. radiata)20,ISIS carbonaria)ISIS elegans)ISIS

HematologyPCV (%) 22 (9-40) 27 (15-47) 22 (12-34)RBC (106/mL) 0.5 (0.2-0.7) 2 (0.5-6.3) 0.5 (0.3-0.7)Hgb (g/dL) 6.1 (4-8) 7-7.9 7.6 (6-8.5)MCV (fL) 481 (319-700) 347 (71-468) 409 (354-475)MCH (pg) 125 (82-174) 136 (123-149) 135 (122-163)MCHC (g/dL) 28 (24-33) 31 (29-32) 31 (26-35)WBC (103/mL) 4.3 (0.7-18) 7.8 (1.1-15) 12 (0.8-61)Heterophils (%) 2 (0.7-3.4)e – –Lymphocytes (%) 1.6 (0.4-3.4)e – –Monocytes (%) 0.15 (0.03-0.47)e – –Azurophils (%) 0.18 (0.03-0.53)e – –Eosinophils (%) 0.34 (0.10-0.94)e – –Basophils (%) – – –ChemistriesAP (IU/L) 200 (83-392) 73 (23-162) 173 (38-379)ALT (IU/L) 9 (0-48) 9 (2-18) 13 (0-30)AST (IU/L) 139 (25-383) 214 (87-616) 96 (12-296)Bilirubin, total (mg/dL) 0.2 (0-1.8) 0.1 0.2 (0-0.4)BUN (mg/dL) 16 (2-90) 12 (1-22) 4 (0-11)Calcium (mg/dL) 10.5 (6.1-18) 12.6 (9.1-15.8) 11.6 (5.4-22)Chloride (mEq/L) 99 (70-114) 98 (89-105) 105 (90-118)Cholesterol (mg/dL) 105 (60-154) 144 (47-284) 127 (77-252)Creatine kinase (IU/L) 723 (170-1892) 754 (56-1798) 1099 (144-8518)Creatinine (mg/dL) 0.3 (0.1-1.6) 0.3 (0.2-0.4) 0.3 (0.2-0.5)Glucose (mg/dL) 60 (46-93) 01 (17-171) 115 (39-212)LDH (IU/L) 691 (222-2227) 428 (118-880) 667 (402-1512)Magnesium (mEq/L) – – –Phosphorus (mg/dL) 4.4 (2.1-8.4) 3.6 (1.8-5.8) 3.8 (2.2-5.7)Potassium (mEq/L) 5.5 (3.9-8.2) 5.3 (4.2-6.8) 5.2 (3.9-6.1)Protein, total (g/dL) 4.0 (3.2-5.0) 4.5 (2.9-7.2) 4.6 (3-6)Albumin (g/dL) 1.1 (0.8-1.3) 1.7 (1-2.8) 1.5 (0.2-3.1)Globulin (g/dL) 2.3 (1.3-3.7) 3 (1.7-5.3) 3.1 (2.3-4.2)A:G (ratio) 0.38 – –Sodium (mEq/L) 127 (121-147) 128 (116-133) 131 (122-150)Thyroxine (mg/dL) – – –Uric acid (mg/dL) 0.8 (0-1.8 ) 0.8 (0.2-1.3) 3 (1-8.1)

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Desert Tortoise Gopher Tortoise Mediterranean (Gopherus (Gopherus Tortoises

Measurements agassizii)11,25,ISIS polyphemus)29 (Testudo spp.)10,14,15

HematologyPCV (%) 23-37 23 (15-30) 28-34RBC (106/mL) 1.2-3.0 0.54 (0.24-0.91) 0.7-1.0Hgb (g/dL) 6.9-7.7 6.4 (4.2-8.6) 9.1-11.3MCV (fL) 377-607f – 384-944f

MCH (pg) 113-126f – 125-314f

MCHC (g/dL) 19-34f – 27-40f

WBC (103/mL) 6.6-8.9 15.7 (10-22) –Heterophils (%) 35-60g 30 (10-57) –Lymphocytes (%) 25-50g 57 (32-79) –Monocytes (%) 0-4g 7 (3-13) –Eosinophils (%) 0-4g – –Basophils (%) 2-15g 6 (2-11) –ChemistriesAP (IU/L) 32 (29-35) 39 (11-71) –ALT (IU/L) 6.1 (3.8-8.3) 15 (2-57) –AST (IU/L) 59 (47-70) 136 (57-392) –Bilirubin, total (mg/dL) 0.1 0-0.2) 0.02 (0-0.1) –BUN (mg/dL) 46 (30-62) 30 (1-130) –Calcium (mg/dL) 10 (9.6-10.3) 12 (10-14) 2.3-4.0Chloride (mEq/L) 110 (109-112) 102 (35-128) 95-100Cholesterol (mg/dL) 74 (60-89) 76 (19-150) –Creatine kinase (IU/L) 2079 (52-6945) 160 (32-628) –Creatinine (mg/dL) 0.13 (0.12-0.14) 0.3 (0.1-0.4) –Glucose (mg/dL) 75 (69-82) 75 (55-128) 78LDH (IU/L) 25-250 273 (18-909) –Magnesium (mEq/L) 2.1 (1.8-2.4) 4.1 (3.3-4.8) –Phosphorus (mg/dL) 4.2 (1.2-13.5) 2.1 (1.0-3.1) –Potassium (mEq/L) 4.7 (2.2-6.6) 5 (2.9-7.0) 4.4-7.8Protein, total (g/dL) 3.7 (1.2-7.7) 3.1 (1.3-4.6) 6.6Albumin (g/dL) 1.1 (0.4-3) 1.5 (0.5-2.6) –Globulin (g/dL) 2.2 (1.2-4.7) – –A:G (ratio) – – –Sodium (mEq/L) 130-157 138 (127-148) 127Thyroxine (mg/dL) – – –Uric acid (mg/dL) 2.2-9.2 3.5 (0.9-8.5) –

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African Spurred Tortoise (Geochelone Leopard Tortoise Aldabra Tortoise

Measurements sulcata)ISIS (Geochelone pardalis)ISIS (Geochelone sp.)27,ISIS

HematologyPCV (%) 28 (13-48) 22.5 (7-60) 17 (11-27)RBC (106/mL) 0.9 (0.4-1.3) 5.1 (0.4-27) 0.4 (0.25-0.65)Hgb (g/dL) 10.9 (6.4-17) 10.4 (4.3-28) 5.4 (3.2-8.0)MCV (fL) 384 (201-575) 364 (179-542) 452 (375-537)MCH (pg) 133 (91-165) 83 146 (118-185)MCHC (g/dL) 36 (27-62) 33 (25-46) 33 (28-40)WBC (103/mL) 7.2 (0.6-27) 8.8 (1.3-23) 3.4 (1.0-8.3)Heterophils (%) – – 71 (32-79)Lymphocytes (%) – – 22 (2-40)Monocytes (%) – – 2 (0-8)Eosinophils (%) – – 0.5 (0-7)Basophils (%) – – 2 (0-4)ChemistriesAP (IU/L) 38 (12-63) 148 (54-272) 111 (29-182)ALT (IU/L) 9 (0-47) 3 (1-8) 7 (0-26)AST (IU/L) 114 (34-401) 79 (35-344) 57 (5-138)Bilirubin, total (mg/dL) 0.4 (0-2.6) 0.2 (0.1-0.2) 0.2 (0-0.3)BUN (mg/dL) 2 (0-6) 24 (1-100) 33 (21-57)Calcium (mg/dL) 11.8 (6.6-19.2) 13.6 (9.1-22.1) 12 (6-20)Chloride (mEq/L) 108 (93-121) 106 (75-137) 93 (87-107)Cholesterol (mg/dL) 147 (58-394) 117 (36-237) 275 (52-631)Creatine kinase (IU/L) 1228 (103-6205) 413 (32-3397) 303 (12-4210)Creatinine (mg/dL) 0.3 (0.1-0.5) 0.4 0.3-0.6) 0.1 (0.1-0.2)Glucose (mg/dL) 139 (54-277) 85 (15-207) 50 (22-113)LDH (IU/L) 1114 (258-1980) 324 (78-546) 532 (127-2484)Magnesium (mEq/L) – – 5.1 (4.8-5.5)Phosphorus (mg/dL) 3.9 (1.5-7.8) 3.4 (1.7-6.6) 4.3 (1.6-12.1)Potassium (mEq/L) 5.5 (3.6-10.2) 6 (4.9-7.5) 4.7 (3.2-6.1)Protein, total (g/dL) 4 (2.3-7) 3.2 (1.6-6.4) 4.1 (0.6-6.2)Albumin (g/dL) 1.6 (1.3-2) 1.6 (0.5-2.6) 1.5 (0.3-2.6)Globulin (g/dL) 2.1 (1.4-2.9) 2.2 (1.1-4.1) 2.6 (0.3-3.6)A:G (ratio) – – –Sodium (mEq/L) 139 (121-155) 135 (125-154) 133 (129-136)Thyroxine (mg/dL) – – –Uric acid (mg/dL) 5.1 (2.1-10.5) 3.1 (0.5-15.3) 1.6 (0-4.9)

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1117Hematologic and Blood Chemistry Values in Reptiles

Red-eared Slider Painted Turtle (Trachemys (Chrysemys

Measurements scripta)5,10,15,ISIS picta)ISIS

HematologyPCV (%) 29 (16-47) 22 (2-40)RBC (106/mL) 0.8 (0.3-2.2) 0.6 (0.4-0.7)Hgb (g/dL) 8.0 5.6MCV (fL) 179-1000f 271 (183-365)MCH (pg) 95-308f –MCHC (g/dL) 31f 28WBC (103/mL) 13 (3.5-25.5) 5.5 (0.4-13)Heterophils (%) – –Lymphocytes (%) – –Monocytes (%) – –Eosinophils (%) – –Basophils (%) – –ChemistriesAP (IU/L) 212 (81-677) 208ALT (IU/L) 16 (1-66) –AST (IU/L) 230 (0-522) 137 (62-280)Bilirubin, total (mg/dL) 0.3 (0.1-1) 0.1BUN (mg/dL) 23 (4-54) 20Calcium (mg/dL) 12.8 (8.3-18) 11.4 (5.5-19)Chloride (mEq/L) 102 (97-107) 95 (88-99)Cholesterol (mg/dL) 167 (106-227) –Creatine kinase (IU/L) 1952 (108-4856) 168 (35-355)Creatinine (mg/dL) 0.3 (0.2-0.5) 1Glucose (mg/dL) 67 (20-138) 98 (68-175)LDH (IU/L) 1702 (371-5763) 724 (412-1035)Magnesium (mEq/L) 2.2 –Phosphorus (mg/dL) 4.8 (2.7-7.7) 4.8 (1.7-17)Potassium (mEq/L) 4.9 (3.5-9.1) 2.9 (2.6-3.2)Protein, total (g/dL) 4.5 (2.8-6.6) 3.2 (1.9-6.5)Albumin (g/dL) 1.8 (0.8-2.5) 1.2Globulin (g/dL) 2.6 (1.2-3.7) 1.2A:G (ratio) – –Sodium (mEq/L) 137 (124-144) 131 (126-137)Thyroxine (mg/dL) – –Uric acid (mg/dL) 1.2 (0.3-3.2) 1 (0.2-2.2)

aIncludes Burmese (Python molurus), Ball (P. regius), and Reticulated (P. reticulatis) Pythons.bHeterophils and neutrophils.cAbsolute values (103/µL).dElevated in gravid females; vitamin D3 higher in female Green Iguanas (Iguana iguana).23

eIncludes 22% (8% to 42%) azurophils.fCalculated from data.gGreatly differing percentages have also been reported: heterophils, 33% ± 15%; lymphocytes, 23% ± 7%; monocytes, 11% ± 7%; azurophilic monocytes, 2% ± 2%;eosinophils, 1% ± 0.5%; and basophils, 30% ± 11%.1

PCV, Packed cell volume; RBC, red blood cell; Hgb, hemoglobin; MCV, mean cell volume; MCH, mean corpuscular hemoglobin; MCHC, mean corpuscular hemoglobin concentration; WBC, white blood cell; AP, alkaline phosphatase; ALT, alanine aminotransferase; AST, aspartate aminotransferase; BUN, blood ureanitrogen; LDH, lactate dehydrogenase; A:G, albumin:globulin.

Hematologic and Serum Biochemical Values of Reptiles—cont’d

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1118 Section VIII SPECIAL TOPICS

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