reptile medicine and surgery || hematologic and blood chemistry values in reptiles
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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
Hematologic and Serum Biochemical Values of Reptiles—cont’d
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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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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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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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1112 Section VIII SPECIAL TOPICS
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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1113Hematologic and Blood Chemistry Values in Reptiles
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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1114 Section VIII SPECIAL TOPICS
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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1115Hematologic and Blood Chemistry Values in Reptiles
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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1116 Section VIII SPECIAL TOPICS
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.
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1118 Section VIII SPECIAL TOPICS
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