Blood biochemistry: total lipid

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Sections available in full article Overview, Uses, Sampling, Source of test material, Quantity of test material, Sample collection technique, Quality control, Test (s), Methodologies, Validity, Technique (intrinsic) limitations, Technician (extrinsic) limitations, Result data, Normal (reference) values, Abnormal values, Errors and Artifacts, Sources, Publications, Vetstream contributor(s),
Contributors Dr Kathleen P Freeman DVM MS PhD MRCVS
Synonyms Total triglyceride and cholesterol

Overview

  • Often measured when lipemic plasma noted in fasting animal.
  • Quantification involves measurement of serum triglycerides plus cholesterol.
  • Must be carried out after 12 hour fast.
  • Measured by spectrophotometry or enzymatic methods.
  • Lipemia may cause artefactual variation in other laboratory tests.

Uses

Alone

  • When lipemia or hyperlipidemia suspected on gross examination of serum or plasma from fasting animal.
  • In diagnosis of primary hyperlipidemia Hyperlipidemia. Miniature Schnauzers Schnauzer: miniature and Beagles Beagle predisposed.

In combination

  • Thyroxine and tri-iodothyronine measurement Thyroxine assay : screening for hypothyroidism Hypothyroidism.
  • Blood glucose Blood biochemistry: glucose : screening for diabetes mellitus Diabetes mellitus.
  • ACTH stimulation test ACTH stimulation test : diagnosis of hyperadrenocorticism Hyperadrenocorticism.

Other points

  • Hyperlipidemia may also be detected by finding opalescence of the anterior chamber of the eye.
  • Hyperlipidemia may be found in normal dogs.

Result data

Normal (reference) values

  • Total lipids: 4-8.5 g/l.
  • Cholesterol: 0.8-3.0 g/l (2-7.8 mmol/l)
  • Triglycerides: 0.1-5.0 g/l (0.11-5.7 mmol/l).

Abnormal values



Hyperlipidemia
  • Diabetes mellitus Diabetes mellitus.
  • Hypothyroidism Hypothyroidism.
  • Pancreatitis Pancreatitis: acute.
  • Hyperadrenocorticism Hyperadrenocorticism.
  • Hepatic disease Liver: acute disease.
  • Nephrotic syndrome Nephrotic syndrome.
  • Gram-negative sepsis Shock: septic.
  • Primary hyperlipidemia Hyperlipidemia.
Hypolipidemia
  • Rare.
  • Hyperthyroidism.
  • Protein-losing enteropathy Protein-losing enteropathy.

Errors and Artifacts

  • Icterus may falsely increase cholesterol.
  • Lipaemia may interfere with many spectrophotometric tests.
  • Recent meal.
  • Obesity.
  • Drug therapy, eg ascorbic acid, heparin, anabolic steroids.

Sources

Publications

Refereed papers

  • Barrie J, Watson T D G, Stear M J & Nash A S (1993) Plasma cholesterol and lipoprotein concentrations in the dog. JSAP 34 , 507. (Review of causes of secondary hyperlipidemia.)

Other sources of information

  • Barrie J & Watson T D G (1995) Hyperlipidaemia. In: Current Veterinary Therapy XII.Eds: J D Bonagura & R W Kirk. Philadelphia: W.B. Saunders. pp 430-434. ISBN 0-7216-5188-7. (Good overview.)

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