What's
in those Blood Tests?
By Suzanne Stack, D.V.M.
When
your veterinarian sends your greyhound's blood to a lab he is most commonly asking
the lab to run a CBC (Complete Blood Count). This common analysis covers these
items:
- RBC
= Red Blood Cells
- Hgb
= Hemoglobin
- PCV
/ HCT = Packed Cell Volume/Hematocrit
- WBC
= White Blood Cells
- Platelets
For
a more in-depth look, usually to determine kidney/liver functions, the veterinarian
may also ask for a "Chem Panel". This will give them information about:
- T.P. = Total Protein Globulin
- Creatinine
- T4 (Thyroid)
If
you don't understand what your veterinarian has ordered, ask.
Greyhound
blood work has enough differences from "other dog" blood work to sometimes
make it deceivingly "normal" or "abnormal" if one isn't familiar
with these differences. The salient differences are discussed below:
Greyhounds
RBC: 7.4-9.0 Hgb: 19.0-21.5 PCV: 55-65
| Other
Breeds RBC: 5.5-8.5 Hgb: 12.0-18.0 PCV:
37-55 |
Greyhounds
have significantly more red blood cells than other breeds. This elevates parameters
for RBC, hemoglobin, and PCV/HCT, and is the reason greyhounds are so desirable
as blood donors. Most veterinarians are aware of this difference.
Never accept
a diagnosis of polycythemia - a once-in-a-lifetime-rare diagnosis of pathologic
red cell overproduction - in a greyhound.
Conversely,
never interpret a greyhound PCV in the 30's-40's as being normal just because
it is for other dogs. A greyhound with a PCV in the 30's-40's is an anemic greyhound.
Here in Arizona, a greyhound PCV less than 50 is a red flag to check for Ehrlichia.
WBC
(White Blood Count)
- Greyhound:
3.5-6.5
- Other
dog: 6.0-17.0
Other
greyhound CBC changes are less well known. The greyhound's normally low WBC has
caused more than one healthy greyhound to undergo a bone marrow biopsy in search
of "cancer" or some other cause of the "low WBC."
Platelets
- Greyhound:
80,000-200,000
- Other
dog: 150,000-400,000
Likewise,
greyhound platelet numbers are lower on average than other breeds, which might
be mistakenly interpreted as a problem. It is thought that greyhound WBCs, platelets,
and total protein may be lower to physiologically "make room" in the
bloodstream for the increased red cell load.
Compounding
these normally low WBC and platelet numbers is the fact that Ehrlichia, a common
blood parasite of greyhounds, can lower WBC and platelet counts. So if there is
any doubt as to whether the WBC / platelet counts are normal, an Ehrlichia titer
is always in order. The other classic changes with Ehrlichia are lowered PCV and
elevated total protein. But bear in mind that every greyhound will not have every
change, and Ehrlichia greyhounds can have normal CBCs.
T.P.
& Globulin
- Greyhound
TP: 4.5-6.
- Other
dog TP: 5.4-7.8
- Greyhound
Globulin: 2.1-3.2
- Other
dog Globulin: 2.8-4.2
Greyhound
total proteins tend to run on the low end of normal - T.P.s in the 5.0's and 6.0's
are the norm. While the albumin fraction of T.P. is the same as other dogs, the
globulin component is lower.
Creatinine
- Greyhound:
.8-1.6
- Other
dogs: .0-1.0
Greyhound
creatinines run higher than other breeds as a function of their large lean muscle
mass. A study at the Auburn University College of Veterinary Medicine found that
80% of retired greyhounds they sampled had creatinine values above the standard
reference range for "other dogs." As a lone finding, an "elevated
creatinine" is not indicative of impending kidney failure. If the BUN and
urinalysis are normal, so is the "elevated" creatinine.
T4
- Greyhound: .5-3.6 (mean
1.47+/- .63)
- Other
dogs: 1.52-3.60
These figures are from a University of Florida study of thyroid function in 221
greyhounds - 97 racers, 99 broods, and 25 studs - so it included both racers and
"retired." While greyhound thyroid levels are a whole chapter unto themselves,
a good rule of thumb is that greyhound T4s run about half that of other breeds.
Urinalysis
And
lastly, the good news - greyhound urinalysis is the same as other breeds. It is
normal for males to have small to moderate amounts of bilirubin in the urine.
Sources:
M.R. Herron, DVM, ACVS, Clinical Pathology of the Racing Greyhound , 1991. C.
Guillermo Couto, DVM, ACVIM, "Managing Thrombocytopenia in Dogs & Cats,"
Veterinary Medicine, May 1999. J.Steiss, DVM, W. Brewer, DVM, E.Welles, DVM, J.
Wright, DVM, "Hematologic & Serum Biochemical Reference Values in Retired
Greyhounds," Compendium on Continuing Education, March 2000. M. Bloomberg,
DVM, MS, "Thyroid Function of the Racing Greyhound," University of Florida,
1987. D. Bruyette, DVM, ACVIM, Veterinary Information Network, 2001.