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Hematology and Biochemistry

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 Chemistry panel: a chemistry panel is essential to help identify other possible underlying disease processes such as dehydration and NSHP. In addition to Ca and P, Mg levels should be documented as it also plays an important role in Ca homeostasis. Levels of Mg below 1 mg/dl and/or ionized Ca below 1 mmol/l should be considered deficient. Hypercalcemia and hyperphosphatemia are common findings in reproductively active female chelonians.

 CBC: a leukocytosis indicates a significant inflammatory response that may suggest an additional underlying disease like egg yolk coelomitis.

Blackwell's Five-Minute Veterinary Consult: Reptile and Amphibian

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