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Biomarker Glossary

Look up any biomarker from your dog or cat's lab report. Every term below will help you understand what it measures, what high or low values may mean, and what to ask your vet.

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ALP (Alkaline Phosphatase)

An enzyme from the liver and bile ducts (and bone in growing pets). High levels often signal liver, gallbladder, or hormonal issues.

ALT (Alanine Aminotransferase)

A liver enzyme that spills into the blood when liver cells are damaged, making it one of the most specific signs of liver injury.

Albumin

A protein made by the liver that keeps fluid in the bloodstream. Low levels can point to liver, kidney, or intestinal problems.

Amylase

A digestive enzyme from the pancreas. High levels can accompany pancreatitis, kidney disease, or intestinal problems.

BUN (Blood Urea Nitrogen)

The nitrogen contained in blood urea, a waste product formed during protein metabolism and cleared mainly by the kidneys.

Calcium

A mineral that supports bones, muscles, nerves, and blood clotting. Both high and low levels need investigation.

Cellular Casts

Casts made of cells from the kidney tubules or blood cells. Any number can point to active kidney injury.

Chloride

An electrolyte that works with sodium to maintain fluid balance and acid-base status.

Cholesterol

A blood fat needed for hormones and cells. High levels usually point to an underlying condition like thyroid disease or diabetes.

Creatinine

A waste product of muscle metabolism, cleared mainly by the kidneys. Increased levels can reflect reduced kidney filtration or dehydration.

Fat Droplets

Fat globules in the urine sediment. A common and usually unremarkable finding.

Fructosamine

A marker of average blood glucose over approximately the preceding two to three weeks, interpreted with protein levels and other findings.

GGT (Gamma-Glutamyl Transferase)

A sensitive liver enzyme that flags bile duct and liver problems, especially useful in cats.

Globulin

A diverse group of blood proteins, including antibodies and transport proteins. Changes can accompany inflammation, immune stimulation, or protein loss.

Glucose

The sugar in the blood that powers the body's cells. High levels can point to diabetes; very low levels can be an emergency.

Granular and Fatty Casts

Casts containing granular material or lipid. Their significance depends on the cast type and appearance, not only the number.

Hematocrit

The percentage of blood made up of red blood cells. The most direct measure of anemia.

Hemoglobin

The oxygen-carrying protein inside red blood cells. It usually mirrors the red blood cell count.

Hyaline Casts

Cylinders formed from protein within kidney tubules. Small numbers can occur in otherwise healthy dogs and cats.

Lipase

An enzyme activity measurement related to fat digestion. Its diagnostic value depends on the assay, and conventional lipase is not pancreas-specific.

Non-Squamous Epithelial Cells

Cells shed from the bladder and upper urinary tract lining. Larger numbers can signal inflammation or irritation.

Phosphorus

A mineral tied to bones and kidney balance. High levels commonly show up with kidney disease.

Platelet Count

The cells that help blood clot. Low counts raise bleeding risk; clumping can make the number look falsely low.

Potassium

An electrolyte critical for heart and muscle function. Both high and low levels can be dangerous.

Red Blood Cell Count

The number of red blood cells, which carry oxygen through the body. Low counts mean anemia.

Red Blood Cells (Urine Sediment)

Red blood cells counted under the microscope in urine. Increased numbers can mean infection, stones, or inflammation.

Renal Tubular Epithelial Cells

Cells shed from the lining of the kidney tubules into the urine. Because they come from inside the kidney itself, finding them carries more weight than other urinary cells.

SDMA

A sensitive kidney marker that can rise earlier than creatinine, catching kidney changes sooner.

Sodium

The main electrolyte controlling fluid balance. Abnormal levels can signal kidney, adrenal, or hydration problems.

Squamous Epithelial Cells

Flat surface cells from the lower urinary tract. They usually reflect how the sample was collected, not disease.

T4 (Total Thyroxine)

A measure of circulating thyroxine used to assess thyroid status. Abnormal values need interpretation with species, symptoms, medications, and other tests.

Total Bilirubin

A pigment from recycled red blood cells. High levels can cause jaundice and point to liver, gallbladder, or red-cell problems.

Total Protein

The sum of all proteins in the blood. It reflects hydration, liver function, and immune activity.

Triglycerides

A type of fat in the blood used for energy. High levels can signal diabetes, thyroid disease, or a recent meal.

UPC (Urine Protein:Creatinine Ratio)

A ratio used to quantify urinary protein relative to creatinine. The source of the protein must be assessed separately.

Urine Bacteria

Bacteria seen under the microscope. It can mean infection, but contamination during collection is also possible.

Urine Bilirubin

A pigment from broken-down red blood cells. Any amount in cat urine is abnormal; small amounts can be normal in dogs.

Urine Blood (Dipstick)

A urine dipstick reaction to red blood cells, hemoglobin, or myoglobin. A positive result requires interpretation with the urine sediment and clinical findings.

Urine Clarity

Whether the urine looks clear or cloudy. Cloudiness points to cells, crystals, bacteria, or mucus.

Urine Collection Method

How the urine was obtained. It changes how every other urine result is interpreted.

Urine Color

The color of the urine as seen by the lab, from pale straw to dark yellow. A first impression the rest of the test explains.

Urine Crystals

Crystals in the urine sediment. The type determines whether they matter for stones or metabolic conditions.

Urine Glucose

Sugar in the urine, normally absent. It most often appears when blood sugar is high, as in diabetes.

Urine Ketones

Chemicals made when the body burns fat for energy. In a sick diabetic pet they can signal an emergency.

Urine Protein (Dipstick)

Protein found in the urine. Small amounts can be normal, but ongoing protein can signal kidney disease.

Urine Specific Gravity

How concentrated the urine is. It shows how well the kidneys conserve water, often before blood work changes.

Urine pH

How acidic or alkaline the urine is. It is influenced by diet and can relate to stone risk or infection.

Waxy Casts

Dense casts that form when material sits in the kidney tubules. Any number is considered significant.

White Blood Cell Count

The number of immune cells fighting infection and inflammation. High can mean infection; low can mean higher infection risk.

White Blood Cells (Urine Sediment)

White blood cells in the urine sediment, a marker of inflammation or infection in the urinary tract.

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