DiscoverThe Vet Vault: Fall In Love With Veterinary Science🔓 Demystifying Those D$&@ Liver Enzymes. With Prof Jill Maddison.
🔓 Demystifying Those D$&@ Liver Enzymes. With Prof Jill Maddison.

🔓 Demystifying Those D$&@ Liver Enzymes. With Prof Jill Maddison.

Update: 2024-07-23
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Ah, those liver enzymes... sometimes they are up when you don't expect them to be. Sometimes they're up a bit... but not that much, so you don't know if it's actually significant. Or sometimes they're way out of whack, but you're not sure what that means exactly, or what to do next.


In this episode, Small Animal Medicine Specialist, RCVS Course Director and clinical reasoning guru Prof Jill Maddison helps us take a fresh look at  liver enzymes. We review what each enzyme tells us in dogs and in cats, how to interpret changes in both the 'well' patient with the surprise finding on bloods, and in the sick patient, and Prof Jill clears up common misconceptions and pitfalls around ALP, ALT, GGT, and bile acids.


This clinical episode has been unlocked for you by Vetnostics Pathology, one of the largest veterinary pathology groups in Australia with the most veterinary pathologists and veterinary medicine consultants. Vetnostics is the new nationally aligned name of what used to the SVS Pathology Network ( (Vetnostics NSW/ACT, Vetpath Laboratory Services WA/NT, ASAP Laboratory Vic , QMLVetnostics Qld/NNSW and TML Vetnostics Tas), with a new consolidated website (www.vetnostics.com), but the same exceptional quality diagnostics, same extensive courier network and same veterinary pathologists and veterinary medicine consultants on other the end of the phone or email to talk you through any tricky results and cases. 


Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.


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Episode Topics and Timestamps


05:01  ALT and ALP: Detailed Analysis


05:40  Challenges in Diagnosing Liver Disease


06:40  Liver Enzymes in Cats vs. Dogs


20:44  Bile Acids and Liver Function


26:51  Pre-Anaesthetic Liver Checks


36:35  Understanding Cholangitis in Cats


36:53  The Complexity of Diagnosing Liver Disease


37:45  The Role of Blood Tests in Wellness Checks


38:11  Interpreting Reference Ranges


40:53  Case Studies: Real-World Examples


42:05  The Challenges of Wellness Screening


44:21  The Importance of Biopsies


55:14  Biases in Diagnosis

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🔓 Demystifying Those D$&@ Liver Enzymes. With Prof Jill Maddison.

🔓 Demystifying Those D$&@ Liver Enzymes. With Prof Jill Maddison.

Dr. Hubert Hiemstra