Presented by Rachel Miller, RCVS Specialist in Small Animal Medicine Vet Oracle.

Hepatobiliary enzyme elevations are a very common finding, both in well patients during routine screening blood work, and in our sick patients.  These parameters can be increased in patients with primary liver disease but also in patients with many extrahepatic diseases, making it difficult to know when investigation of primary liver disease is really necessary.

​The aim of this talk is to use case examples to work through a clinical decision making process.  We will look at  when we may want to intervene and consider further diagnostic investigation of elevated hepatobiliary enzyme elevations, and when a monitoring approach may be more appropriate.