On Demand: Liver Disease – Who, What, Why, and How to Treat
2.75 hours CE │ Self-paced
Originally presented in 2020, this on-demand course features two videos, through which WSAVA International Scientific Achievement Award Winner, Dr. David Twedt, will explain what abnormal liver enzymes mean, when to act on them, and what to do.
Originally presented in 2020, this on-demand course features two videos, through which WSAVA International Scientific Achievement Award Winner, Dr. David Twedt, will explain what abnormal liver enzymes mean, when to act on them, and what to do. We’ll also review four common liver conditions you didn’t learn about in vet school. We think this course will change the way you approach “healthy” dogs with elevated ALPs forever!
Upon viewing each recording and passing a quiz with a score of 70% or better, you’ll earn 2.75 hours of RACE Approved CE.
Video 1: Abnormal Liver Enzymes – What Do You Do Now? (1.5 credit hours)
This video will discuss interpretation of liver enzymes in the dog and cat and what to do with the patient that has no clinical signs but abnormal liver enzymes. We will discuss when therapy is indicated, when a liver biopsy should be recommended, and how to interpret the results. Case examples will be presented.
What You’ll Learn:
- Why each liver enzyme’s concentrations increase and why bile acids become abnormal
- A simplified algorithm for working up the patient with abnormal liver enzymes
- When to recommend a liver biopsy
- What secondary reactive hepatopathy is and how it is managed
Estimated time to complete: 90 minutes
Video 2: Four Common Liver Conditions You Didn’t Learn in School (1.25 credit hours)
This session will cover four common liver conditions of dogs: copper associated hepatopathies, gallbladder mucoceles, vacuolar hepatopathies, and congenital liver disorders. A case example will be used to highlight each disorder.
What You’ll Learn:
- Commercial diets are often high in copper concentration and can result in a copper associated hepatopathy
- The signalment, signs, and diagnostic requirement of gallbladder mucoceles and how they are best treated
- How to differentiate different congenital anomalies, including portal vein hypoplasia and ductal plate disorders
- The causes of increased serum alkaline phosphatase activity
Estimated time to complete: 75 minutes
- Earn 2.75 hours RACE Approved CE
- Learn at your own pace! Registration includes unlimited access to course videos for 12 months
- Instant access to course videos and notes immediately following registration
- Instant delivery of your CE Certificate, upon successful completion of the entire course and passing quiz score (70% or better)
- Plus, after course completion, access your CE Certificate anytime from your Account Dashboard! Never lose a CE Certificate again.
*This course is approved by the AAVSB RACE to offer a total of 2.75 CE Credits, with a maximum of 2.75 CE Credits being available to any individual veterinarian or veterinary technician.
These RACE approvals are for the subject matter categories of: medical program, using the delivery method of anytime/on-demand. These approvals are valid in jurisdictions which recognize AAVSB RACE; however, participants are responsible for ascertaining each board’s CE requirements. RACE course numbers: 20-918503
Meet The Speaker: David Twedt, DVM, DACVIM
Dr. David C. Twedt graduated from Iowa State University and entered an internship and medicine residency in gastroenterology at The Animal Medical Center in New York City. Dr. Twedt then joined the staff of the Animal Medical Center and was also a research associate at the Liver Research Center of Albert Einstein Medical School. Dr. Twedt is a Diplomate of the American College of Veterinary Internal Medicine, Professor in the Department of Clinical Sciences at Colorado State University in small animal internal medicine. He is also currently the Associate Director of the Center for Global Education in Medicine and Surgery (GEMS) focused on endoscopic education at CSU.
Dr. Twedt is past President of the ACVIM and Comparative Gastroenterology Society. Publication and research interests include liver disease, gastrointestinal disease and endoscopy. He has also been the recipient of a number of teaching and research awards. He is also the co-editor of the textbook Current Veterinary Therapy 14 and 15 editions.