Internal medicine services offered

Internal medicine consultations.

An internal medicine specialist has in depth training for many diseases...

  • Endocrine diseases: diabetes, Addison's disease, thyroid disease, Cushing's disease
  • Stomach and intestinal diseases: vomiting, inflammatory bowel disease (IBD), diarrhea
  • Pancreatic diseases: pancreatitis, low enzyme production
  • Liver diseases: elevated enzymes, inflammation, bacterial infections, cirrhosis
  • Gall bladder diseases: infection and inflammation, blockages, stones
  • Kidney and bladder diseases: chronic disease, infections, stones, UTIs, incontinence
  • Lung disease: coughing, wheezing, exercise intolerance
  • Nasal disease: sneezing, discharge, congestion, noisy breathing
  • Bone marrow disease: anemia, white blood cell changes, platelet problems
  • Autoimmune diseases: polyarthritis ("rheumatoid-like" arthritis), hemolytic anemia, low platelets
  • Muscle diseases: inflammation or infection
  • Infectious diseases: viral, bacterial, protozoal, parasitic
  • Any blood work or urine abnormalities

And many clinical signs even if a diagnosis has not been achieved, including but not limited to...

  • vomiting
  • diarrhea
  • drinking more
  • incontinence
  • coughing
  • weakness
  • lethargy or "slowing down"
  • decreased appetite or not eating at all
  • or even that something is just "off" about them

If your pet suffers from any of the above diseases or clinical signs, you can request an internal medicine consultation. Many times, your primary veterinarian will have tried medications, taken x-rays or blood work. These are all the first steps in trying to reach a diagnosis or attempt to alleviate signs. Sometimes the diagnosis can be challenging to reach, the symptoms still persist or the symptoms continually come back. This is when the advice of a specialist or additional diagnostics a specialist can provide might help your pet. As we have mentioned before, an internal medicine specialist will work TOGETHER with your primary veterinarian to help your pet. We also help with continual management to ensure your pet does not fall through the cracks. 

Talk to your veterinarian today about asking us to come to your practice for an internal medicine consultation. The consultation will include a thorough record review, physical exam of your pet, speaking with the specialist, recommendations, a written summary of the consultation, and follow up care/management.


An ultrasound is the same thing as a sonogram. It uses sound waves to create pictures that give us information about what is happening on the inside of the pet. Ultrasound is most commonly used for the abdomen of a cat or dog, but can also be used to identify structures within the chest or even muscles, tendons and joints. Ultrasound cannot look into the brain or into the lungs because the sound waves cannot travel through bone or air. 

Ultrasound is different than an x-ray and can give more information. Just because your pet has had an x-ray of the abdomen or chest, does not mean they do not need an ultrasound. X-rays give a 2 dimensional image and tell the most about the shape of an organ, and allow us to compare what the structure looks like compared to bone or air. Sometimes this is enough, but sometimes it raises more questions or does not give us a diagnosis. Ultrasound gives a 3 dimensional image and allows us to look inside the organs. Based on their appearance, size, or structures within the organs, we can eliminate or include diseases when trying to figure out the underlying cause for your pet's symptoms. 

Ultrasound is a skill that takes training and practice. There are radiology specialists who have training only in the area of ultrasound, x-rays, CT (or "cat" scans), and MRIs. Other specialists, such as internal medicine specialists, often seek additional training for ultrasound as it compliments most of the diseases they diagnose and manage. Some primary veterinarians also have ultrasound training and many years of practice. The key to ultrasound is training and practice. You want to ensure that whomever is performing your ultrasound has been appropriately trained and has practiced this skill to get the most complete picture of what is happening to your pet. 

Ultrasound IS recommended with most of the above diseases and most of the above clinical signs. If your pet is suffering from one of these diseases or clinical signs and has not had an ultrasound, please speak with your primary veterinarian about having us come to your practice. We are expertly trained in ultrasound to help provide the best care for your pet. 


Many of the above diseases can be diagnosed with x-rays, ultrasound and blood work (routine and special tests). If not, other skills are often needed. Some primary veterinarians can offer these services. If not, we offer many procedures to help get a diagnosis for your pet...

  • Bone marrow aspirates - indicated for anemia, problems with white blood cells or platelets
  • Endotracheal wash - indicated for any lung disease, such as coughing, pneumonia, asthma
  • Ultrasound guided aspirates and biopsies - indicated for tumors, big lymph nodes, fluid sampling, or changes to organs noted on ultrasound
  • Joint taps - indicated for chronic limping due to arthritis or possible inflammation in the joints
  • Feeding tube placement - indicated for patients who are not eating during short term hospitalizations or long term illness

Coming soon.

  • Endoscopy
  • Fluoroscopy
  • Interventional procedures
  • Hemodialysis