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Ultrasound studies are most helpful to evaluate soft tissue and fluid structures. Energy in the form of sound waves is passed into the body. Reflected sound waves returning to the probe are used to create an image of the internal organs. Moving organs may be evaluated during motion, such as the beating heart, flowing blood and contracting intestines. Gastrointestinal foreign material may be identified on an ultrasound exam when it is not apparent on radiographs. While radiographs are useful to assess organ size and overall shape, an ultrasound exam allows for evaluation of the organ architecture and blood supply. Ultrasound examinations are commonly performed on the abdomen, thorax, neck, eyes and soft tissue structures of the head, trunk and legs. In addition to assessment of organ architecture, ultrasound examination is helpful to identify free fluid within a body cavity (i.e., thorax and abdomen).

Ultrasound Guided Aspirate and Core Biopsy, Including Abdominocentesis And Thoracocentesis

Following assessment of an organ and the surrounding structures, ultrasound imaging is used to guide needle placement into a selected tissue or cavity. A sample of tissue or fluid may be drawn through the needle as an aspirate to analyze the cells or other contents of the sample (cytology and microbiology). A larger needle may be used to retrieve a small piece of solid tissue for a core-biopsy to analyze the architecture of the tissue (histopathology). Ultrasound guidance is commonly used to removing fluid from the chest cavity (thoracocentesis) and abdominal cavity (abdominocentesis).

Internal Medicine

What Is A Veterinary Internal Medicine Specialist?

A board certified veterinary internal medicine specialist is a licensed veterinarian who has obtained intensive, additional training in understanding how your pet's internal body systems function and in diagnosing and treating the many serious diseases that can affect the health of those systems. An internal medicine specialist has advanced training in the following disciplines:

  • Endocrinology
  • Cardiology
  • Gastroenterology
  • Hematology (study of the blood)
  • Immunology
  • Infectious Diseases
  • Nephrology/Urology
  • Neurology
  • Respiratory Diseases
  • Oncology

While your general practitioner veterinarian can diagnose and treat many health problems, certain diseases and conditions require the care of a doctor who has had specialized, intensive training in internal medicine in order to provide the very best outcome for your pet.

*Within the discipline of veterinary internal medicine, there are also veterinarians who specialize further in Small Animal Medicine, Cardiology, Neurology, and Oncology.

Why Does My Pet Need A Veterinary Internal Medicine Specialist?

Just as your own primary care physician may feel the need to refer you to the care of a specialist from time to time, your general practitioner veterinarian may feel your pet needs a specialist to help diagnose or treat a particularly complicated medical problem. While your general practitioner veterinarian can handle many aspects of your pet's care, just as in human medicine, there is sometimes a need for the attention of a specialist. You can be assured that a veterinarian who knows when to refer you and your pet for more specialized diagnostic work or treatment is one that is caring and committed to ensuring that your pet receives the highest standard of medical care for his or her problem.

While in some cases, your veterinarian may be able to simply consult with a specialist about your pet's care, in other cases it is necessary to actually refer you and your pet to the specialist for more advanced diagnostics and treatment. Board certified veterinary internists may also have access to specialized diagnostic or treatment tools that a general practitioner veterinarian may not have.

What Health Problems Does A Veterinary Internal Medicine Specialist Treat?

Board certified internal medicine specialists are trained to treat the most serious diseases and health problems that affect pets. They are also especially prepared to care for pets that may be facing multiple health problems. Thanks to better health care, more and more pets are living longer lives. As a result, an increasing number of older pets, just like older people, are coping with multiple disease states that can be very difficult to manage. For example, a cat with diabetes may also be suffering from kidney failure, or a dog in heart failure may also be diagnosed with cancer. Internal medicine specialists are uniquely prepared to oversee the care of these complicated cases. In other situations, a younger animal may develop a problem that used to be considered untreatable but is now manageable and perhaps even curable.

Here are some common diseases that frequently lead general practitioner veterinarians and concerned pet owners to seek the expertise of a specialist:

  • Cancer
  • Heart Disease
  • Gastrointestinal Diseases
  • Diabetes Mellitus
  • Immune Related Disorders
  • Kidney Dysfunction
  • Cushings
  • Hyperthyroidism

Why Can't I See an Internal Medicine Specialist All the Time?

In some cases you can. In some practices, the 'general practitioner' veterinarian at a practice is also a boarded internal medicine specialist. General practice veterinarians, however, are also highly educated medical professionals who must meet ongoing continuing education requirements throughout their professional careers in order to maintain their licensure. When a specialist is needed, he or she is only a phone call or a visit away.

Will My Regular Veterinarian Still Be Involved?

In many cases, your regular veterinarian will still supervise your pet's veterinary care, especially if your pet is coping with multiple disease states or conditions. In other cases, your referral doctor will take over the majority of your pet's medical care. It depends on your pet's particular disease and health problem.

Did You Know?

There are approximately 1400 board certified veterinary internal medicine specialists in the United States, and the number is growing.

Our Internal Medicine Services

Abdominocentesis
Arthrocentesis
Bronchoalveolar Lavage (BAL)
Bronchoscopy

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