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Rhinoscopy is the endoscopic study of the nasal passages. Rhinoscopy is performed with both flexible and rigid scopes and almost always in conjunction with CT scan to evaluate and localize the source of the problem. Small-diameter scopes are utilized to adequately evaluate small dogs and cats. To perform rhinoscopy, the patient is anesthetized and the scope is gently inserted into the nasal cavity. The flexible endoscope is used to evaluate the back of the nose. Fluid is flushed through a protective sleeve surrounding the scope to flush away debris. The scope also magnifies the image to provide a clear view of the nasal area. Many scopes have built-in openings to allow passage of biopsy or retrieval instruments. Minimal patient preparation is required other than to withhold food the morning of the procedure. Most patients are discharged the same day that the procedure is performed.

The major symptoms and reasons to perform a rhinoscopy are:

  • Persistent nasal discharge - especially when the discharge is only from one nostril
  • Nasal bleeding (epistaxis)
  • Persistent, uncontrolled sneezing
  • Nasal swelling
  • Noisy breathing (nasal obstruction)
  • Removing foreign matter from inside the nose
  • Reverse sneezing
 
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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 
  • Gastroenterology
  • Hematology
  • Immunology
  • Infectious Diseases
  • Nephrology/Urology
  • Neurology
  • Respiratory Diseases

 

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 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 inflammatory bowel disease. 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 an internal medicine specialist:

  • Gastrointestinal Diseases
  • Diabetes Mellitus
  • Immune Related Disorders
  • Kidney Dysfunction
  • Cushing's Disease
  • Respiratory Disorders
  • Liver Disorders
     

Will My Regular Veterinarian Still Be Involved? 

In many cases, your primary care 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 primary care veterinarian will take over the majority of your pet's medical care. It depends on your pet's particular disease and health problem. Your pet's primary care veterinarian is always able to communicate with our internal medicine specialists about your pet.

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

Nutrition
Abdominocentesis
Arthrocentesis
Bronchoalveolar Lavage (BAL)

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