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Bronchoscopy is the endoscopic evaluation of the primary airways in the lungs and tracheoscopy is the endoscopic study of the trachea. In most cases a small, short flexible scope is used to perform the study. Samples for culture and analysis can be obtained through the bronchoscope using either a fluid lavage technique (the flushing and retrieval of sterile fluid) or a sterile brush. Foreign matter can be identified and often removed. Samples of airway growths can be obtained with biopsy instruments. In larger dogs, the scope can be passed down the throat without disruption of anesthesia or oxygen. Bronchoscopy requires little patient preparation outside of withholding food the morning of the scheduled procedure. Most patients are discharged the same day that the procedure is performed.

The major symptoms and reasons to perform a bronchoscopy/tracheoscopy are:

  • Persistent coughing
  • Study and removal of foreign matter in the trachea and lungs
  • To obtain biopsies from the trachea or major airways
  • To aid in the diagnosis of a collapsed trachea or lung
  • To obtain samples for testing and sensitivity when pneumonia is suspected
  • To determine the location of a tear in the trachea
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Internal Medicine

A board-certified veterinary internal medicine specialist is a veterinarian who completed an internship and residency (an additional 3-5 years of training after graduation from veterinary school) and passed a rigorous examination to achieve board certification in the American College of Veterinary Internal Medicine (ACVIM). These doctors have a deeper understanding of a pet’s internal body systems, as well as greater knowledge of unusual or uncommon conditions in pets.

Often called the “puzzle solvers of veterinary medicine”, board-certified veterinary internal medicine specialists have advanced training in disorders affecting the kidneys, liver, gastrointestinal tract, lungs, blood & bone marrow, and hormone-producing organs. Common diseases that affect these organs include:

  • Chronic kidney disease
  • Canine hypothyroidism
  • Pneumonia
  • Inflammatory bowel disease
  • Canine chronic bronchitis
  • Chronic cholangitis in cats
  • Diabetes mellitus
  • Cushing’s disease
  • Liver shunting disorders
  • Feline asthma
  • Addison’s disease
  • Chronic-active hepatitis
  • Feline hyperthyroidism
  • Infectious diseases (i.e.: tick-borne infections; fungal ailments)
  • Immune-mediated diseases

Our board-certified veterinary internal medicine specialists and their team of experienced licensed veterinary technicians use state-of-the-art diagnostic equipment and employ therapeutic interventions not generally used by family veterinarians, including:

  • Ultrasonography (abdominal, thoracic, and cervical)
  • Fine needle aspiration
  • Upper & lower gastroenteroscopy
  • Laparoscopy for liver biopsies
  • Cystoscopy
  • Feeding tube placement
  • Arthrocentesis (joint fluid sampling)
  • Bone marrow sampling
  • Computed tomography (CT/CAT scan)

To help ensure pets receive the best possible healthcare, our internal medicine team collaborates with family veterinarians by providing second opinions, complex diagnostic procedures, around-the-clock nursing care, and specialized therapies.

Our Internal Medicine Services

Abdominocentesis
Bronchoalveolar Lavage BAL
Bronchoscopy
Colonoscopy

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