Internal Medicine

Internal medicine specialists care for pets with complex medical problems including respiratory, gastrointestinal, kidney, heart, endocrinology, blood disorders and cancer.   They are highly trained to perform endoscopy of the nasal cavity, lungs and gastrointestinal tract.  Internists often place feeding tubes and oversee specialized nutritional management.  They will work with your primary care veterinarian to interpret complicated laboratory results.  As part of hematology/oncology case management, a bone marrow evaluation or tissue aspirates may be performed.   Chemotherapy and drug infusions are managed by Internists and carried out by highly trained nurses.


Rhinoscopy, scoping the nasal passage, may be indicated in dogs and cats with nasal discharge, nasal obstruction, chronic sneezing epistaxis, facial distortion, nasal pain, acute severe sneezing and abnormal radiographs.


Bronchoscopy and tracheoscopy are procedures that involve scoping the patient’s air passages and may be indicated in certain cases of bronchitis, coughing, pulmonary neoplasia, tracheal collapse, stridor and other abnormal breathing patterns.