Internal Medicine

Internal Medicine

Our LVAH doctors are proud to practice internal medicine. We provide diagnostic evaluation and treatment for the following conditions:

  • Endocrine diseases including diabetes mellitus, Cushing’s disease, Addison’s disease, hyperthyroidism, and hypothyroidism
  • Gastrointestinal diseases including inflammatory bowel disease, chronic vomiting or diarrhea, intestinal cancer, gastric and esophageal foreign bodies, megaesophagus, and pancreatitis
  • Renal and urogenital diseases including acute and chronic kidney disease, urinary incontinence or obstruction, urinary tract infections, and glomerulonephritis
  • Hepatic and biliary diseases including hepatic lipidosis, cholangiohepatitis, biliary obstruction, hepatic encephalopathy, and chronic hepatitis
  • Immune-mediated and hematologic diseases including anemia, thrombocytopenia, leukopenia, polycythemia, and polyarthropathy
  • Infectious diseases including Anaplasmosis, Ehrlichiosis, Lyme disease, Feline infectious peritonitis (FIP), fungal infections, and Leptospirosis
  • Respiratory diseases including rhinitis, nasopharyngeal polyps, bronchitis, pneumonia, pleural effusion, and asthma
  • Dermatological conditions 

Treatments and Procedures

Many of these procedures can be performed during routine appointments and may be available as needed on an emergency basis.

  • Abdominal and thoracic ultrasonography
  • Ultrasound-guided aspirates
  • Gastrointestinal endoscopy
  • Esophageal stricture balloon dilation
  • Esophageal and Percutaneous Endoscopic Gastrostomy (PEG) feeding tube placement
  • Urethrocystoscopy
  • Vaginoscopy
  • Rhinoscopy and nasopharyngoscopy
  • Bronchoscopy
  • Endotracheal wash
  • Bone marrow aspirate
  • Transfusion therapy
  • Digital radiography, CT, and MRI
  • Laparoscopic liver biopsy
  • Parathyroid gland ethanol ablation

Common Conditions Evaluated

  • Chronic or severe vomiting, diarrhea, swallowing disorders, chronic inappetence, weight loss
  • Urinary incontinence, increased frequency of urination, increased thirst and urination, difficulty urinating, proteinuria
  • Chronic nasal discharge, sneezing, snorting, coughing, difficulty breathing
  • Anemia, clotting disorders
  • Fever of unknown origin
  • Icterus
  • Distended abdomen, abdominal masses, abdominal fluid
  • Increased liver enzymes, kidney values, hypercalcemia, hypoalbuminemia
  • Neurologic signs due to metabolic conditions (liver shunt, liver failure, hypoglycemia, hypertension, etc.)