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Advanced Care

Internal Medicine Specialty Services

Specialty-level diagnostics and treatment, in a familiar setting
Advanced internal medicine care is provided on-site in collaboration with a mobile, board-certified internal medicine specialist. Care focuses on accurate diagnosis, thoughtful treatment planning, and long-term management of complex or chronic conditions through advanced appointments.
Internal medicine specialty services illustration
What's Included

Internal medicine capabilities

Advanced Ultrasound Imaging

Abdominal ultrasound — Evaluates internal organs for causes of illness

Thoracic ultrasound (non-cardiac) — Assesses the chest for fluid or masses

Cervical ultrasound — Examines thyroid glands and lymph nodes

Recheck ultrasound — Monitors healing or treatment response

Bi-cavitary ultrasound — Combines abdominal and thoracic imaging in one visit

Ultrasound-Guided Procedures

Fine needle aspirate (FNA) — Samples tissue or fluid for diagnosis

Pericardiocentesis — Removes fluid from around the heart

Abdominocentesis — Samples or removes abdominal fluid

Thoracocentesis — Removes fluid from the chest to improve breathing

Endoscopy & Minimally Invasive Diagnostics

Endoscopic foreign body removal — Removes swallowed objects without surgery

Upper GI endoscopy — Examines the esophagus and stomach

Lower GI endoscopy (colonoscopy) — Evaluates the colon

Combined GI endoscopy — Full gastrointestinal evaluation

Balloon dilation — Opens narrowed areas of the esophagus or colon

Upper airway examination — Evaluates breathing structures

Nasal flush and pharyngoscopy — Diagnoses chronic nasal or throat disease

Respiratory & Airway Procedures

Rhinoscopy — Examines nasal passages

Bronchoscopy with BAL — Evaluates lung disease and collects samples

Tracheoscopy — Examines the windpipe

Endotracheal wash — Collects airway samples

Urogenital & Feeding Support

Cystourethroscopy — Examines the bladder and urethra

Voiding hydropropulsion — Flushes small bladder stones

Esophagostomy tube — Long-term feeding support

Nasogastric tube — Short-term feeding support

PEG tube — Feeding tube placed during endoscopy

Additional Diagnostic Services

Arthrocentesis — Samples joint fluid

Blood pressure evaluation — Monitors hypertension

Bone marrow aspirate and biopsy — Evaluates blood disorders

Continuous glucose monitoring — Tracks blood sugar trends

Skin biopsy — Diagnoses chronic skin disease

Advanced and specialty services are provided by scheduled appointment only and must be arranged in advance through your primary veterinarian. These services are intended for chronic or non-urgent conditions and are not available for same-day, urgent, or emergency care.

Coordinating specialty care for your pet

Advanced and specialty appointments are arranged through your primary veterinarian. For scheduling or cost information, email info@annearundelvet.com.
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