Our Services > Internal Medicine

Services Provided:


  • Nutritional consultation
  • Endoscopy: utilizing small and flexible endoscopes to examine and obtain (in a minimally invasive way) biopsies of the larynx, oropharynx, esophagus, stomach, duodenum, ileum, and colon. Also to retrieve foreign objects that your pet may have ingested.
  • Minimally invasive colonic polyp removal
  • Minimally invasive placement of feeding tubes

Respiratory Medicine:

  • Endoscopy: utilizing small flexible and rigid endoscopes to examine and obtain in a minimally invasive way biopsies of the upper respiratory tract (rhinoscopy), and to examine the lower airways (bronchoscopy)
  • Airway secretion collection for diagnosis of lower airway diseases and infections
  • CT Scan or MRI of the upper and lower airway tracts
  • Tracheal stenting for collapsing trachea and tracheal cancers (stents placed into tracheas without surgery)


  • Comprehensive testing, diagnosis, and treatment of a variety of advanced endocrine disorders
  • Glucose curves to assess proper diabetic control
  • Fine needle aspirates (obtaining cells using a small needle by ultrasound guidance) and ultrasound-guided biopsies of organs to obtain samples to diagnose conditions in a minimally invasive way


  • Cystoscopy: using small rigid or flexible scopes to visualize and obtain biopsies of the lower urinary tract
  • Laser lithotripsy (*Future offering at CVRC): breaking down urethral and bladder stones with a small laser by cystoscopy (without surgery)
  • Percutaneous cystolithotomy (PCCL): bladder and urethral stone removal with a much smaller incision into the bladder and using cystoscopy
  • Urethral stenting: stents placed in urethras to relieve obstructions causes by cancers
  • Antegrade pyelograms and intravenous pyelograms: diagnostic techniques using a dye (contrast) and fluoroscopy to better visualize the urinary system
  • Laser ablation of ectopic ureters (*Future offering at CVRC): a congenital disorder by which the ureters enter the bladder in the wrong place; using cystoscopy, fluoroscopy and a laser, these can sometimes be repaired without invasive surgery
  • Urethral collagen injections: for incontinence using cystoscopy
  • Continuous Renal Replacement Therapy (*Future offering at CVRC): hemodialysis to treat renal failure


  • Bone marrow aspirates and biopsies: to evaluate blood product precursors and diagnose blood disorders
  • Treatment of coagulation disorders
  • Blood product transfusions and typing of your pet’s blood type
  • Treatment of various types of anemia using erythrocyte stimulating agents: medications such as darbepoetin used to stimulate red blood cell production (for example: anemia caused by kidney disease)

Interventional Medicine:

  • Tracheal, nasopharyngeal and urethral stents
  • Ureteral stents (*Future offering at CVRC)
  • Laser ablation of ectopic ureters (*Future offering at CVRC)
  • Laser lithotripsy (*Future offering at CVRC)
  • Urethral collagen injections to treat urinary incontinence


  • Visualization of abdominal organs (liver, pancreas, intestines, stomach, bladder, kidneys, adrenal glands, reproductive system)
  • Minimally invasive techniques to obtain samples of organs for diagnosis of illnesses and cancers (fine needle aspirates, ultrasound-guided biopsies and cystocentesis, gall bladder secretions)


  • Comprehensive cancer diagnosis using digital radiographs, CT scan, MRI, ultrasound, fine needle aspirates and ultrasound-guided biopsies
  • Treatment of certain cancers

Internal Medicine Overview

The American College of Veterinary Internal Medicine (ACVIM) is the oldest professional specialty college in veterinary medicine. Internal Medicine is best described as the specialty discipline that aims to solve complex and multi-disciplinary medical conditions. As such, specialists are trained to be problem-solvers and to be able to figure out how all the pieces of a puzzle fit together. Internists talk and discuss problems in depth to gain any clue possible into the illness of your pet. Diplomates of the College of Internal Medicine complete a one year internship and a 3 year residency after graduation from veterinary school. They must then pass a series of examinations before they are awarded board certification by the ACVIM.

Internal medicine encompasses multiple areas of medicine:

Gastroenterology – includes the esophagus, stomach, intestines, liver, gallbladder and pancreas. Typical conditions include inflammatory bowel disease (IBD), food allergies, hiatal hernias, polyps, foreign bodies, gastroesophageal reflux disease (GERD) or cancers.

Respiratory Medicine – is the study of the upper and the lower respiratory tract. Diseases include nasopharyngeal polyps and cancers, chronic rhinitis (inflammation), nasopharyngeal stenosis, laryngeal paralysis, collapsing trachea, tracheal hypoplasia (congenital disorder), fungal infections of the nasal passages and lungs, feline asthma, chronic bronchitis, and infectious pneumonias.

Endocrinology – is the study of multiple glands of the body (parathyroid, thyroid, adrenal, pancreas, pituitary and hypothalamus glands). Common endocrine diseases include diabetes mellitus, diabetes insipidus, adrenal tumors, hyper and hypoparathyroidism, hyper and hypothyroidism, Cushing’s disease, and Addison’s disease, as well as excessive drinking and urinating.

Nephrology/Urology – is the study of the kidneys, ureters, bladder, prostate, and urethra. Conditions that are diagnosed and treated include acute and chronic kidney failure, kidney and bladder stones, prostatitis and prostate cysts, bladder polyps, kidney infections, congenital kidney diseases, urinary incontinence and urethral/bladder/prostate cancer.

Hematology - is dedicated to the diagnosis and treatment of disease of the blood (red blood cells, white blood cells, platelets, proteins, clotting agents) and its precursors. Diseases include hemophilia and other congenital/hereditary diseases, bleeding disorders, hemolytic anemias (destruction of red blood cells by the animal’s immune system caused by infectious agents), infectious and destructive platelet disorders, and bone marrow disorders.

Infectious Diseases – is the branch that aims to diagnose and treat infectious agents that may afflict cats and dogs. In certain instances, these diseases can be transmitted from one pet to another, from a vector (such as ticks) to animals, and even from pets to humans (zoonosis). Infectious diseases include: Leptospirosis, Influenza, Herpes, Lyme, Babesiosis, Rocky Mountain Spotted Fever, Anaplasmosis, Ehrlichiosis, and rickettsial agents, among others.

Interventional Medicine – is a relatively new branch of veterinary medicine. It aims to provide minimally invasive procedures to treat common problems in animals. Interventional Medicine involves using stents placed in areas to keep them open (trachea for tracheal collapse, urethra for cancers), lasers (for bladder stone breakdown and to treat ectopic ureters), endoscopy and fluoroscopy (to diagnose diseases and guide the placement of stents).

Open for emergencies 24/7/365

3484 Shelby Ray Court • Charleston, SC • 29414 • Phone: 843.614.VETS(8387)