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![Dr. Galvao lecturing at the American College of Veterinary Internal Medicine Forum (ACVIM)](https://static.wixstatic.com/media/2e81a9_769211174d2a47249b0d1df336e7be41~mv2.jpg/v1/fill/w_490,h_368,al_c,q_80,usm_0.66_1.00_0.01,enc_auto/2e81a9_769211174d2a47249b0d1df336e7be41~mv2.jpg)
We are always asked about what are the procedures we do and the minimally invasive solutions we have for common problems. Attending to requests, we have put everything together in this website to help guide owners and referring veterinarians about the best options available that we offer.
Problems/clinical signs | Image | Solutions/diagnostics | More information here |
---|---|---|---|
Ureteral obstruction cats, hydronephrosis, kidney obstruction, dilated ureter, ureteral stone | Subcutaneous ureteral bypass | https://www.gointernalmedicine.com/subcutaneous-ureteral-bypass | |
Ureteral obstruction dog, hydronephrosis, kidney obstruction, pus in kidney | Ureteral stenting | https://www.gointernalmedicine.com/ureteral-stent-placement | |
Bladder or urethral stones (large smooth stones in female dogs w/ urinary tract infections caused by Staph, Proteus may be dissolved, others removed) | Laser lithotripsy, Percutaneous cystolithotomy (PCCL) | https://www.gointernalmedicine.com/holmium-laser-lithotripsy | |
Bladder or urethral stones (large smooth stones in female dogs w/ urinary tract infections caused by Staph, Proteus may be dissolved, others removed) | Percutaneous cystolithotomy (PCCL), Laser lithotripsy | https://www.gointernalmedicine.com/percutaneous-cystolithotomy | |
Hyperthyroidism | Individualized I-131 therapy in cats | https://www.gointernalmedicine.com/feline-and-canine-i-131-therapy | |
Respiratory distress, difficult bringing in air (typically older small breed dogs), tracheal malformation | Tracheal stenting | https://www.gointernalmedicine.com/tracheal-stent-placement | |
Inability to urinate dog or cat, urinary obstruction (typically secondary to cancer, or granulamotous urethritis) | Urethral stenting | https://www.gointernalmedicine.com/urethral-stent-placement | |
Acute kidney injury (decreased urine production), leptospirosis, azotemia (increased kidney values) | Hemodialysis | https://www.gointernalmedicine.com/hemodialysis | |
Hematuria (bloody urine), especially if without evidence of obvious masses in bladder or urinary signs | Sclerotherapy for renal hematuria | https://www.gointernalmedicine.com/sclerotherapy-renal-hematuria | |
Immune-mediated hemolytic anemia (IMHA) | Therapeutic plasma exchange | https://www.gointernalmedicine.com/therapeutic-plasma-exchange | |
Increased bile acids (post-prandial bile acids >100) in young medium to large breed dogs | Intrahepatic portosystemic shunt – percutaneous transjugular coil embolization (PTCE) | https://www.gointernalmedicine.com/intrahepatic-portosystemic-shunt | |
Toxin ingestion or drug overdose | Hemodialysis, hemoperfusion, or therapeutic plasma exchange | https://www.gointernalmedicine.com/hemoperfusion | |
Urinary incontinence young female dog (rarely male dog) | Ectopic ureter laser ablation | https://www.gointernalmedicine.com/ectopic-ureter-laser-ablation | |
Choking while eating, repetitive swallowing, inability to keep food down, especially post-anesthesia | Esophageal balloon dilation and BE-tube placement for esophageal strictures | https://www.gointernalmedicine.com/b-tube-for-esophageal-stricture | |
Inability to breathe through nose (typically acute onset in dogs after anesthesia) | Nasopharyngeal stenting for stenosis or tumors | https://www.gointernalmedicine.com/nasopharyngeal-stent-placement | |
Functional thyroid tumor | I-131 for dogs and cats | https://www.gointernalmedicine.com/thyroid-scintigraphy | |
Primary hyperparathyroidism dog | Ethanol parathyroid ablation (if wants non-surgical treatment) | https://www.gointernalmedicine.com/ethanol-parathyroid-ablation | |
Inoperable liver tumor | Chemoembolization of liver tumor | https://www.gointernalmedicine.com/chemoembolization-liver-tumor | |
Intractable epistaxis (nasal bleeding) | Arterial embolization | https://www.gointernalmedicine.com/arterial-embolization-epistaxis | |
Urinary incontinence (that has failed medications like Proin and DES) | Urethral collagen injections | https://www.gointernalmedicine.com/collagen-implant-urethra | |
Chronic hematuria, pollakiuria, recurrent urinary tract infection, polypoid bladder lesion | Bladder polyp cautery snare | https://www.gointernalmedicine.com/bladder-polyp-cautery-snare | |
Painful defecation, ribbon-like stools, constipation | Rectal stricture ballooning | https://www.gointernalmedicine.com/rectal-stricture-ballooning | |
Regurgitation, rectal bleeding or chronic vomiting caused by polypoid lesion | Gastrointestinal polyp cautery snare | https://www.gointernalmedicine.com/rectal-polyp-cautery-snare | |
Acute nasal signs, rubbing at face, decreased nasal airflow, nasal discharge | Nasopharyngeal foreign body retrieval | https://www.gointernalmedicine.com/nasopharyngeal-foreign-body-removal | |
Large foreign body lodged in esophagus (inability to pull with alligator forceps) | Balloon assisted esophageal foreign body retrieval | https://www.gointernalmedicine.com/balloon-assited-esophageal-fb-removal | |
Urethral tear, inability to pass urethral catheter retrograde | Percutaneous antegrade urethral catherization | https://www.gointernalmedicine.com/perc-antegrade-urethral-catherization | |
Increased bile acids work-up | Nuclear scintigraphy study (post-bile acids <100), CTA (post-bile acids >100) | https://www.gointernalmedicine.com/portosystemic-shunt-scintigraphy | |
Chronically increased liver enzymes (esp ALT) +/- increased bile acids. | Laparoscopic liver biopsy | https://www.gointernalmedicine.com/laparoscopy | |
Evaluation of contra-lateral kidney function (if there is a kidney mass that needs removal) | Glomerular filtration rate via scintigraphy | https://www.gointernalmedicine.com/glomerular-filtration-rate | |
Regurgitation, possible delayed gastric emptying, vomiting | Gastric emptying via scintigraphy | https://www.gointernalmedicine.com/gastric-emptying-scintigraphy | |
Respiratory distress of unexplained reason (disparity between radiographic findings and clinical signs) | Pulmonary thromboembolism scintigraphy | https://www.gointernalmedicine.com/thromboembolism-scintigraphy | |
Biliary obstruction, jaundice, severe hyperbilirubinemia | Biliary obstruction scintigraphy | https://www.gointernalmedicine.com/biliary-obstruction-scintigraphy | |
Unexplained lameness or bone pain | Bone scintigraphy | https://www.gointernalmedicine.com/bone-scintigraphy | |
Microcytic anemia of unknown cause (suspicion for gastrointestinal bleeding. | Alicam capsule endoscopy | https://www.gointernalmedicine.com/alicam-capsule-endoscopy | |
Recurrent urinary tract infections, bladder mass/polyp, urinary incontinence, pollakiuria, stranguria | Cystoscopy | https://www.gointernalmedicine.com/cystoscopy | |
Chronic coughing, recurrent pneumonia, respiratory distress | Bronchoscopy | https://www.gointernalmedicine.com/bronchoscopy | |
Inspiratory or expiratory dyspnea | Fluoroscopic airway diagnostics | https://www.gointernalmedicine.com/fluoroscopic-airway-diagnostics | |
Chronic gastrointestinal signs of unknown cause (weight loss, chronic vomiting, chronic diarrhea....) | Gastrointestinal endoscopy | https://www.gointernalmedicine.com/gastrointestinal-endoscopy | |
Young Boxer, French Bulldog with colitis. | FISH for granulomatous colitis | https://www.gointernalmedicine.com/fish-for-granulomatous-colitis | |
Recurrent pneumonia in young dog with no obvious cause | Ciliary dyskinesia | https://www.gointernalmedicine.com/cilary-dyskinesia-em | |
Chronic nasal discharge, decreased nasal airflow | Rhinoscopy | https://www.gointernalmedicine.com/rhinoscopy |
Disclaimer
This website was created to inform veterinarians about novel procedures available mainly in the field of veterinary interventional radiology and endoscopy, and nuclear medicine. This website is not intended to give direct medical advice to owners. Owners should contact their veterinary professionals for advice.
2551 Warrenville Rd. Downers Grove, IL 60515
Email: avah.internalmedicine@vca.com
Tel: 630-963-0424
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