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Gaithersburg

Surgery, Neurology & Internal Medicine:
(240) 641-6350
gaithersburg@vscvets.com

Internal Medicine Services and Procedures

Veterinary Surgical Centers provides comprehensive internal medicine services and procedures. Our expert team offers the care to diagnose, manage, and treat a wide range of complex medical conditions.

VSC’s Internal Medicine team offers the following diagnostic procedures:

Ultrasound

  • Used to examine internal structures, including abdominal organs and the thyroid gland

Ultrasound-guided fine-needle aspirates

  • Ultrasound assists in visualizing lesions while a needle is inserted to obtain samples for analysis

CT scan

  • Also known as a CAT scan, provides detailed 3D images of internal organs for diagnostic purposes

Gastrointestinal endoscopy

  • A scope with a camera and light is used to examine the esophagus, stomach, intestines, and colon
  • Helps diagnose causes of regurgitation, vomiting, and diarrhea

Tracheoscopy and bronchoscopy

  • Endoscopic examination of the trachea and bronchi to assess lesions and collect samples
  • Used to determine the cause of coughing and respiratory difficulties

Rhinoscopy

  • Endoscopic evaluation of the nasal cavity and pharyngeal region
  • Helps diagnose causes of nasal discharge and nosebleeds

Cystoscopy

  • Endoscopic examination of the urinary bladder, urethra, and vestibule
  • Used to investigate chronic urinary tract infections, urinary incontinence, and blood in the urine

Fluoroscopy

  • Real-time X-ray imaging used to assess internal structures
  • Commonly used for diagnosing tracheal collapse, bronchial collapse, esophageal strictures, dysmotility, and ureteral or urethral obstructions

Bone marrow aspiration and biopsy

  • Used to diagnose causes of abnormal blood cell counts
  • Helps detect conditions such as leukemia, lymphoma, immune-mediated anemia, pure red cell aplasia, and immune-mediated neutropenia

Joint fluid sampling and analysis

  • Collecting joint fluid to determine the cause of swelling or fluid accumulation
  • Helps diagnose conditions such as immune-mediated polyarthritis and septic arthritis

VSC’s Internal Medicine team offers the following minimally-invasive treatments:

Bladder stone removal

  • Cystoscopic (scope-guided) removal of bladder stones without incisions
  • Laser lithotripsy for breaking down urethral and bladder stones too large for scope removal
  • Percutaneous cystolithotomy for small breed male dogs and male cats, using a minimally invasive approach to remove bladder stones

Urinary incontinence therapy

  • Urethral collagen injections to improve urinary control in conditions like urethral sphincter mechanism incompetence and urethral hypoplasia

Ectopic ureter laser ablation

  • Cystoscopic laser ablation to correct intramural ectopic ureters and resolve urinary incontinence

Urethral and ureteral stent placement

  • Stents used to relieve obstructions caused by urethral strictures, tumors, granulomatous urethritis, and ureteral blockages from stones, tumors, or blood clots

Renal sclerotherapy for idiopathic hematuria

  • Treatment for kidney bleeding using a sclerosing agent, performed with scope guidance and fluoroscopy
  • Temporary ureteral stent placement to prevent complications during recovery

Balloon dilation for strictures and stenosis

  • High-pressure balloon dilation to restore normal flow in narrowed areas of the esophagus, colon, and other tubular structures

Tracheal stent placement

  • Stent placement for severe tracheal collapse, restoring airflow and improving respiratory function

Nasopharyngeal stenosis treatment

  • Balloon dilation and, in severe cases, temporary stent placement to treat obstructions in the nasopharynx

Percutaneous gastric feeding tube placement

  • Scope-assisted placement of feeding tubes for patients with esophageal disease and swallowing disorders, avoiding the need for abdominal surgery