Internal Medicine

Internal Medicine

Our internal medicine service accepts referrals from first opinion practices for patients suffering chronic conditions or symptoms that remain unresolved following first opinion practice.

Due to the complex nature of many internal medicine cases, the department often works closely and collaboratively with our other services, including CT, ultrasound, radiography, endoscopy and our 24-hour nursing facility, to ensure that all the clinical and care needs of our patients are met.

Examples of symptoms and conditions the internal medicine service diagnoses and manages include:

Diabetes mellitus
Diabetes insipidus
Addison’s disease (hypoadrenocortism)
Cushing’s syndrome (hyperadrenocortism)
Hypercalcaemia

Acute or chronic vomiting and diarrhoea
Gastritis and gastric ulcers
Inflammatory bowel disease (IBD)
Pancreatitis
Cholecystitis
Mega-oesophagus
Oesophagitis/oesophageal stricture
Foreign body removal
Colitis
Acute and chronic liver disease

Immune-mediated haemolytic anaemia (IMHA)
Immune-mediated thrombocytopaenia
Portosystemic shunts
Hypertension
Pericardial effusion
Iron deficiency anaemia
Bleeding disorders

Chronic coughing
Nasal discharge
Foreign body removal
Pleural effusion
Fungal rhinitis/aspergillosis
Pneumonia
Laryngeal paralysis

Urinary incontinence
Acute and chronic renal failure
Haematuria
Polyuria/polydipsia
Protein-losing nephropathy
Recurrent urinary tract infection
Prostatic disease

CT Scanning

Our radiographer-led service provides high quality three-dimensional images. Our advanced imaging capabilities enable better diagnoses and can result in more effective treatment for animals.

Endoscopy

Ultrasound

Ultrasound machines produce still and dynamic images using soundwaves.

X-ray

At NVRS, we have an onsite digital imaging CR system that produces two-dimensional x-ray images. With minimal processing time, images are available quickly.

Dental X-ray

X-rays provide visibility of the lower sections of teeth and surrounding structures that are not externally visible.

Root Canal Treatments

Root canal is a complex procedure, requiring specialist training and equipment.

Dental Discolouration

Intrinsic staining of teeth is usually permanent. When the whole tooth is discoloured, the pulp is almost always irreparably damaged.

Dental Decay and Caries Restorations

Orthodontics

If teeth are incorrectly aligned or the jaws are different lengths, the problem is referred to as a malocclusion.

Tooth Resorption

Dermatology

We understand the commitment needed to care for a pet with skin disease, as well as the difficulties that may be encountered.

Our internal medicine service accepts referrals from first opinion practices for patients suffering chronic conditions or symptoms that remain unresolved following first opinion practice.

Oncology

At NVRS, we understand that when a pet is diagnosed with cancer, it can be a difficult time for both pet and owner. Our aim is to provide effective treatment with minimal side effects, whilst helping practices support their clients and their pets.

Orthopaedics

Whether a chronic or acute problem, our skilled team of veterinary surgeons provide a range of surgical options for fractures, luxations, ligaments and joint disease.

Thoracic Surgery

Our soft tissue surgery team carry out a range of thoracic surgery, including diaphragm rupture repairs, lung lobectomies, exploratory thoracotomies and thoracic wall resection.

Complex Tumour Removal

At NVRS we are able to offer surgical treatment of tumours such as mast cell tumours, anal sac carcinomas, oral masses and abdominal masses.

Wound Care and Reconstructive Surgery

Our wound care and reconstructive services, whilst not limited to, tend to predominantly be used in two cases: 1) to repair traumatic wounds which may involve large loss of skin, and/or if left, may have become necrotic, and 2) to resolve tissue defects caused by the removal of large tumours.

Urinary Tract Surgery

NVRS provide treatment for a range of urinary tract conditions.

Gastrointestinal and Abdominal Surgery

Keyhole (Laparoscopic) Surgery

At NVRS we can perform laparoscopic surgery, a minimally invasive technique common in human surgery.

Anorectal Surgery

At NVRS we can provide advice and treatment for a range of anal sac (often called gland) disorders including anal sacculitis, anal sac neoplasia, rectal prolapse and rectal tumours.

Ear, Nose and Throat Surgery

Trauma Management

Trauma patients regularly require immediate care thus we have a 24-hour critical care team to accommodate these patients.

Reproductive Surgery

At NVRS we are able to perform laparoscopic bitch spays, pyometra surgery, C-sections and pregnancy ultrasound.

Hydrotherapy

Hydrotherapy, in conjunction with veterinary treatment, can significantly improve the quality and rate of healing, following surgery or a traumatic injury. Hydrotherapy is also considered to be a natural anti-inflammatory, through its ability to reduce tissue swelling.

Physiotherapy

A variety of land based Physiotherapy techniques are available, carried out using therapeutic handling to ensure the dog is comfortable and relaxed.

Home Care

Our therapist will talk to you in detail to assess other contributing factors so that they have an understanding of the patient’s environment and lifestyle.

Companion Animal Behaviour and Training

Challenging behaviour can be upsetting, but it can often be managed and resolved with the right information and guidance.

Internal Medicine

Examples of symptoms and conditions the internal medicine service diagnoses and manages include: