Our Services

Internal Medicine

At ACCESS – Pasadena we offer cutting-edge Veterinary Internal Medicine services for dogs and cats in our state-of-the-art facility.

Who is an Internist?

The first line of care for your pets usually starts with your primary veterinarian, who knows them best and can handle many health concerns. However, when your pet is unwell, and the reason is not immediately clear, veterinary medicine delves deeper to find and treat the root cause. This is when our Internal Medicine doctors (a.k.a. Internists) step in as the detectives of the veterinary world. They specialize in managing intricate, challenging, and obscure disorders that can impact specific organs or the entire body systems of your pet.

Diseases we treat

Our Internal Medicine doctors are skilled in diagnosing and treating a wide range of diseases. Some examples include:

  • Endocrine diseases: e.g., Diabetes Mellitus, Addison’s Disease, Cushing’s Disease
  • Hematological diseases: e.g., Immune-Mediated Hemolytic Anemia (IMHA) and Immune-Mediated Thrombocytopenia
  • Gastrointestinal diseases: e.g., Bloat, Inflammatory Bowel Disease (IBD), chronic vomiting and diarrhea
  • Infectious diseases: e.g., tick-borne diseases, Canine Parvovirus (Parvo), FeLV and FIV in cats
  • Renal diseases: e.g., Acute or Chronic Kidney Failure, Kidney Stones
  • Respiratory diseases: e.g., Pneumonia, Bronchitis, Asthma
  • Urinary diseases: e.g., Urinary incontinence, Bladder stones

Advanced Diagnostic Technology

Equipped with the latest advanced technology, our state-of-the-art hospital allows our Internal Medicine doctors to conduct a wide array of diagnostic procedures in order to develop a precise diagnosis. Utilizing tools such as ultrasound, fluoroscopy, CT, MRI, and endoscopy, our doctors can perform gastroscopy, rhinoscopy, bronchoscopy, cystoscopy, colonoscopy and other procedures.

Interventional Techniques

Our advanced imaging technologies enable our doctor to use interventional techniques in diagnosing and treating various conditions, such as cardiac diseases, urinary tract disorders, respiratory conditions, and gastrointestinal abnormalities.

Interventional Radiology (IR) utilizes sophisticated imaging techniques like fluoroscopy (live x-ray) and CT scans to access different parts of a pet’s body for diagnostic and therapeutic purposes. These detailed images allow our specialists to use a range of catheters, stents, and other devices to perform procedures like mass removal, alleviating obstructions, or addressing anatomical abnormalities without the need for open surgery.

Interventional Endoscopy employs small cameras known as endoscopes, which are guided through natural body openings, combined with imaging techniques like ultrasound or fluoroscopy. This enables our internal medicine doctors to access various body parts non-invasively and conduct biopsies, foreign body removal, placement of feeding tubes, and stent insertion, among others.

Click below for a list of interventional procedures offered by our Internal Medicine Department.

  • Antegrade urethral catheterization
  • Cystourethrogram for diagnosis of urethral obstruction or rupture
  • Cystoscopy
  • Ectopic ureter ablation: available in both males and females
  • Laser ablation of persistent mesonephric remnant (hymen)
  • Percutaneous cystotomy tube placement
  • Percutaneous cystolithotomy (PCCL) (in partnership with Surgery)
  • Sclerotherapy for idiopathic renal hematuria
  • Ureteral stenting for stones/strictures/infection surgical or endoscopic placement
  • Ureteral stricture/congenital malformation treatment
  • Urethral bulking agent injections for incontinence refractory to medical management
  • Urethral stenting for malignancy/strictures
  • Urethral balloon dilation
  • Voiding urohydropulsion
  • Biopsy and debulking of nasal, laryngeal, and tracheal tumors
  • Bronchial/tracheal foreign body retrieval
  • Nasopharyngeal stenosis balloon dilation
  • Tracheal stenting
  • Capsule endoscopy
  • Colonoscopy
  • Duodenoscopy
  • Endoscopic colonic mass debulking, biopsy, polypectomy
  • Endoscopic duodenal mass debulking, biopsy polypectomy
  • Endoscopic gastric mass debulking, biopsy, polypectomy
  • Esophageal balloon (BE) tubes, indwelling treatment for esophogeal strictures
  • Esophageal ballooning
  • Esophageal feeding tube placement
  • Esophagoscopy
  • Gastrointestinal/GI endoscopy/biopsy
  • Gastroscopy
  • Low-profile gastrostomy tube replacement
  • Percutaneous endoscopic gastrostomy tube placement (PEG tube)
  • Rectal stricture treatment
  • Cholecystocentesis
  • Laparoscopic liver biopsies
  • Intrahepatic shunt coiling

Comprehensive Care

Our Internal Medicine doctors believe in a collaborative approach to your pet’s health. They work closely with your primary veterinarian and other specialties at our hospital such as critical care, cardiology, oncology, neurology, and surgery to ensure comprehensive care and the best possible outcome for your pets.

Rest assured that when your pet requires internal medicine care, they are in expert and compassionate hands. Our internal medicine team is dedicated to providing the highest level  of care and personalized attention to every patient.

Click below to find out more about our specialty departments.

Click below to download our brochure.