Portosystemic shunts can be diagnosed via several methods including:

  1. Abdominal ultrasound
  2. Nuclear scintigraphy
  3. Abdominal CT scan
  4. Cranial mesenteric arteriograms

Abdominal ultrasound is considered the least invasive. However, it only has approximately 70% sensitivity (ability to diagnose a portosystemic shunt when present). Abdominal CT scan and cranial mesenteric arteriograms require general anesthesia and are costly, but they provide the anatomy of the shunting vessel. Nuclear scintigraphy is considered the gold standard (best test available) test and it is non-invasive. Nonetheless, patients become radioactive for 12-24 hours. This may require an overnight stay in the hospital.

Medical management of liver shunts is done via controlling clinical signs. This is best attained by using a combination of diet, antibiotics and laxatives. Treatment is tailored to each individual patient.

See our departments

Internal Medicine

The Internal Medicine Service has the expertise and specialized technology to diagnose and treat your pet while providing you with compassionate care and the best client service possible.

What Is A Veterinary Internal Medicine Specialist?

A board-certified veterinary internal medicine specialist is a licensed veterinarian who has completed an internship, 3 year residency program, passed board examination and met the credentials to become a diplomate of the American College of Veterinary Internal Medicine. An internal medicine specialist has advanced training in the following disciplines:

  • Endocrinology
  • Gastroenterology
  • Hepatology
  • Pancreatology
  • Immunology
  • Infectious Disease
  • Nephrology and Urology
  • Respiratory Disease

Specialists perform a variety of state-of-the-art minimally-invasive procedures, including gastrointestinal endoscopy, rhinoscopy, bronchoscopy and bladder stone removal. Additional special procedures include radioactive iodine therapy, laser lithotripsy, ectopic ureter correction and feeding tube placement (see descriptions below).

Why Does My Pet Need A Veterinary Internal Medicine Specialist?

Just as your own primary care physician may feel the need to refer you to the care of a specialist, your general practitioner veterinarian may feel that your pet needs a specialist with more intensive training to help diagnose or treat a particularly complicated problem. Veterinary Specialists work in concert with primary care physicians to ensure the very best outcome for your pet.

What Health Problems Does A Veterinary Internal Medicine Specialist Treat?

Board-certified internal medicine specialists are trained to treat some of the most complicated diseases and health problems that affect pets. Thanks to better health care, more and more pets are living longer lives. As a result, an increasing number of older pets are coping with multiple concurrent disease states that can be very difficult to manage. For example, a cat with diabetes may also be suffering from kidney failure, or a dog in heart failure may also be diagnosed with cancer. Internal medicine specialists are uniquely prepared to oversee the care of these complicated cases.

Common diseases that frequently lead primary care veterinarians and concerned pet owners to seek the expertise of a specialist include:

  • Infectious Disease
  • Endocrine Disorders
  • Gastrointestinal Diseases
  • Diabetes Mellitus
  • Immune Related Disorders
  • Kidney Dysfunction

 

Our Internal Medicine Services

Arthrocentesis
Bronchoalveolar lavage BAL
Bronchoscopy
Colonoscopy

Looking for The Referral Form?

Loading... Please wait