VSP internists are expertly trained to manage complex medical disease affecting many types of organ systems. These include:

• Autoimmune disease: Immune mediated hemolytic anemia, immune mediated thrombocytopenia, immune mediated poly arthritis, immune mediated neutropenia, hepatitis, cystitis
• Cancer (tumors anywhere on or in the body, leukemias, lymphomas). including comprehensive chemotherapy treatment
• Cardiac (heart murmurs, hypertension, enlarged heart, anesthetic evaluations)
• Endocrine disease (Cushings, Diabetes, Hypothyroidism, Hypoparathyroidism, hyperparathyroidism, hyperthyroidism)
• Gallbladder disease
• Gastrointestinal diseases (Stomach, small intestine, colon, Pancreatitis)
• Hematopoetic:  Diseases of the blood and bone marrow
• Infectious (Viral, fungal, bacterial etc - all infectious disease)
• Kidney disease (renal failure, renal insufficiency, stones, infections, tumors)
• Liver disease (increased liver values), liver failure, tumors
• Nasal disease (tumors, bleeding, discharge)
• Neurologic (medical neurologic problems like meningitis (sterile and infectious), seizure work-ups and management
• Respiratory disease (lung infections, inflammation, tracheal collapse)

VSP internists offer the following procedures:

• Abdominocentesis (removal of fluid from the abdomen)
• Abdominal ultrasound 
• BE tube placement
• Blood & plasma transfusions
• Blood pressure
• Bronchoscopy (scope of the trachea and lungs)
• CAT scan of the head and chest
• Cervical ultrasound
• Chemotherapy (comprehensive injectable and oral chemotherapy treatment options, melanoma vaccine and advanced biologic therapies)
• Comprehensive cancer work-ups
• Collagen injections for urinary incontinence
• CSF taps (to obtain spinal fluid for testing)
• Cystoscopy (scope of the bladder)
• Diagnostic ECG
• Echocardiograms (ultrasound of the heart)
• Ectopic ureter laser ablation
• Endoscopy of the upper and lower GI 
• Esophageal ballooning for strictures
• Feeding tube placement (esophageal or gastric)
• Fecal transplantation
• Fine needle aspirate and cytology of external masses
• Fluoroscopy for interventional medicine and esophageal motility studies (Coming soon)
• Gastric and esophageal foreign body removal via endoscopy
• Holter monitors
• Hyperbaric oxygen therapy (coming soon)
• I-131 Radioactive iodine for hyperthyroid cats (coming soon)
• Joint taps
• Laser lithotripsy 
• Nasopharyngeal stenting
• Percutaneous cystolithotomy (PCCL) - removal of bladder stones through a minimally invasive approach
• Pericardiocentesis (removal of fluid from around the heart)
• Renal Scleraltherapy for renal essential hematuria
• Rhinoscopy (scope of the nose)
• Subureteral bypass (SUB) placement
• Thoracocentesis (removal of fluid from the chest)
• Ultrasound guided aspirates of masses within the chest and abdomen
• Ultrasound guided ethanol ablation of the parathyroid glands
• Urohydropropulsion
• Ureteral stenting
• Urethral stenting

VSP Internists are expertly trained to diagnose and treat these and many other problems your pet may be experiencing:

• Arrhythmias
• Cough, increased respiratory rate and effort
• Diarrhea
• Fever of unknown origin
• Fluid in chest or abdomen
• Heart murmur
• Increased or decreased appetite
• Increased drinking/urination
• Lethargy
• Lumps, bumps and masses
• Muscle loss
• Nasal discharge
• Neurologic dysfunction
• Obesity
• Painful abdomen, swollen abdomen
• Painful joints (some forms of lameness)
• Panting
• Respiratory distress
• Seizures
• Syncope, collapse
• Unexplained bleeding
• Urinary issues, accidents, leakage (incontinence), infection, blood
• Vomiting
• Weakness, ataxia
• Weakness, tremors
• Weight gain

VSP contracts with a mobile, boarded-certified veterinary surgeon to provide the following outpatient surgeries if needed:

• Abdominal explore to obtain biopsies of the GI tract or remove simple masses
• Cystotomy
• Episioplasty
• Foreign body surgery (non-complicated)
• Liver biopsy
• Rectal and perianal mass removal
• Simple skin mass removal
• Splenectomy