Internal Medicine

Why does my animal need to see a board-certified small animal internist?

Commonly called internists, these specialists focus on diagnosing and treating diseases of the internal systems. Where the diagnosis is known, an Internist may confirm the diagnosis and treatment, providing peace of mind. If a diagnosis is proving elusive or therapy is not proving effective, the internist may be better able to find the diagnosis or adjust treatment plans to get your animal back to health. Examples of conditions for which your family veterinarian might refer your animal to an internist are:

  • anemia or other blood disordersDr. Erika Sox, hawaii internal medicine vet, honolulu pet care
  • cancer diagnosis and treatment
  • chronic vomiting or diarrhea
  • complicated pancreatic disease
  • coughing and other breathing problems
  • endocrine disease (adrenal disorders, complicated diabetes, thyroid disorders)
  • immune system disorders
  • infectious disease
  • kidney or bladder disease
  • liver disease
  • unexplained weight loss

What should I expect during a visit with a board-certified small animal internist?

The internist will take a thorough history and perform a complete and thorough physical examination of your animal, and based on these initial findings, additional tests will be discussed.

Depending on your animal's condition, diagnostic testing or treatments may include:

  • advanced laboratory testing of various tissue and blood samples
  • diagnostic Imaging - ultrasound, radiography (x-rays), CT scans, MRIs
  • biopsies of masses, internal organs, or bone marrow
  • endoscopy - bronchoscopy (lungs), cystoscopy (bladder & urethra), colonoscopy (colon & small bowel), gastroduodenoscopy (stomach & upper intestines), rhinoscopy (nasal cavity), laparoscopy (minimally invasive surgery for biopsies of internal organs)skilled veterinarians hawaii, compassionate veterinarians hawaii, pet chemotherapy hawaii
  • hospitalized care
  • feeding tube placement
  • chemotherapy

What we offer

Extensive internal medicine expertise, equipment and technology allow us to provide the highest level of care for our patients at VERC Hawaii. Our board-certified internal medicine specialists are trained to diagnose and treat a broad array of conditions including:  

  • gastrointestinal
  • urinary
  • endocrine
  • liver
  • immune system
  • blood disorders
  • infectious diseases
  • neurologic
  • respiratory
  • cancer

Our internists work closely with the family veterinarian to ensure continuity of care, as well as a complete and accurate diagnosis and treatment plan. 

Internal Medicine procedures offered include (but are not limited to):

  • Bronchoscopy
  • Rhinoscopy
  • Laryngoscopy
  • Gastrointestinal endoscopy
  • Colonoscopy
  • Cystoscopy
  • Laparoscopy
  • Bone marrow aspirates
  • Joint and spinal taps
  • Ultrasound guided biopsies
  • Blood gas analysis and blood pressure monitoring
  • Electrocardiograph + cardiac Holter and event recording
  • CT scan
  • Advanced therapeutic modalities include:
  • Enteral nutritional support
  • Total parenteral nutritional support
  • Feeding tubes: nasoesophageal, nasogastric, esophogostomy, percutaneous endoscopic gastrostomy (PEG)
  • Blood and plasma transfusion
  • Chemotherapy for the treatment of cancer
  • Endoscopic foreign body or bladder stone removal

Our internal medicine service is led by Dr. Erika Sox, Hawaii’s first board-certified small animal internal medicine specialist.