Internal Medicine & Diagnostic Referrals The medicine service accepts cases across all disciplines for investigation and management. Through our facilities at the hospital, our team are able to provide excellent 24 hour care for your patients. The availability of plasma and whole blood on site and our comprehensively equipped laboratory enable us to provide a high standard of care for critically ill patients, including those requiring monitoring of acid- base balance, blood gases, electrolytes (including ionised calcium) and coagulation profiles. With expertise in blood smear analysis and cytology we can reach a presumptive diagnosis rapidly while waiting for external laboratory confirmation. In addition we are able to support our colleagues by offering specific diagnostic procedures to help in their overall investigation. These services include: Flexible and rigid endoscopes for rhinoscopy and tracheo-bronchoscopy, imaging the gastrointestinal tract and cystoscopy (female medium and large breed dogs) Ultrasonography and ultrasound guided fine needle aspirate or trucut biopsy Bone marrow biopsy Contrast studies such as IVU, barium swallow Laparoscopy to include hepatic and other organ biopsy Soft Tissue Referrals This service includes: Brachiocephalic airway disease, laryngeal paralysis, total ear canal ablation Cardiothoracic surgical service Diagnosis, assessment and surgical treatment of extrahepatic portosystemic shunts, diseases of the biliary tree. lnterventional occlusion of intrahepatic portosystemic shunts Laparascopic ovarohysterectomy, liver and other organ biopsies, adrenalectomy Temporary urinary diversion (urethral bypass) in certain cases to avoid urethrotomy or urethrostomy, ectopic ureter. lnterventional treatments: Ureteral and urethral stenting (useful in the management of transitional cell carcinoma) Wound management and reconstruction: skin grafting, axial pattern flaps, myocutaneous flaps for reconstruction following radical surgery for neoplasia or severe shearing injury www.earlswoodvets.com