COVID-19 Update: Due to COVID-19, referrals for NEW internal medicine consultations are not currently being routinely accepted. Please phone before submitting a new referral to see if your case can be safely accommodated based on our schedule.
We are still available for mobile endoscopy services and on-site rechecks of existing patients.
Mobile Veterinary Internal Medicine Consultations
Allies in Internal Medicine provides onsite consults, rechecks, and endoscopy services. Additionally, veterinarian-to-veterinarian consults are available through the online platform Fidu.
Endocrinology – difficult to diagnose or difficult to treat Cushing’s disease, Addison’s disease, or diabetes mellitus. PU/PD of unknown cause or hypercalcemia workup.
Endoscopy – cases requiring endoscopy, colonoscopy, or bronchoscopy. Internal medicine specialists spend considerable time during their residencies training to perform these special procedures safely, carry out proper case selection, recognize disease processes, and provide advice on therapeutic management of the pathology found.
Fever of unknown origin – select cases
Hematology/Immunology – chronic non-regenerative anemia, IMHA, or ITP cases that are stable but difficult to manage
Shifting leg lameness/polyarthritis
While we are available and proud to offer our experience and knowledge to cases related to internal medicine, there are other specific cases, injuries, illnesses, and situations in which we recommend utilizing another specialist’s expertise.
When To Refer Elsewhere:
Any patient that you know requires hospitalization unless you can provide it, and are comfortable providing the level of care they need at your veterinary hospital
Any patient that you know needs blood products that you are unable to provide and oversee adequate care for in your clinic
Emergent or unstable cases – respiratory emergencies, acute CHF, acute or anuric renal failure, DKA
Neurologic cases or neurologic emergencies
Evaluation for a portosystemic shunt – these should be referred to a facility offering medical imaging with a board-certified veterinary radiologist
Unstable cardiology cases or congenital cardiac disease– should be referred to a veterinary cardiologist
Dermatology cases, chronic non-healing wounds, or ear problems
At times it may not be clear if a pet has an internal medicine condition or an orthopedic, neurologic, dermatologic or cardiac condition. If you are unsure, we welcome you to call us before you complete a referral so we can discuss your case and best direct you as to who may best be able to help your patient.