Emergencies

Internal Medicine

Care that goes deep

Get Help With the Challenging Questions

Pets that are referred to an Internal Medicine Specialist often have diseases that are difficult to diagnose, are multifaceted in nature, and involve several organ systems.

Learn more about our veterinary internal medicine services in the video below.
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Internal medicine specialists are trained to treat the most serious diseases and health problems that affect pets. Our specialists are experienced with finding a diagnosis in challenging cases and have an arsenal of specialized diagnostic tools and methods available. They are capable of managing patients that have multiple disorders or diseases that do not respond well to standard protocols.

Reaching a diagnosis and caring for a sick pet can be scary, frustrating and confusing. Our Internal Medicine Specialists are dedicated to allaying fears and helping clients to make sense of their pet’s options and ongoing care.

Need a referral to Boundary Bay Veterinary Specialty Hospital?
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What We Offer

Boundary Bay Internal Medicine Services

Our Internal Medicine Specialist provides Diagnostic Evaluation and Treatment for the following conditions:

  • Endocrine diseases including diabetes mellitus, Cushing’s disease, Addison’s disease, hyperthyroidism, hypothyroidism, hyperparathyroidism, hypoparathyroidism, hypoglycemia;
  • Gastrointestinal diseases including inflammatory bowel disease, chronic vomiting or diarrhea, esophageal and gastric foreign bodies, and gastrointestinal neoplasia and pancreatitis;
  • Renal and urogenital diseases including acute and chronic kidney disease, urinary incontinence or obstruction, urinary tract infections, and glomerulonephritis;
  • Hepatic and biliary diseases including lipidosis, acute hepatitis/hepatocellular necrosis, cholangiohepatitis, biliary obstruction, hepatic encephalopathy, chronic active hepatitis;
  • Immune-mediated and hematologic diseases such as immune-mediated haemolytic anaemia (IMHA), immune-mediated thrombocytopenia (ITP), Evan’s syndrome and polyarthritis;
  • Infectious diseases including Ehrlichiosis, Lyme disease, feline infectious peritonitis (FIP), fungal infections, and Leptospirosis;
  • Cardiovascular diseases including congestive heart failure, pericardial effusion, hypertension, and pleural effusion;
  • Respiratory diseases including rhinitis, nasopharyngeal polyps, bronchitis, pneumonia, and asthma.
  • Refractory diabetes, blood disorders, infections, digestive tract problems, hormone/endocrine or immune disorders, diseases of the kidney, liver, gallbladder, lungs and urinary or reproductive tracts.
  • Tracheal and urinary tract stenting
  • Feeding tube placements
  • Stricture dilation

Diagnostic and Treatment Procedures offered:

  • Comprehensive physical examinations
  • Advanced laboratory testing of various tissue and blood samples
  • Diagnostic imaging (ultrasound, radiographs, MRI)
  • Endoscopy with high-resolution video
    • Upper GI (Gastroduodenoscopy)
    • Lower GI (Colonoscopy)
    • Nose (Rhinoscopy)
    • Lungs (Bronchoscopy)
    • Bladder (Cystoscopy)
    • Foreign Body Retrieval
  • Biopsies of masses, internal organs
  • Bone marrow aspirates and biopsies
  • Feeding tube placement
    • E-tubes
    • PEG tubes
    • J-PEG tubes
  • Nutritional consults

Our Internists

kim-hooi-sq

Dr. Kimberly Hooi

BVSc, DVSc, DACVIM (SAIM)

Board-certified Internist
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dr-astrid-nielssen-veterinary-internist-vancouver-square-sm

Dr. Astrid Nielssen

DVM, MVSc, DACVIM

Board-certified Internist (Locum)
More Info
geert-paes-sq

Dr. Geert Paes

DVM, Dip ECVIM-ca

Board-certified Internist
More Info
lydia-pan-sq

Dr. Lydia (Po-ching) Pan

BVM, MVS, MVSc, DACVIM

Board-certified Internist
More Info
Download our Internal Medicine Flyer
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Choose Boundary Bay for Internal Medicine

We offer specialty veterinary internal medicine service by board-certified internists, serving dog and cat owners throughout B.C. and northern Washington. We invite you to consider the following reasons to entrust your pet to Boundary Bay’s internal medicine specialists.

Board-certified internists

Our internists are available full-time for internal medicine referrals and consultations to determine if a referral might be beneficial.

Specialized, minimally-invasive and rapid diagnostics

Our internists utilize endoscopic cameras to look inside your pet and find out what is wrong. Also at their disposal: CT scanner, MRI and C-ARM fluoroscope (enables real-time video images during interventions).

Help with difficult cases

Internists perform advanced diagnostics and therapeutics for patients who are not easily diagnosed, that do not respond to standard treatments or have multiple disorders.

Team-oriented approach

Our internists works closely with other on-site specialists in critical care, surgery, radiology, oncology, cardiology and neurology to provide timely, collaborative, seamless care.
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