Internal Medicine Services at Asheville Veterinary Specialists

Welcome to the Internal Medicine Service at Asheville Veterinary Specialists and Regional Emergency Animal Care Hospital. Our Internal Medicine team is dedicated to helping you and your pet when they need further diagnostics and intensive medical care. Our Internal Medicine team is comprised of Dr. Paula Levine, DVM DACVIM and Chastity, VTS (SAIM). Both Dr. Levine and Chastity have many years in the specialty field of Internal Medicine. Dr. Levine and Chastity are supported by the highly skilled staff at R.E.A.C.H. and A.V.S.

R.E.A.C.H. / A.V.S. - Internal Medicine Department

What is an ACVIM Board-Certified Internal Medicine Specialist?

What is a Small Animal Internal Medicine Veterinary Technician Specialist?


Why does my pet need to see an ACVIM Board-Certified Internal Medicine Specialist?

Commonly called internists, the specialty focuses on diagnosing, treating, and following up with internal diseases. Sometimes the diagnosis is known or expected; this is when an internist may confirm the dignosis and treatment plan. Many clients feel more at peace having some diagnoses confirmed prior to starting treatments. If a diagnosis is difficult to determine an Internist may be more able to find or disporve causes for your pet's illness.

The following are common reasons that pets are referred to Internists:

Anemia or other bleeding disorders

Chronic vomiting or diarrhea

Complicated pancreatic disease

Coughing and/or other breathing problems

Endocrine diseases - ie. adrenal tumors, complicated diabetes, thyroid disorders

Infectious disease

Kidney or bladder disease

Liver inflammation

Unexplained weight loss

Heart disease

Chronic weakness


When should you request a referral to an ACVIM Board-Certified Internal Medicine Specialist?

Your pet has a disease that is not common, is complicated, or undiagnosed after standard testing

You or your family veterinarian would like a second opinion or review of your pet's illness

No or little response is seen with current medical therapy

Your pet requires sophisticated diagnostics that are offered by an internist

Your pet requires intensive 24-hour monirtoring provided by an internist and specialty hospital


What should I expect during a visit with an ACVIM Board-Certified Small Animal Internist?

The internist will perform a complete physical examination of your pet and discuss the clinical history with you. Depending on your pet's condition, history, and previous diagnostic testing; recommendations may be made for futher diagnostics and/or treatments, including:

Laboratory testing of various blood and/or tissue samples

Diagnostic Imaging - ie. ultrasound, radiographs

Biopsies of masses, internal organs, or bone marrow

Endoscopy - ie. bronchoscopy (lungs), colonoscopy (colon and small bowel), gastroduodenoscopy (stomach and upper intestines)

Feeding tube placement

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