Internal Medicine

Cardiology

• In-house x-ray, ECG (electrocardiogram), Doppler blood pressure measurement, and echocardiography (heart ultrasound) are available for immediate evaluation.
• Immediate ECG review/consultation with cardiologist available.
• In-hospital appointments with a board-certified cardiologist are available for examination and echocardiograms.
• Cardiologist placement of a Holter/event monitor and evaluation to screen for intermittent heart arrhythmias (abnormal heart electrical activity) is also available.
  

Ophthalmology

• Thorough evaluation to check eyelids, tear quality/quantity, corneal abnormalities, pressure within the eye (tonometry), and retina.
• Ocular ultrasound to evaluate areas within and behind the eye if needed.
  

Neurology

• Complete neurologic examination to determine general anatomic location of the problem.
• Experienced with various anticonvulsants to medically control seizures while minimizing side effects.
• A referral for an MRI at Animal Scan in Redwood City is available if needed.
  

Dermatology

• Experienced with in-house microscopic evaluation of skin lesions and lumps to determine underlying problems and specific treatment. 
• For environmental allergies, blood allergen testing is available with immunotherapy to follow as needed. 
• Available also are newer therapies such as an injection of a monoclonal antibody (CYTOPOINT™) once every month or less, which is cost-effective and convenient. CYTOPOINT™ blocks the protein, Interleukin-23, which causes the itch.
• We know allergies can be frustrating and will track down the cause and treat with medications that minimize side effects.
  

Gastroenterology

• Vomiting and/or diarrhea can be severe and persistent. In-house abdominal ultrasound and endoscopy with biopsy are available if needed to determine the underlying cause for effective therapy.
  

Oncology

• In-house ultrasound and ultrasound-guided tissue aspiration and biopsy are available for non-invasive diagnosis.
• For those cancers responsive to or palliated by chemotherapy, it is available with close attention paid to preventing/limiting side effects.
• If needed, surgical treatment with the option of a board-certified surgeon is available.
  

Endocrinology

• Common hormonal diseases such as hyperthyroidism in cats and diabetes are treated with close monitoring and avoidance of potential complications. We work with our clients to develop a treatment plan that suits the patient and caregiver.
  

Respiratory Medicine

• In-house digital X-ray.
• Rigid endoscope for nasal cavity examination, biopsy, and foxtail removal.
• Nebulizer Therapy—Instruction and rental units are available for all animal species seen at Miramonte Veterinary Hospital.