Internal Medicine Support

Internal Medicine Support

Advanced Diagnostics & Medical Care for Complex Conditions

When your pet is facing a complex, chronic, or difficult-to-diagnose condition, our board-certified veterinary internist works to find answers - partnering with your primary care veterinarian every step of the way.

Dr. Karah Burns DeMarle provides advanced diagnostic evaluation and treatment planning for dogs and cats, and works closely with our surgical team to support surgical planning and recovery for complex patients.

Using advanced diagnostics, thorough case evaluation, and evidence-based treatment plans, we work with you and your veterinarian to identify the underlying cause of illness and provide timely, thoughtful recommendations tailored to each patient's needs. Your primary veterinarian remains at the center of your pet's care. We will share complete findings and recommendations after every visit.

Conditions We Diagnose and Treat

  • Chronic gastrointestinal disease, including vomiting, diarrhea, and regurgitation
  • Liver and gallbladder disease
  • Kidney and urinary tract disease
  • Endocrine disorders, including diabetes mellitus, Cushing's disease, Addison's disease, and thyroid disease
  • Respiratory disease, including chronic cough, asthma, and nasal disease
  • Anemia, thrombocytopenia, and other hematologic disorders
  • Autoimmune and infectious diseases
  • Unexplained weight loss, abnormal laboratory findings, and other complex medical conditions

Our Internal Medicine Services Include:

  • Ultrasound-Guided Aspirates & Sample Collection – Minimally invasive sampling of organs, masses, fluid, and lymph nodes to aid in diagnosis
  • Endoscopy & Minimally Invasive Diagnostic Procedures –  Advanced endoscopic procedures used to evaluate and biopsy, remove select foreign bodies, and investigate chronic digestive disease.
  • Advanced Imaging Support – Access to advanced diagnostic imaging, including CT and fluoroscopy, when additional information is needed to evaluate complex conditions, assess disease extent, or guide treatment decisions.
  • Collaborative Perioperative Care for Surgical Patients – Close coordination between our internal medicine and surgical teams to optimize patient stability, assist with surgical planning, manage concurrent medical conditions, and support recovery before and after surgery.
  • Internal Medicine Consultations & Diagnostic Workups – Comprehensive evaluation of complex medical conditions, including chronic gastrointestinal, endocrine, respiratory, liver, kidney, hematologic, autoimmune, and infectious diseases.

Outpatient Ultrasound

HVS Connecticut offers outpatient ultrasound services to support referring veterinarians with timely access to advanced diagnostic imaging. This service allows patients to receive high-quality ultrasounds without a full specialty consultation, helping streamline diagnostics and next steps in care.

Ultrasound findings are designed to integrate seamlessly into existing diagnostic and treatment plans, with clear communication and timely reporting provided to both pet owners and referring veterinarians.

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Get in Touch with Our Team

Contact us to schedule an appointment or if you have a question.