Veterinary Referral Services

This section is for your information about the referral services at Animal Hospital of Rowlett and Diagnostic Center.

We are here to help you provide your patients the diagnostic services that can only add to your medical work up. Clients perceive these referral services as necessary for the care of their pets. The standard of care in small animal medicine is changing dramatically. Veterinarians should never be guilty of not offering the best diagnostic work up to their clients. Our added diagnostic services can provide important medical information, complimenting your medical knowledge.

Ultrasound Services

Animal Hospital of Rowlet - UltrasoundEchocardiology & Thoracic ultrasound - We provide complete cardiac and thoracic ultrasound services. This includes Doppler interrogation of vascular/valvular problems. A complete written report of the 2-D and m-mode measurements with interpretation is provided to the referring veterinarian. Ultrasound guided pericardiocentesis and lung or mediastinal mass fine needle aspiration is routinely performed.

Abdominal Ultrasound - We provide any abdominal ultrasound service you may require. Adrenal and pancreatic scans are routinely performed. Fine needle aspiration guided by ultrasound of any mass or organ is easily and quickly performed. Stomach and intestinal ultrasound has all but replaced barium swallow and radiographs (motility studies excluded). Intussusceptions are readily detected with ultrasound. GI tract neoplasia is often diagnosed with fine needle aspiration. Porto-systemic shunts can be recognized with ultrasound. We can perform 18 gauge core biopsies if the case dictates the need.

We have used a particular cytopathologist for our interpretation of cytology samples for 7 years. However, we will be happy to send the samples back to you for your pathologist of choice to interpret.

Ocular sonograms - ultrasound is very effective to diagnose detached retinas, luxated lenses, intraocular masses / retrobulbar neoplasia or abscesses.

Clinical indications for you using this diagnostic tool (not totally inclusive):

Video and Fiberoptic Endoscopy Services

Veterinary Endoscopy Services - Rowlett, TexasWe utilize video-endoscopy in the majority of our referral procedures. This allows us to send COLOR pictures of the procedure back to the referring veterinarian. We can document lesions and problems for your records and for future reference when monitoring progression of disease.

Clinical applications of endoscopy: examples

Laser Surgery

Veterinary CO2 Laser Services - Rowlett, TexasCO2 Laser for treatments and surgical use. Laser is very exact and safe way to treat many small animal problems. Lasers are used extensively in human dermatology, surgery, ophthalmology and dentistry.

Laser has the power to incise, excise and ablate. The benefits to the patient are: little or no bleeding, shorter procedures, minimal edema and scarring, reduced need for anesthesia, more comfortable healing course, reduced or eliminated need for sutures, overall increased surgical acceptance and decreased morbidity.

Owners are well aware of laser surgery in the human field. We can offer the same quality and comfort for their pet with laser treatment and surgery.

Examples of CO2 Laser uses in small animal veterinary medicine and surgery:

In short, the uses for laser assisted surgery are numerous and expanding every day. We want to share this advancement with our colleagues and help you provide your patients with truly state of the art procedures and technology. Referral cases are treated for the presenting cause and sent back to their veterinarian for follow-up and medications.

Magnetic Resonance Imaging and the Small Animal Practitioner

We want to inform you of an exciting diagnostic tool available to the area veterinarians through the Animal Hospital of Rowlett and Diagnostic Center. In conjunction with Dr. Brian Poteet, ACVR, we have formed a working relationship with an MRI facility, allowing the veterinary community to have access to this state of the art technology.

Your next question might be, "Why do I need to consider MRI for my patients?". Below are listed a few examples of an MRI vs. CT or radiographs. The first thing you need to know is that a computerized tomography(CT) scan is actually a number of radiographs grouped together by a computer to give a more detailed picture. CT scan is the superior technique if your goal is to look at bone or hard tissues. CT will show up soft tissue like a radiograph , BUT the MRI detail of soft tissue is far superior.

The areas where MRI scans are far more valuable are in evaluating the brain, spinal canal or nerve root tumors and disc herniations we see in dogs/cats. Human medicine (and veterinary medicine) also uses MRI to evaluate joints for meniscal damage, ligament damage, tendon strains, etc.(joints are just soft tissue with bones). For the brain MRI is far superior to CT. Lesions that can be identified on MRI images include inflammation, structural abnormalitites, hemorrhage, infarction and neoplasia. CT may show the asymmetry present but not the tumor detail. CT cannot differentiate the tissue fluid differences like MRI can. This becomes very important when you want to differentiate actual tumor plus peritumoral edema in the normal surrounding tissues. A tumor could be made to look much larger on CT or the opposite, much smaller depending upon location, tumor type and fluid accumulation. The MRI is the "best" diagnostic tool for spinal and nerve root tumors. Myelograms show some detail but nothing compares to MRI for spinal disease such as disk herniation and neoplasia. Myelograms cannot diagnose most nerve root tumors since most have not started compressing the cord and may even be outside the spinal canal. On MRI you can see the extent of involvement and do a great job of prognosis. There is a specific contrast agent (gadalinium) that is used for detecting and highlighting neoplasia/inflammatory tissue for MRI evaluation, it is routinely utilized in most scan procedures.

Special anesthesia protocols are used for these procedures. Primarily pre-op with valium and butorphanol then propofol and oxygen(+/- isoflurane). There can be no metal based items in the scanning room! Most scans will take about 30-60 minutes.

MRI interpretation will be performed by Dr. Brian Poteet, ACVR. He is very experienced with MRI interpretation in small animals. The information will be digitized and sent via modem to Dr. Poteet for interpretation, results should be available to you within 12-24 hours.

Diagnostic Uses of MRI in small animal medicine:

MRI technology has many uses in all organ systems. Clients who want the best for their pets will not hesitate to authorize MRI scans. Especially, in cases of neoplasia, where the contrast agent lights up the masses and differentiates fluid densities. This is of great benefit for the surgeons as well as prognostic information. We should offer this technology to any clinical situation that would benefit and let the CLIENTS make the monetary call.

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