Services We Offer

Internal Medicine Consultation

As a board-certified internal medicine specialist, Dr. Brown will review your pet’s record, including previous diagnostic results and current medications. She will then discuss the case with your veterinarian and make recommendations regarding additional diagnostics and therapeutics to give your pet the best possible quality of life. Follow-up diagnostic and clinical response consultations are available for case continuity at a reduced rate.

Abdominal, Non-Cardiac and Small Parts Ultrasonography

Ultrasonography is a type of diagnostic technique that uses ultrasound waves to produce an imaging study. This means that when we perform ultrasonography, we can see internal images of the patient’s body. Unlike some other imaging studies, like x-rays, ultrasonography does not use radiation. Instead, ultrasonography uses high-frequency sound (ultrasound) waves to create a picture of what is inside your pet’s body. Ultrasonography is a completely non-invasive, painless way to investigate internal organs or tissues for many common (and uncommon) conditions.


Endocrinology is an important aspect of internal medicine. Diabetes, Cushing’s disease, Addison’s disease, and thyroid issues are common diseases of the endocrine system seen in our canine and feline companions. At Birch Veterinary, we have an affinity for helping patients with multiple endocrine disorders live their best lives, finding the balance between diseases that will keep pets as happy and free from clinical signs as possible. Dr. Brown uses the most modern techniques to monitor diabetes and adjust insulin as the disease changes over time.


Gastroenterology focuses on your pet’s digestive system and its related functions. Our state-of-the-art diagnostics allow us to analyze your pet’s gastrointestinal condition to identify if they have a healthy digestive tract while also helping us diagnose and treat potential gastrointestinal diseases such as pancreatitis, inflammatory bowel disease, and protein-losing enteropathy (PLE).


Our immune system is our first line of defense against foreign entities that could wreak havoc against our bodies. Sometimes, this system becomes dysfunctional and begins to attack areas of the body. The same is no different with our beloved pets. We understand immune-mediated disease and how to regulate your pet’s immune system through medical and dietary therapy. The earlier you take steps in controlling and maintaining the immune system when it becomes dysfunctional, the better chance your pet has for excellent long-term quality of life. We are experts at treating diseases such as immune-mediated thrombocytopenia (IMHA), Immune thrombocytopenia (ITP), Immune-mediated polyarthritis (IMPA), and immune-mediated intestinal and liver diseases.


The liver is a vital organ responsible for removing toxins from the blood, producing proteins such as albumin and clotting factors, making bile to help with digestion, and storing essential vitamins and minerals. If the liver begins to have issues with these functions, it could spell for trouble in the rest of the body. Fortunately, the liver is capable of regeneration, and even severe liver diseases may be controlled and even reversed. A definitive diagnosis and correct medical therapy (which sometimes means a special diet) are imperative to a positive outcome for a pet with liver disease.

Nephrology & Urology

The kidneys are vital organs responsible for regulating blood pressure, electrolytes, and filtering fluid in the body. Kidney disease is often progressive and can be fatal in extreme cases. The urinary system (bladder and urethra) must be working properly and free of disease for comfort and excellent quality of life. Dr. Brown specializes in the management of kidney and urinary tract diseases in both dogs and cats. At Birch Veterinary, we take a proactive approach to renal disease by monitoring for conditions associated with the progression of diseases such as urinary tract infections (UTIs), anemia, hypertension, and abnormal electrolyte levels. We also specialize in the management of recurrent or resistant urinary tract infections and urinary stone management.

Endoscopy (Coming Soon!)

Birch Veterinary Internal Medicine will soon pride itself in being one of a few mobile vets to provide endoscopy services in the comfort of your regular veterinarian’s office. An endoscope is a long, flexible tube with a tiny camera at its tip. A channel inside the tube allows the veterinarian to insert a variety of small instruments for obtaining biopsy samples or retrieving foreign objects.