What is Musculoskeletal Ultrasound?

This is a relatively new diagnostic tool in canine soft tissue injury. The development of highresolution equipment has resulted in better image quality and gives the imager a tremendous range of applications for accurate diagnosis and monitoring of a multitude of musculoskeletal conditions

What are the commonly scanned areas?

- Shoulder - Iliopsoas Muscle/Tendon - Stifle - Tarsus - Carpus

What cases can I use MSK Ultrasound for?

There area a wealth of canine patients that would benefit from diagnostic ultrasound ranging from household pets right through to high level agility and sporting dogs, and in both acute and chronic injuries.

What to expect if you refer a case for Diagnostic MSK Ultrasound?

All patients will be assessed by a member of our orthopaedic team prior to admission for diagnostic ultrasound. This allows for accurate lesion location and ensures ultrasound is the most appropriate course of action for that patient. Patients are hospitalised for the day with the requirement for sedation and/or general anaesthesia depending on the case.

Internal Medicine

Internal medicine cases are varied and complex. Each diagnosis is a puzzle to be solved where clues must be discerned from a thorough consideration of the history, clinical signs, physical examination and careful selection and interpretation of diagnostic tests. Yet, piecing these together and making a diagnosis is just the beginning. Treatment options can be varied and are selected to best suit each individual animal and owner with ongoing review and adjustment over time.

Our two internal medics Kate and Eve thrive on solving these mysteries and the full range of diagnostic facilities we have here at Eden Veterinary Referrals enables them to work through and unravel complex cases. Their experience then means they can communicate with and guide owners through decisions on treatment options and continually provide ongoing support to both referring vets and clients as cases progress over time.

NEW – internal Medicine Referral Package

Please click below to see a selection of prices from our most referred investigations.
Prices given for investigations are an indication only and may vary dependent on tests used and individual circumstances. Ongoing medication/treatment prices are not included as these will vary greatly in each clinical case. Anaesthetic costs where required for tests are included.

Internal Medicine Packages

Investigation	Cost*
PUO work up (excluding CT)	£2200
Oesophagus FB removal (scope)	£1200-£1800
Respiratory work up (Bronchoscope & CT)	£3300
Upper GI V+ work up (bloods/scan/scope)	£3300
Complete GI upper & lower scope (bloods/scan/scope)	£3800
Nasal work up (inc CT)	£3300
Liver work up (Basic)	£1200-2200
Liver work up (inc biopsies)	£2800-3800
Blood transfusion	£900-£1200
Cystoscopy £1500-£2000	£1800-£2200

•Prices given for investigations are an indication only and may vary dependent on tests used and individual circumstances.

Kate Sloan BVetMed (Hons) CertAVP(SAM) MRCVS
Advanced Practitioner in Small Animal Medicine

Kate studied at the Royal Veterinary College, graduating with distinction in 2008. She then spent the first four years of her career in mixed farm and small animal practice, enjoying the challenges this offered, before settling in a busy, small animal hospital to focus on the area of veterinary work she had become passionate about, small animal medicine. Kate completed the Certificate in Advanced Veterinary Practice, successfully passing the synoptic exam in Small Animal Medicine in 2016 and going on to become an Advanced Practitioner.

Before becoming a founding director of Eden Vets and Eden Veterinary Referrals Kate worked in several Tier 3 Small Animal Hospitals accepting complex internal medicine referral cases. She enjoys all areas of medicine but is particularly interested in emergency and critical care and relishes the challenge of managing these high pressure cases effectively.

Eve Dearden BVSc CertAVP(SAM) MRCVS
Advanced Practitioner in Small Animal Medicine

Having graduated from the University of Liverpool with distinction in 2013 Eve went on to complete her certificate of Advanced Veterinary Practice in Small Animal Medicine, successfully sitting the synoptic examination in April 2019 and going on to become an Advanced Practitioner. Eve worked at a number of busy small animal hospitals across Cheshire and the West Midlands before setting up Eden Vets & Eden Veterinary Referrals in the autumn of 2020.

Eve loves all things internal medicine but has a particular interest in the use of diagnostic imaging, especially ultrasonography and endoscopy, as tools to fully investigate even the trickiest of cases.

NEW INTERNAL MEDICINE – PACKAGE

Eden Vets Referral – Internal Services

Advanced imaging

Our on-site CT scanner provides immediate access to advanced imaging to help achieve rapid diagnoses in a variety of complex medical cases. Utilising external specialist radiology reporting services with a range of available turnaround times means both routine and emergency cases can take advantage of this service.
Additionally, we have a monthly visiting MRI service at Eden Vets that allows access to in-depth imaging of the central nervous system amongst other body areas.

Both of our advanced imaging services can be accessed on a full referral, or an outpatient-only, basis, depending on the case and your needs. Please visit the main advanced imaging tab for more information.

Gastrointestinal Endoscopy

Upper and lower gastrointestinal endoscopy has many applications for both diagnosis and treatment of a variety of conditions.

Gastroscopy alone is invaluable for gastric ulcer diagnosis or foreign body retrieval, whilst full endoscopy +/- colonoscopy is regularly used to differentiate inflammatory and neoplastic gastrointestinal conditions. Our wide range of endoscopic equipment at Eden Vets allows examination of all sized patients.

Oncology

Our broad range of imaging facilities and ability to sample CSF and bone marrow, as well as difficult to access lesions via ultrasound guidance, means we can comprehensively diagnose and stage oncology cases. Treatment options may include referral to our surgical team, chemotherapy planning and initiation or onward referral for radiotherapy. We often converse with a specialist oncologist so we can ensure the advice we give is based on the most up to date evidence. Cases can be passed back to referring vets for ongoing chemotherapy or we can continue to manage them here where we are confident and experienced in the handling and administration of cytotoxic agents.

Critical Care

Our comprehensive services and 24-hour medical nursing care means we can offer the high level of care required for critical cases. Our experienced team can assess patients quickly and safely and our extensive facilities allow rapid on-site diagnostics and interventions to give these cases the best chance of a successful outcome. Patients can be managed in isolation facilities or in an oxygen kennel if required. We can carry out transfusions, place feeding tubes for assisted nutrition or chest drains for cases such as pyothorax or trauma. We are confident in placing central venous lines, taking arterial samples for blood: gas analysis and managing critical cases under anesthesia where necessary.

As well as caring for the animal, these cases are often highly stressful and emotional for owners and require exceptional communication and empathy. We pride ourselves on providing this and have a quiet room for visitors as well as staff trained to offer support to upset and distressed clients at these difficult times.

Internal Medicine

NEW – internal Medicine Referral Package

NEW INTERNAL MEDICINE – PACKAGE

Eden Vets Referral – Internal Services

Advanced imaging

Ultrasonography

Gastrointestinal Endoscopy

Upper and Lower Airway Endoscopy

Cystoscopy

In-house laboratory

Oncology

Critical Care

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Total Hip Replacement in a patient with Perthes Disease.