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Fidan Veteriner Kliniği — Fidan Veterinary Clinic LogoFidan Veterinary ClinicGebze Veterinary Clinic

Internal Medicine

Feline and Canine Internal Medicine: Diagnostics and Treatment Protocol

Medically reviewed by: Adem Fidan, DVM — Chief Veterinarian, Fidan Veterinary Clinic

At Fidan Veterinary Clinic the internal medicine unit evaluates gastrointestinal, renal, urinary, endocrine and infectious disease in cats and dogs through a structured physical examination, complete blood count, serum biochemistry and imaging. Every patient receives a differential diagnosis list built on age, weight and laboratory results, a weight-based evidence-driven treatment plan, nutritional adjustment and a written recheck schedule.

Fidan Veterinary Clinic — Internal Medicine department

Scope of the Internal Medicine Consultation

At our Tatlıkuyu, Gebze clinic serving Darıca, Çayırova, Dilovası and Kocaeli, a consultation never rests on a single sign. Weight trend, appetite, water intake, urination habits and respiratory rate are assessed together, and each patient receives a record documenting age, breed, neuter status, vaccination history and parasite prevention.

When several problems are identified, a complete blood count, serum biochemistry, urinalysis and rapid antigen tests are requested as indicated. Laboratory results are never read in isolation; they are combined with clinical findings to narrow the differential list.

  • Gastrointestinal panel and parasite screening for chronic vomiting and diarrhoea
  • Kidney profile, urine specific gravity and ultrasound for polyuria and polydipsia
  • Parvovirus rapid testing and isolation precautions for febrile puppies

Treatment Discipline and Monitoring

Every plan is issued in writing with weight-based doses, administration times and the adverse effects to watch for. Recheck intervals follow the disease course, because the objective is not to suppress a sign but to manage the underlying cause durably.

Related Clinical Procedures & Health Guides

Internal medicine differential table: clinical sign, first-line test and recheck interval
Clinical SignFirst-Line TestImagingRecheck Interval
Chronic vomiting and weight lossCBC, biochemistry, bile acidsAbdominal ultrasound10 – 14 days
Polyuria and polydipsiaKidney profile, urine specific gravityUltrasound plus urine sediment7 days
Jaundice (icterus)Liver enzymes, bilirubinAbdominal ultrasound48 – 72 hours
Cough and exercise intoleranceCBC, acute phase proteinsThoracic radiography5 – 7 days
Fever with haemorrhagic diarrhoeaParvovirus rapid test, CBCDehydration assessmentDaily

Clinical Pathway

  1. History: nutrition, water intake, urination and stool habits, medication and vaccination record.
  2. Physical examination: temperature, mucous membranes, lymph nodes, abdominal palpation and body condition score.
  3. Laboratory and imaging: CBC, biochemistry, urinalysis and any indicated imaging are completed.
  4. Diagnosis and plan: the differential list is discussed with the owner and a written treatment and recheck schedule is issued.

Frequently Asked Questions

Should my pet be fasted before blood work?

A fast of 8 to 12 hours is usually recommended so the biochemistry panel can be interpreted reliably, with free access to water. For puppies, diabetic patients or chronic cases the window is shortened by the attending veterinarian.

Why can one sign point to several diseases?

Vomiting, weight loss and lethargy are shared across many body systems. Treatment therefore never starts from a single symptom; physical examination, laboratory data and imaging are combined to build a differential diagnosis.

Can I adjust the dose at home?

No. Doses are calculated from body weight and organ function, and several human medications are seriously toxic to cats and dogs. Any dose change is made only by the attending veterinarian.

The information on this page is for general guidance and does not replace a physical examination.