Internal medicine is an area of study encompassing any disease or abnormality of the internal systems, for example - the airway, heart, intestines, liver, kidneys and circulatory system.
Randwick Equine Centre offers specialist internal medicine care led by Dr Leanne Begg in top class facilities. We also have an on-site laboratory to provide rapid support for the clinicians and nurses looking after the horses.
We have the facilities and specialist expertise to diagnose a variety of neurological disorders. We can perform myelograms under general anaesthesia to document cervical vertebral malformation or “wobbler” syndrome - a relatively common cause of ataxia (poor coordination and loss of controlled body movement).
We have a 3m video-gastroscope that can be used to examine all areas of the stomach, including the pylorus and proximal duodenum, which is an extremely useful tool in identifying gastric ulceration and other abnormalities of the stomach.
A practice based study was published in 2003 where results of gastroscopy in 345 racehorses were documented. It proved that stomach ulceration is a very common problem in horses.
We have state of the art ultrasound capabilities including a Colour Doppler, which in conjunction with an ECG (electrocardiograph) are essential diagnostic tools for the evaluation of heart disorders such as murmurs and arrhythmias.
Pulmonology is the study of respiratory disease. Randwick Equine Centre is a leader in the field with state of the art diagnostic equipment to identify and evaluate respiratory disorders including –
Ultrasonography (to identify conditions of the lungs such as pleuro pneumonia).
Video-Endoscopy (to identify disorders of the upper respiratory system)
Dynamic Respiratory Endoscopy (an endoscopic examination of the horse’s upper airway whilst under race or performing conditions).
Bronchoalveolar Lavage (Lung Wash) and Transtracheal Aspirate – both techniques are used to identify conditions of the lower airway such as inflammatory airway disease and haemorrhage through cytological examination of respiratory secretions
Intravenous Fluid Therapy and Monitoring
We have several dedicated stalls which allow continuous fluid therapy to support hydration and restore electrolyte balance in critically ill patients, most commonly those suffering from colitis (severe inflammation of the large bowel and diarrhoea).