Internal Medicine (Large Animal)

The Large Animal Internal Medicine Service at the University of Minnesota diagnoses and provides specialist treatment for horses and other large animal species with a wide variety of medical conditions.
Our experts have the tools, the time and the experience to get to the bottom of your animal’s medical problems. We offer advanced diagnostic techniques including ultrasound, endoscopy, and gastroscopy and provide specialist care for a wide range of health conditions, including intensive and critical care and care needing isolation facilities. We also offer expertise in neonatology and have a purpose built neonatal intensive care unit.
We work closely with other specialty services at the Veterinary Medical Center including Anesthesiology, Cardiology, Clinical Pathology and Diagnostic Laboratory, Dentistry, Dermatology, Medical Imaging, Integrative Medicine, Neurology, Nutrition, Oncology, Surgery and Theriogenology to provide comprehensive veterinary care for your animal.
Intensive care
Intensive care
We offer 24-hour/365 day specialist care for all large animal species, including horses, camelids, cattle, pet pigs and small ruminants. Certified veterinary technicians are present 24 hrs a day, supervised by our veterinarians to provide the very best in care. Intensive care can include includes oxygen therapy, mechanical ventilation, Anderson and camelid slings for animals that need help to stand, plasma and whole blood transfusions, IV fluid therapy, IV nutrition and a full range of monitoring equipment and diagnostics, including a 24 hour clinical laboratory.
Neonatal Intensive Care
Neonatal Intensive Care
Our faculty and staff are highly experienced in managing the variety of disorders that may affect the neonatal foal or other large animal. Our specially designed Neonatal Intensive Care Unit is designed to accommodate the special needs of the critically ill neonate as well as pregnant animals at increased risk for complications around birth.
Contagious Diseases
Contagious Diseases
Our faculty and staff are experienced in diagnosing and managing a wide variety of contagious diseases. Our isolation facilities and procedures allow for the separation of horses and other large animals that have a contagious disease such as salmonella, or equine influenza. These separate facilities protect other patients in the hospital and also allow for intensive care of the patient to continue unhindered.
Gastrointestinal Disorders
Gastrointestinal Disorders
We offer the latest in diagnostic and treatment options for problems such as colic, colitis (diarrhea), gastric ulcers, chronic inflammatory bowel disease, weight loss, or poor appetite. Capabilities include a 3 ½ meter gastroscope, ultrasound examination performed by experienced clinicians and intestinal absorption studies.
Respiratory Diseases
Respiratory Diseases
Our specialists diagnose and treat infectious and allergic diseases using advanced equipment and diagnostic procedures such as endoscopy, tracheal or bronchoalveolar lavage, bacterial culture, virus isolation, and/or skin testing. We can evaluate horses for laryngeal dysfunction (“roarers”) using our dynamic (overground) endoscope, while being ridden in the area or on a high speed treadmill. Oxygen, nebulization and other inhalation therapies are available.
Cardiac Diseases
Cardiac Diseases
We collaborate with board certified cardiologists to provide state of the art assessments and therapy for heart murmurs, exercise intolerance and arrhythmias. Diagnostic capabilities include echocardiographic assessment, ECG monitoring under exercise, 24 hour Holter monitoring and exercise stress testing.
Neurologic Diseases
Neurologic Diseases
We evaluate, diagnose and treat large animal patients with a wide variety of neurologic conditions such as Wobblers syndrome, headshaking and seizures. Signs of a neurological problem include neck or back pain, issues with balance, muscle atrophy, weakness, tremors, difficulty swallowing, deafness or blindness. We offer a broad range of diagnostic capabilities including spinal taps, EPM testing, radiography, myelograms, CT, MRI and muscle biopsy.
Tying-up and other muscle diseases
Tying-up and other muscle diseases
Our faculty have experience diagnosing a wide variety of muscle disorders. A full examination may include exercise testing, muscle biopsy evaluation and genetic testing.
Wellness examinations for older horses
Wellness examinations for older horses
We can provide routine, in-depth health evaluations for problems seen in older horses such as dental abnormalities, pars pituitary intermedia dysfunction (PPID or equine Cushing’s disease) and, and weight loss.
Other medical conditions
Other medical conditions
In addition to the conditions mentioned above, we also provide evaluations for endocrinopathies, such as equine metabolic syndrome (EMS), skin disorders, laminitis and nutrition concerns. We are uniquely qualified to examine, diagnose, and treat a wide variety of complex conditions that may involve more than one organ system or require a multifaceted approach.
Contact Information
612-625-6700
Our Team
Our team includes board-certified veterinarians, veterinarians undergoing specialist training (residents and interns) and certified veterinary technicians.
Providers:
Emily Barrell, DVM, MSc, DACVIM
Alex Bianco, DVM, MS, DACVIM
Anna Firshman, BVSc, PhD, Diplomate ACVIM, Diplomate ACVSMR
Christie Ward, DVM, PhD, MVSc, Diplomate ACVIM
What to expect
Our evaluations are thorough and can take time. You may want to bring a good book or electronic device (wireless is available in the lobby). If necessary animals can be dropped off the morning of, or the night before and trailer parking is available. Feel free to call ahead to ask about estimates or specific procedures.