Out of hours 01225 982777
Bath Vet Referrals 01225 982777
Small Animal Rehabilitation Centre 01225 982777
Bath Vet Referrals's home page
Out of hours 01225 982777
Bath Vet Referrals 01225 982777
Small Animal Rehabilitation Centre 01225 982777

Services

Our multidisciplinary comprehensive service list

Services

Our multidisciplinary comprehensive service list

Services Provided

Please find below the comprehensive list of the services that we offer.

  • Internal Medicine
  • Soft Tissue Surgery
  • Orthopaedic Surgery
  • Neurology
  • Spinal Surgery (Neurosurgery)
  • Ophthalmology
  • Cardiology
  • Oncology
  • Laparoscopic Procedures
  • Arthroscopy
  • Rehabilitation
  • CT
  • MRI
  • Outpatients
  • Out of Hours Care

Internal Medicine

The internal medicine referral team at Bath Vet Referrals consists of Lisa GardbaumFederica Manna and Giulia Grenga.

The internal medicine team are experienced in all aspects of feline and canine medicine. We work closely alongside our surgical team and are also actively involved in the diagnostic imaging of our own cases. We are also involved in the investigation and treatment of oncological and neurological cases. We have a dedicated team of referral nurses assisting us and looking after the inpatients. We also have a separate peaceful, large and modern cattery which is ICC (International Cat Care) accredited in a different location of the building to the kennels to reduce stress in our feline patients.

 

The internal medicine services we provide include:

  • Feline and canine infectious diseases
  • Endocrine conditions such as diabetes mellitus, hypoadrenocortism, hyperadrenocortism
  • Hepatic, pancreatic and adrenal diseases
  • Haematological conditions such as coagulopathies, thrombocytopaenia, anaemia, transfusion of blood products
  • Immune mediated diseases
  • Respiratory diseases
  • Gastrointestinal conditions
  • Urinary tract disease
  • Oncology
  • Fever of unknown cause

We have a wide range of diagnostics available to help investigate these cases including:

  • In- house blood analysis (haematology, biochemistry, coagulation, blood gas analysis, Angiostrongylus testing)
  • Same day blood, urinalysis and cytology results from our external laboratory and 1-2 day histopathology results in urgent cases
  • Endoscopy including bronchoscopy and bronchoalveolar lavages (BAL), upper and lower gastrointestinal endoscopy and biopsies, rhinoscopy and cystoscopy
  • Ultrasound including doppler flow and ultrasound guided trucut biopsies
  • CT/CT angiography/CT urethrography
  • MRI
  • Radiography
  • Arthrocentesis
  • CSF collection
  • Bone marrow aspirates and biopsies

To refer a case, please click here.

If you would like advice on an internal medicine case, please don’t hesitate to contact us​.

Meet our Vets

    

    Dr Lisa Gardbaum                        Dr Federica Manna                   Dr Giulia Grenga

Soft Tissue Surgery

The soft tissue referral team at Bath Vet Referrals consists of Samantha Lane and Edward Corfield.

Sam and Edward accept referrals of a wide range of cases and work closely with our internal medical team, orthopaedic and ophthalmic surgeons. The team is supported by our knowledgeable and dedicated nurses and our first opinion night team, providing hospitalised patients with the best care 24 hours a day.

Bath Vet Referrals’ facilities include a state-of-the-art theatre, dedicated to soft tissue surgery, along with extensive diagnostic equipment, comprising ultrasonography, endoscopy, digital radiography, on-site CT scanner and MRI scanner. Our facilities ensure that all referred cases benefit from a thorough work-up of a variety of conditions.

Sam and Edward also offer an email advice service (including radiographic interpretation) and telephone advice to referring practices. Bath Vet Referrals also offers out-of-hours referral service for existing and new cases.

Our soft tissue surgery includes:

Ear, nose and throat:

  • Brachycephalic obstructive airway syndrome (BOAS)
  • Total canal ablation and lateral bulla osteotomy
  • Ventral bulla osteotomy
  • Laryngeal paralysis tieback
  • Nasal discharge investigation
  • Salivary mucocoeles
  • Stick injuries

 

 

Thoracic:

  • Thoracotomy
  • Thoracoscopy
  • Lung lobectomy
  • Ruptured diaphragm/Peritoneopericardial diaphragmatic hernia
  • Chest wall tunours
  • Pericardial strip

Abdominal:

  • A range of gastrointestinal surgery from laparoscopic spays to management of peritonitis
  • Cholecystectomy
  • Perineal surgery
  • Urogenital surgery including urinary incontinence investigations/treatment and urinary obstruction cases
  • Splenectomy
  • Prostatic investigations and surgery
  • Liver biopsy and lobectomy

Oncology:

  • Oncological investigation, staging and surgery
  • Mass removal and wound reconstruction
  • Maxillectomy
  • Mandibulectomy

Laparoscopy:

  • Ovariectomy
  • Ovarian remnant syndrome
  • Cryptorchid castration
  • Liver biopsies/bile sampling
  • Laparoscopic assisted gastropexy
  • Laparoscopic assisted gastrointestinal biopsies

To refer a case, please click here.

If you would like advice on a soft tissue case, please don’t hesitate to contact us​.

Meet our Vets

  

Dr Samantha Lane                                Dr Edward Corfield

Orthopaedic Surgery

The Bath Vet Referrals surgical team who perform Orthopaedic surgery include Jon Shippam and Edward Corfield.

Orthopaedics

Orthopaedic cases seen at Bath Vet Referrals include lameness investigations and surgical treatments for bone, ligament or tendon injuries and abnormalities.

A lameness investigation consists of taking a detailed history, observing the patient walking to assess lameness and gait, followed by an in-depth physical examination including palpating for evidence of swelling or muscle wastage, looking for signs of pain, assessing range of motion, joint stability and feeling for crepitation.  Basic neurological tests are performed to assess for delays in conscious proprioception.  In many cases the cause of lameness can be localised to specific areas which allows further investigations such as advanced imaging to help make a diagnosis.  Where a diagnosis has already been made we will perform a thorough assessment to confirm the diagnosis and to rule out any concurrent issues.

The method of advanced imaging we most commonly use for orthopaedic conditions is computed tomography (CT). This uses x-rays to create a three-dimensional image that is especially good for identifying bony lesions. Magnetic resonance imaging (MRI) is also useful in some cases - especially if a lameness is actually caused by a neurological problem such as lumbosacral stenosis. Simple fractures, hip dysplasia and cruciate ligament ruptures are examples of conditions where radiography provides sufficient diagnostic information.

We encourage physiotherapy and hydrotherapy in the treatment and post-operative rehabilitation of orthopaedic cases. Our ACPAT physiotherapist is available to provide treatment for post-operative inpatients as well as follow up appointments for outpatients.

      

Fractures

Fractures classifications describe whether they are open or closed, simple or comminuted, displaced or non-displaced and articular or non-articular. We offer a range of fixation methods such as using bone plates (including use of Synthes LCP which allows use of locking internal fixation with the benefits of achieving fracture compression), external skeletal fixation (using the Imex SK Linear ESF System), hybrid fixation (using the Imex SK Hybrid ESF System), Ilizarov ring fixators, and for some avulsion fractures using pins and tension band fixation. Each case is classified and carefully assessed to allow us to recommend the most appropriate method of fixation.  Autogenous cancellous bone graft is used to help speed the repair in many cases.

Cruciate ligament ruptures

At Bath Vet Referrals we offer TPLO, TTA, CCWO and lateral suture as treatment options for cranial cruciate ligament (CCL) disease.  Cranial cruciate ligament tears or ruptures are most commonly a degenerative process that leads to instability of the stifle (knee) and often causes secondary tearing of the meniscal cartilages. Various methods of treatment are available, but in larger dogs we usually recommend the tibial plateau levelling osteotomy (TPLO) or tibial tuberosity advancement (TTA) procedure (using genuine Synthes and Kyon implants respectively). The TTA and TPLO procedures change the biomechanics of the stifle to overcome the instability caused by failure of the cranial cruciate ligament. We also offer lateral suture stabilisation which can be used in any size of dog but is best suited to small dogs and cats.  Cranial closing wedge osteotomy of the tibia (CCWO) is another option similar to TPLO that is recommended in selected cases.

Patellar luxation

Patellar luxation is a common condition that can be asymptomatic through to causing severe mobility issues. The most common presentation is where dogs show intermittent skipping lameness, and often isn’t painful at the time of diagnosis. In the majority of cases the patella (knee cap) luxates because of a malalignment in the hindlimb. Treatment options include compensating for the malalignment by moving the part of the tibia called the tibial tuberosity, or by directly correcting the malalignment by use of a corrective osteotomy which involves straightening the bone (and/or correcting torsion) and using a bone plate to stabilise the bone whilst it heals. Many cases also require deepening of the groove that the patella sits in to improve stability. Studies have shown patellar luxation to have disappointing complication rates including recurrences, but modern techniques including CT alignment measurements can help make a tailored plan for each case which can significantly reduce the complication rates.

Arthroscopy and Elbow Dysplasia

Our facilities include high definition video endoscopy facilities that allow us to perform arthroscopy procedures to both assess and treat conditions inside joints. The most common use of arthroscopy is to assess cases of elbow dysplasia, especially if they have fragmentation of the medial coronoid process. In cases of suspected elbow dysplasia we will usually start with CT, and particularly if this shows fragmentation then we may recommend arthroscopic (key hole) removal of the fragment. In some cases with persistent lameness, loss of cartilage in the medial compartment of the elbow but intact cartilage in the lateral compartment we may recommend the PAUL procedure (proximal abducting ulnar osteotomy) which aims to reduce load on the medial compartment.

Humeral intracondylar fissures (HIF) in Spaniel breeds

Sometimes referred to as incomplete ossification of the humeral condyles, this condition is mainly seen in Spaniel breeds and may be a developmental abnormality but evidence shows some cases develop fissures after being previously documented as normal. CT is the most sensitive method of diagnosing this condition. HIF can cause a progressive forelimb lameness, but most seriously can lead to spontaneous elbow fracture (including lateral condylar fractures or T or Y fractures). The lameness and risk of fracture can be resolved in most cases by placement of a transcondylar screw.

Other conditions and treatments at Bath Veterinary Referrals include:

  • Hip luxations
  • Shoulder injuries
  • Meniscal tears
  • Limb deformities
  • Immune mediated polyarthritis
  • Osteochondrosis dissecans (OCD)
  • Stem cell therapy
  • Platelet therapy
  • Hock and carpal injuries including pancarpal and pantarsal arthrodesis

To refer a case, please click here.

If you would like advice on an Orthopaedic case, please don’t hesitate to contact us​.

Meet our Vets

  

Dr Jonathan Shippam                        Dr Edward Corfield

Neurology

Medical Neurology

The internal medicine team at Bath Vet Referrals consists of Lisa Gardbaum and Federica Manna.

Our medical team see a wide variety of neurological cases including:

  • Investigation of seizures
  • Abnormal mentation
  • Facial paralysis
  • Vestibular signs
  • Tremors
  • Ataxia
  • Paresis/paralysis
  • Spinal disease
  • Neck pain
  • Neuromuscular disease
  • Suspected syringomyelia/chiari malformation

In cases of suspected inflammatory brain and spinal diseases, as well as diagnostic imaging of the brain if deemed necessary, we will also carry out lumbar or cisternal cerebrospinal fluid sampling to make a definite diagnosis as well as routine clinico-pathological testing.


We also offer medical treatment/chemotherapy for brain tumours and can organise tertiary referral for radiotherapy or surgery where appropriate.

To refer a case, click here

If you would like advice on a neurology case, please don’t hesitate to contact us​.

Meet our Vets

 

Dr Lisa Gardbaum                         Dr Federica Manna

Spinal Surgery (Neurosurgery)

At Bath Vet Referrals, we are able to offer urgent same day referrals for spinal cases with two of our referral surgeons trained to perform spinal surgery. Jon Shippam and Edward Corfield perform spinal surgery and we have permanent MRI and CT facilities on site. We offer spinal surgery including hemilaminectomy and ventral slot procedures to treat spinal cord compression due to acute disc extrusions. We are often able to diagnose acute disc extrusion and spinal cord compression straight away and carry out surgery immediately post-imaging if indicated.

Surgical treatments offered for acute disc extrusions:

Hemilaminectomy in the thoracolumbar area

Ventral slot in the neck region

Our ACPAT physiotherapist provides inpatient treatment post-operatively and includes hydrotherapy on an outpatient basis using our water treadmill.

Lumbosacral disease

Some of the cases we have referred for lameness related signs are diagnosed with lumbosacral disease including foraminal stenosis.  These dogs can show a range of signs from reluctance to jump, pain and neurogenic claudication (lameness caused by nerve compression).  We investigate these cases as part of a lameness investigation, and if suspicious of lumbosacral disease then we may offer CT or MRI of the lumbosacral spine.

To refer a case, click here.

If you would like advice on a neurosurgical case, please don’t hesitate to contact us​.

Meet our Vets

  

Dr Jonathan Shippam                        Dr Edward Corfield

Ophthalmology

Bath Veterinary Referrals are now able to offer an ophthalmology service in association with Rowe Referrals, providers of an expert, second opinion service for all eye cases across the South West. A visiting ophthalmologist will assess and manage pre-arranged cases at Rosemary Lodge, once a fortnight. The initial appointment lasts for an hour to ensure that there is plenty of time for a calm, thorough examination of both eyes.

The ophthalmic examination includes assessment of vision, conformation, neuro-ophthalmology, tear film, intraocular pressure measurements, full slit lamp examination, and both direct and indirect ophthalmoscopy. Conditions covered include congenital defects, eyelid abnormalities (including third eyelid), dry eye, ulcers and SCCEDs, cataract assessment, retinal abnormalities, uveitis, glaucoma, intraocular tumours, nasolacrimal duct abnormalities and retrobulbar issues. Minor procedures such as Algerbrush debridement of SCCEDs, corneal cytology and bacteriology, and conjunctival biopsies may be performed at the time of initial appointment.

Major surgical procedures, however, will be performed in a state-of-the-art, dedicated ophthalmic operating theatre at Rowe Referrals in Bradley Stoke, with surgeries offered including removal of distichia and ectopic cilia, simple or complex eyelid surgery, corneo-conjunctival transposition, keratectomy, laser indirect surgery, phaecoemulsification of cataracts and placement of intraocular lenses (including sutured intraocular lenses if indicated), glaucoma endolaser and shunt surgery, and lens luxation surgery. For further investigation of retinal function and sudden blindness, electroretinography is available. Advanced imaging facilities at Bradley Stoke include CT, MRI and ocular ultrasound. Post-operative checks and ongoing management can then be offered fortnightly back at Rosemary Lodge.

 

Cardiology

We provide cardiology consultations to investigate heart murmurs, collapse, syncope, seizures, arrhythmia, exercise intolerance or breathing difficulties suspected to be related to the heart.  Facilities available for diagnostic investigations include echocardiography (ultrasound), electrocardiography (ECG), digital direct radiography (DR) and computed tomography (CT).

Where necessary, a full interventional cardiology service is available via Southern Counties Veterinary Specialists whose cardiologists can perform initial assessments via consultation at Bath Vet Referrals.

To refer a case, please click here.

If you would like advice on a cardiology case, please don’t hesitate to contact us​.

Oncology

At Bath Vet Referrals, Oncology cases are assessed by both our Internal Medicine and Soft Tissue Surgery teams; each case is individually approached and treatment is tailored to the individual patient.

Diagnosis

We have on-site access to a range of diagnostic tools, which allow prompt investigation, diagnosis and staging before treatment options are discussed with the owner.

Diagnostic facilities available:

  • On-site laboratory and twice daily external laboratory collection (same day results).
  • High quality ultrasound scanner, this allows assessment and ultrasound-guided fine needle aspirates and Tru-cut biopsies to be taken from abnormal areas.
  • On-site Siemens 16-slice CT scanner with the ability to obtain CT-guided biopsies. Full specialist interpretation is available through VetCT.
  • On-site MRI.
  • Digital radiography (X-ray).
  • Video cystoscopy, rhinoscopy, endoscopy and biopsy.
  • Laparoscopic assisted biopsies.
  • Surgical biopsies.


Treatment

Chemotherapy options and prognosis are discussed with owners and tailored to the individual patient.

Frequently performed protocols:

  • CHOP/COP for lymphoma and leukaemia.
  • Adjunctive therapy for mast cell tumours, osteosarcomas, carcinomas.
  • Newer drugs such as tyrosine kinase inhibitors are used in appropriate cases based on identification of tumour markers using immunohistochemistry

Tertiary referral for radiotherapy will be organised in appropriate cases such as brain/nasal neoplasia and certain non-resectable tumours

Our surgeons assess cases that need diagnostic, curative and adjunctive surgical procedures.

Frequently performed surgery:

  • Large mass removal and reconstruction (soft tissue sarcoma, mast cell tumour, other large skin masses).
  • Thoracic surgery and lung lobectomy for primary pulmonary masses.
  • Abdominal oncological surgery (liver lobectomy, splenectomy, intestinal mass resection, nephrectomy for renal masses, bladder wall neoplasia).
  • Lymph node biopsies/removal.
  • Limb amputation in osteosarcoma cases.
  • Advancement and axial pattern flaps following surgery.

To refer a case, please click here.

If you would like advice on an oncology case, please don’t hesitate to contact us​.

Meet our Vets

  

Dr Lisa Gardbaum                          Dr Federica Manna                   Dr Edward Corfield

 

  

Dr Samantha Lane                                      

Laparoscopic Procedures

The Bath Vet Referrals surgical team who perform Laparoscopic procedures include Jon ShippamSam Lane and Edward Corfield.

Minimally Invasive Surgery 

Minimally invasive or 'keyhole' surgery uses specialist instruments and rigid endoscopes (cameras) to perform surgeries through very small incisions in the body wall (e.g. abdomen/thorax). We are able to do some procedures entirely using this technique, in other cases we can use the endoscope to assist with the procedure.

Such techniques have been used in human surgery for many years as they have marked benefits when compared to traditional 'open' surgeries. At Bath Vet Referrals we are fortunate to have a state-of-the-art Storz high definition camera system which provides very clear and detailed images, facilitating optimal treatment provision to our patients.

The main benefits of minimally invasive surgery are: 

  • Reduced post-operative pain and discomfort.
  • A quicker return to normal activity.
  • Smaller surgical wounds.
  • Decreased risk of complications and infections.
  • Enhanced magnification afforded by the endoscope enabling greater surgical accuracy.

 We use these techniques in particular for: 

  • Neutering - laparoscopic ovariectomy (spay) and retained (cryptorchid) testicle removal.
  • Laparoscopic ovarian remnant removal.
  • Laparoscopic assisted gastropexy.
  • Laparoscopic liver biopsies and bile aspiration.
  • Laparoscopic pancreatic biopsy.
  • Laparoscopic assisted intestinal biopsies.
  • Laparoscopic assisted cystotomy.
  • Thoracoscopic procedures.

To refer a case, please click here.

If you would like advice on a laparoscopic case, please don’t hesitate to contact us.

Meet our Vets

  

Dr Jonathan Shippam                    Dr Samantha Lane               Dr Edward Corfield

Arthroscopy

Arthroscopy cases are managed and treated by Jon Shippam

Arthroscopy is a minimally invasive (or keyhole) technique for assessing and treating joints.  We have a modern high definition camera system for assessing cartilage lesions in detail.  The most common joints for performing arthroscopy are the elbow, stifle and shoulder.  Compared to open joint surgery, arthroscopy can lead to faster recovery times and reduce the risk of complications such as infection.

 

 

Elbow

Developmental elbow disease is a common condition of the canine elbow.  Arthroscopy allows for assessment of the articular cartilage, assessment of joint congruity and removal of fragments associated with a fragmented medial coronoid process.  Cartilage assessment of the medial and lateral compartments can also be useful for deciding whether a patient may be a suitable candidate for the PAUL technique which can reduce loading on the medial compartment if there is significant cartilage loss.

  

Stifle

Arthroscopy of the stifle allows inspection of joint surfaces looking for wear of articular cartilage associated with patellar luxation.  It is particularly useful for assessing the meniscal cartilages, and can allow removal of torn areas of meniscus to be removed without opening the joint surgically which can speed recovery.

Shoulder

Growing dogs with osteochondrosis dissecans (OCD) can be treated by arthroscopic removal of the cartilage flap and debridement of the subchondral bone.  This minimally invasive approach can speed up recovery and minimise the risk of complications compared with open joint surgery.  Arthroscopy also allows for the inspection of the biceps tendon (and treatment of severe tears) and inspection of the ligaments that support the shoulder.  In cases of complete shoulder ligament tears, arthroscopically assisted repairs can be perform to stabilise the shoulder joint.

To refer a case, please click here.

If you would like advice on a case requiring arthroscopy please don’t hesitate to contact us​.

Our Vets

   

Dr Jon Shippam                         

Rehabilitation

Our rehabilitation centre offers both physiotherapy and hydrotherapy rehabilitation treatment for pets and is based less than 5 minutes drive from Bath Vet Referrals, Rosemary Lodge. To book an appointment please contact us and to find out more about the physiotherapy and hydrotherapy services that we provide, please visit our rehabilitation section.

To refer a case, please click here.

If you would like advice on a case requiring arthroscopy please don’t hesitate to contact us​.

Sarah Nehammer

Read about Sarah Nehammer our Veterinary Physiotherapist

CT

At Rosemary Lodge Veterinary Hospital, we have an on-site Siemens Emotion 16 slice CT scanner. CT (computed tomography) is essentially three dimensional x-ray. It has revolutionised the way in which both human and veterinary medicine is able to assess certain patients. CT and MRI work in very different ways and therefore each has its own strengths and weaknesses. For example, CT can provide excellent detail in bone, creating almost perfect 3D reconstructions of joints, whilst MRI is not a great tool for examination of bones. However, CT does not provide very good detail within the brain or spinal cord tissue, whilst MRI is able to show subtle changes due to inflammation, tumours or disc compression.

Our scanner is a "16-slice" scanner allowing us to obtain very detailed pictures for a very short scan time. This means that we can achieve excellent detail in moving organs such as lungs. In fact, once you have seen the detail that we can achieve with CT it is very hard to go back to using x-rays, particularly for lungs and nasal chambers.

CT has many uses, including some of the following common investigations:

  • Abdominal disease (large dogs with any abdominal disease CT has been shown to be more accurate than ultrasound to assess abdominal disease in dogs over 25 kg)
  • Any respiratory disease e.g. chronic coughing, difficulty breathing
  • Disorders of the musculoskeletal including the spine eg spinal fractures and discospondylitis and orthopaedic diseases including elbow dysplasia and growth disorders
  • Suspected portosystemic shunt
  • Nasal disease
  • Retrobulbar/orbital swelling
  • Stick injury
  • Suspected foreign body
  • Vestibular disease, chronic otitis externa/media
  • Investigation of renal and urinary disease eg hydronephrosis, dilated ureter, incontinence
  • Dental disease (e.g. abscess)
  • Metastatic screening/investigation of tumour origin and organ involvement
  • Soft tissue surgery planning to assess how deeply a tumour invades into the surrounding tissues
  • Trauma cases such as road traffic accidents eg jaw fractures

 

 

CT scans are commonly carried out as part of a medical or surgical referral investigation. We also offer outpatient CT scans for stable cases where referral input or additional investigations under the same GA are not deemed necessary.

Click here for more information on outpatient CT or outpatient CT form

Please contact us​ to discuss the suitability of a case for outpatient CT

MRI

Magnetic resonance imaging (MRI) is an advanced imaging modality which does not use ionising radiation and produces detailed soft tissue images. MRI is therefore thought to be safer than CT since it does not use ionising radiation. MRI scan uses a combination of a magnetic field and radiofrequency (RF) energy to create cross-sectional images of the area under examination. MRI produces highly detailed images of soft tissue in comparison with CT such as detecting brain lesions and inflammation and spinal lesions and compression.

However, it is less sensitive than CT for subtle bony lesions, such as minor osteolysis, or for areas of calcification. Inflammatory brain disease such as granulomatous meningoencephalitis or necrotising encephalitis will also usually produce highly suggestive MRI changes. Confirmation often relies on CSF analysis and it is advised to perform MRI prior to this in order to identify patients in which a CSF tap may be contraindicated due to increased intracranial pressure.

MRI is now the gold standard imaging modality for a number of disease conditions, both in human and veterinary medicine. It can also be complementary to other imaging modalities such as CT, ultrasonography and radiography.

Our Veterinary MRI scanner is an Esoate Vet MR Grande which enables us to be able to attain detailed 3D sequences.

Indications for MRI:

  • Seizure investigation
  • Ear diseases that are likely to extend to the brain
  • Horner’s syndrome
  • Blindness
  • Vestibular syndrome
  • Chiari like malformation
  • Syringomyelia diagnosis and screening
  • Suspected spinal disease (e.g. disc disease, spinal tumours, discosponylitis, trauma)
  • Orbital/retrobulbar swelling & masses
  • Suspected inflammatory brain disease (e.g. meningitis)

MRI is used as part of our neurological referral investigations. In certain cases, outpatient MRI can be offered eg stable animals having seizures. Click here for more information on outpatient MRI.

Contact us to discuss the suitability of a case for outpatient CT.

Click here to refer a neurological case.

Meet our Vets

   

Dr Federica Manna                            Dr Lisa Gardbaum

Outpatients

In addition to a range of diagnostic services, we also offer CT and MRI scans as outpatient services, which are ideal for referring vets who wish to continue management of their own cases. Cases will be admitted and discharged by a referral nurse and do not include a consultation or advice from a referral vet, however if it becomes apparent other tests are needed, we will contact you to discuss. After the CT or MRI is performed, the images are sent for specialist interpretation and a report is sent to the clients registered veterinary practice to be reported back to the client.

Outpatient CT and MRI can be arranged by submitting an outpatient form. It is preferable to contact the team initially to discuss the suitability of cases for outpatient CT and MRI. We can then also recommend any bloods or addition work up to be carried out in advance of the imaging.

This service is not suitable for emergency or unstable cases. 

Outpatient Advanced imaging

Computed tomography (CT)

CT is a diagnostic imaging technique based on x-ray technology. Computer enhancement of the electronically detected image produces much greater tissue definition than conventional radiography. CT is highly sensitive for subtle bone changes. We are able to produce three-dimensional (3D) images after acquisition which may be viewed from any chosen angle. This imaging technique should be considered in dogs and cats with suspected thoracic or abdominal disease where other diagnostic imaging modalities (radiography and ultrasonography) fail to identify the cause and extent of the disease. CT is also used in the determination of the extent of a mass, which is essential for surgical planning.

Indications for CT scan:

  • Thoracic and abdominal disease
  • Intracranial and extracranial lesions
  • Disorders of the musculoskeletal system including the appendicular skeleton and spine
  • Investigation of bone (e.g. FCP in elbow dysplasia in dogs) and growth disorders
  • Suspected portosystemic shunt
  • Nasal disease
  • Orbital swelling
  • Stick injury
  • Head trauma
  • Any oncology disease
  • Suspected foreign body
  • Vestibular disease
  • Adrenal masses
  • Hydronephrosis
  • Middle and inner ear disorders
  • Dental disease (e.g. abscess)
  • Metastatic screening

Magnetic resonance imaging

Our Veterinary MRI scanner is an Esote Vet MR. The use of MRI is most commonly indicated in conditions that require differentiation between soft tissues, such as in the field of neurology.

MRI scan uses a combination of a magnetic field and radiofrequency (RF) energy to create cross-sectional images of the area under examination. MRI produces highly detailed images of soft tissue in comparison with CT. However, it is less sensitive than CT for subtle bony lesions, such as minor osteolysis, or for areas of calcification. Inflammatory brain disease such as granulomatous meningoencephalitis or necrotising encephalitis will also usually produce highly suggestive MRI changes. Confirmation often relies on CSF analysis and it is advised to perform MRI prior to this in order to identify patients in which a spinal tap may be contraindicated due to increased intracranial pressure.

Indications for MRI:

  • Ear diseases likely to extend to the brain
  • Horner’s syndrome
  • Blindness
  • Vestibular syndrome
  • Chiari like malformation
  • Suspected spinal disease (e.g. disc disease, spondylosis, trauma)
  • Orbital swelling & masses
  • Suspected inflammatory brain disease (e.g. meningitis)

The majority of our clinicians are involved in outpatient scans.

To refer a case, please click here.

If you would like advice on an Outpatient case  please don’t hesitate to contact us​.

 

Our Vets

  

Dr Jon Shippam                        Dr Lisa Gardbaum                   Dr Samantha Lane

 

  

               Dr Edward Corfield               Dr Federica Manna

 

Out of Hours Care

Bath Vet Referrals provide an out of hours service for emergency surgical and medicine referrals.  Our referral clinicians are available for advice for referring vets, and for owners of patients already under the care of Bath Vet Referrals.  Overnight inpatient care for referral patients is provided by our out of hours partner Vets Now, who are also based at Rosemary Lodge Veterinary Hospital, in conjunction with our on call referral clinicians.

For any further information or advice, please do not hesitate to contact us and speak to one of our staff.

Information Sheets for Pet Owners