Diagnostic Laboratory Services
When your pet is not feeling well, they can’t easily tell you where, or why, and sometimes they may have been hiding their illness for awhile. That is when you need timely answers. By gathering a complete view of your pet both inside and out, we may have a clearer picture of what may be going on.
We offer an in-depth evaluation of your pet’s health through routine blood work, evaluation of urine and stool, and imaging. With these tools and technologies, we are better able to diagnose and treat health concerns in a timely manner.
Laboratory Services
We offer a variety of basic and advanced diagnostics for your pet. We partner with outside laboratories for more specialized testing when necessary.
We have bedside SNAP tests for a number of infectious diseases, including:
Heartworm Disease
Lyme Disease
Ehrlichia
Anaplasma
Feline Leukemia Virus & Feline Immunodeficiency Virus
Parvovirus
We can screen your pet for internal parasites and perform a complete urinalysis on-site.
We have the capability of performing general blood work on-site when we need to evaluate your pet’s organ function quickly.
Other in-house testing we perform include:
Ear cytology
Ear smears
Skin cytology
Skin scrapes
Fungal cultures
Some fine needle aspirates (to evaluate masses)
Schirmer tear testing
Ocular fluorescein staining
Intraocular pressure measurement
We also utilize outside referral laboratories to expand our diagnostic capabilities. Turnaround time for these results may be anywhere from 24 hours to 7 days.
Radiology
Radiographs (x-rays) are an important tool that can help us make an accurate diagnosis for your pet. Our radiology imaging is there for when a physical exam and general blood work simply are not enough to effectively assess your pet's condition. Because we believe that pet owners throughout the Northern New York area deserve the best possible care, we have invested in a state-of-the-art, high-quality digital veterinary x-ray system. This means that we can quickly take highly-detailed radiographs and manipulate them to gain a better view of your pet's bones and internal organs. We are able to diagnose a wide range of medical conditions with more speed and accuracy than ever before.
Digital x-rays can be saved to a disk, quickly shared via email to veterinary specialists for second opinions, or reviewed for additional diagnostics as needed. Your pet's time on the x-ray table is reduced because fewer images need to be taken. Digital x-rays eliminate the need to use toxic chemicals in the film development process, decreasing the risk of exposure to our staff and the environment. We can display them on a computer screen for you to see, as well!
What can a radiograph tell us?
Radiographs can be used to evaluate bones as well as the size, shape, and position of many of the body’s organs
The size of organs is important to know because some medical conditions, such as kidney, heart, or liver disease, can alter these organs’ size
The shape and position of intestinal organs can be altered when a pet has an obstruction or cancer
Abdominal and chest masses can sometimes be found on a radiograph
Radiography can be used to diagnose bladder stones, broken bones, chronic arthritis, and other conditions
Ultrasound
Ultrasound is a non-invasive diagnostic tool that uses sound waves to yield detailed images of your pet's internal organs. This technique provides a real-time movie view of your pet's organs. Typically, it takes 30 to 60 minutes to perform an advanced diagnostic ultrasound and is relatively stress and pain-free for your pets. It has become a standard of care in veterinary medicine, and we want to provide the best diagnostic tools for your pets.
Common ultrasound exams include:
*Abdominal exam – liver, gallbladder & biliary system, stomach, pancreas, spleen, kidneys, adrenal glands, bladder, prostate, uterus, ovaries, bowel, vasculature, lymph nodes, mesentery & serosal surfaces. All abdominal ultrasound exams are complete exams. It is inappropriate to only examine part of the abdomen – all organs must be examined every time to ensure there is not occult pathology.
Thoracic (chest) exam – if a mass effect exists on thoracic radiography, and the lesion is along the thoracic wall or the lesion is suspended in pleural effusion, the lesion may be found with ultrasound and if it can be seen, in most cases it can be biopsied to yield a diagnosis.
*Pregnancy - confirm pregnancy, estimate litter size (although this is best done with radiography), confirm fetal viability and monitor heartbeats.
Parathyroids & Thyroid Glands – indicated if there is hypercalcemia and elevated serum PTH. Sedation generally required providing complete relaxation of the head.
Cryptorchid Exam – localize the cryptorchid testicle prior to surgery to help minimize surgical time and surgeon frustration.
* At this time, we are only equipped to perform an abdominal ultrasound or pregnancy check. Other exams are beyond the scope of our current capabilities.
For many years, we've been asked if the general blood work that we do for our senior pets (or younger!) screens for cancer. The veterinary field has lagged behind the human field in this regard for a long time.
Now, we can definitely say that there ARE screening tests for cancer that are available for our canine companions!
IDEXX has created a Cancer DX Test for Lymphoma and Mast Cell Tumors. This is a blood test that can be sent out directly from the office!
The NuQ Test is a blood test that can be performed on a 4-hour fast. When cancer is present, nucleosomes coming from cancer cells enter the dog's bloodstream when those cells die. Antibodies tailored to detect these nucleosomes are used to "capture" these circulating nucleosomes. The number of circulating nucleosomes are calculated: low, moderate, and high-risk levels are reported. This test can detect 7 different types of canine cancer: hemangiosarcoma, lymphoma, histiocytic sarcoma, malignant melanoma, osteosarcoma, soft tissue sarcoma, and mast cell tumors. It is especially good at detecting hemangiosarcoma and lymphoma, which together account for 1/3 of all canine cancers.
Oncotect is another cancer-screening test that can be performed on dogs, but it involves collecting a urine sample rather than a blood sample!
Cancer cells produce a certain "smell," and Oncotect utilizes nematodes (worms) to detect specific "volatile metabolites" when they are exposed to a dog's urine. If a dog has a urinary tract infection or a prostate infection, they will not interfere with Onctotect results!
When you get your dog's report back, it will say whether your dog has low, moderate, or high risk for cancer. It will not state what particular cancer is present, however. If the report indicates moderate or high risk, we will recommend additional testing to determine whether or not your dog has evidence of cancer currently. These tests may include additional blood work, x-rays, fine needle aspirates of any masses noted on or underneath the skin, and/or an ultrasound of the abdomen.
What kinds of cancer does the Oncotect test detect? It detects lymphoma, melanoma, hemangiosarcoma, and mast cell tumors with high sensitivity and specificity, which represent very common canine cancers!
We would recommend that any middle-aged or older large breed dog have some form of screening test performed, along with general blood work to look at overall body function.