Equine and Large Animal Internal Medicine

Kate Hepworth, DVM, DACVIM

Mobile large animal internal medicine consultations with
Kate Hepworth, DVM, DACVIM, a board-cerfitifed Large Animal Internal Medicine Specialist, are available throughout New Jersey and eastern Pennsylvania.
Dr. Hepworth can provide advanced care and diagnostics typically only available at large referral hospitals right on your farm, saving you the added cost, time, and stress of a referral hospital trip.
Services are typically provided in consultation with your regular veterinarian; if you are not currently working with a regular veterinarian Dr. Hepworth is happy to work directly with clients as well.

Typical cases manged by internal medicine specialists include:

• Brain and nervous system – problems include: equine protozoal myeloencephalitis (EPM), wobblers disease, seizures
• Lungs and respiratory tract – problems include: pneumonia, heaves, inflammatory airway disease, exercise induced pulmonary hemorrhage, strangles
• Gastrointestinal system – problems include: chronic colic, diarrhea, Salmonellosis, gastric ulcers, liver dysfunction
• Kidneys and bladder – problems include: acute kidney injury, chronic kidney disease, bladder stones
• Endocrine system, including the pituitary gland, thyroid, and pancreas – problems include: Equine Cushing’s disease, Equine Metabolic Syndrome, insulin resistance
• Heart and blood vessels – problems include: heart murmurs, atrial fibrillation, myocarditis, vasculitis
• Musculoskeletal system – problems include: polysaccharide storage myopathy, hyperkalemic periodic paralysis, laminitis
• Neonatology, including intensive care of severely ill newborn foals

Some available advanced diagnostics and treatments include:
• Complete abdominal and thoracic ultrasound
• Ultrasound-guided biopsy collection
• Cerebrospinal fluid collection (atlantooccipital or lumbosacral)
• Transtracheal wash
• Bronchoalveolar lavage
• Thoracocentesis
• Chest tube placement
• Gastroscopy
• Urethroscopy
• Endoscopic guttural pouch lavage/sampling/medication delivery

• Endoscopic biopsies
• Metabolic testing (glucose absorption testing, oral sugar tolerance testing etc.)

• Abdominocentesis/Abdominal Drain Placement

For more information or to set up a consultation, please call the office at
(609) 261-7280 or email Dr. Hepworth directly at kate@rancocasvet.com.