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Internal medicine

The Internal medicine referral service is run by Dr Riccardo Minelli DVM MRCVS. We accept referrals in oncology, cardiology, endocrinology, gastroenterology, nephrology neurology and general medicine. With flexible and rigid endoscopes, digital xray, CT, MRI, Doppler colour ultrasound, computerised ECG , 24 hour Holter monitoring and continuous glucose monitoring we are equipped to deal with the majority of medical problems. Our in-house laboratory is fully equipped offering full in-house blood testing including arterial blood gases, full coagulation profiles, platelet function, platelet aggregation tests and thromboelastography.

Price List Refer a case

Endocrinology Management of:

  • Problem diabetics using continuous blood glucose monitoring.
  • Ketoacidotic and non ketoacidotic hyperosmolar diabetics.
  • Hypoglycaemia using insulin glucose IGF 1 and IGF 2 analysis and imaging.
  • APUDomas.
  • Adrenal and pituitary dependent hyperadrenocorticism.
  • Hypercalcaemia.

Cardiorespiratory medicine

  • Investigation of coughing and dyspnoea.
  • Bronchoscopy BAL and foreign body retrieval.
  • Management of pericardial /pleural effusions and pneumothorax.
  • Pericardectomy.
  • Transthoracic biopsy.
  • Echocardiography, ECG and 24 Holter monitoring.


  • GFR measurements.
  • Renal biopsy, histopathology, EM , immunohistochemistry, direct immunofluorescence.
  • Cystoscopy.
  • 3D and 2D CT contrast urography.
  • Advanced and case specific management secondary hyperparathyroidism.
  • Bladder and prostatic tumour management including PDT
CT image of pneumonia

CT image of pneumonia

Endoscopy in progress

Endoscopy in progress

Ultrasound guided biopsy

Ultrasound guided biopsy

Gastroenterology and Hepatology

  • Full imaging and gut motility studies.
  • Gastroduodenoscopy and colonoscopy.
  • Management of granulomatous colitis- biopsies, cultures, FISH.
  • Ultrasound guided biopsy of liver and pancreas.
  • 3D and 2D CT dual phase angiography to identify portosystemic shunts and hepatic AV fistulae.
  • Ammonia and bile acid stimulation tests.
  • Chronic hepatitis diagnostics including Cu, Fe estimations and tissue PCR.
  • Management of microvascular dysplasia.