Internal Medicine Evaluations

Dr. Renier is a boarded specialist in equine internal medicine.  Her additional residency training in this area gives her expertise in diagnosing and treating equine medical conditions affecting internal organ systems, including infectious diseases, hepatic disease, renal disease, pulmonary disease, neurologic disease, gastrointestinal conditions, endocrinopathies, and management of ill foals and adults.  Dr. Renier brings her training in internal medicine to patients at routine wellness exams, examinations during illness, and as a hired consultant for other veterinarians.


Dr. Renier also travels outside of her regular practice area to provide on-site internal medicine consultations in Minnesota.  Please contact Dr. Renier for additional information on these services or to schedule a consultation.


Frequently Asked Questions about Internal Medicine:


When could my horse benefit from an internal medicine evaluation? 

Your horse may benefit from an internal medicine evaluation if he or she:


-Needs an annual wellness exam

-Is demonstrating reduced performance

-Has weight loss or unexplained weight gain

-Has signs of laminitis (aka founder)

-Has a fever

-Has chronic colic or chronically reduced appetite

-Is a sick foal

-Has diarrhea or chronically loose manure

-Has abnormal liver, kidney, or muscle values on blood work

-May have Cushing’s Disease

-Has a chronic cough or signs of pneumonia

-Has exercise intolerance

-Has discolored urine

-Has an abnormal heart rhythm or murmur

-Has been diagnosed with EPM or another neurologic disease


What is a veterinary internist?  What training is required?


A veterinary internist is a veterinarian who has undergone 3-4 additional years of veterinary training to become a specialist in their particular field.  This training is completed after 4 years of veterinary school and veterinary licensing in the United States.  A Large Animal Internal Medicine specialist has completed 4 additional years of training; one year in an internship and 3 years in a residency.  Before being certified as a specialist, the veterinarian must successfully complete the residency program, publish in a peer-reviewed journal, and pass two sets of rigorous certifying examinations.


For more detailed information, please visit:


For more information about internists, please visit the American College of Veterinary Internal Medicine at or