Veterinary Services

Yankee Hill Veterinary Hospital offers a wide range of veterinary services for our patients. Just a few of our wellness and preventive care services are listed below. For more information on these or other services, please call 402-421-8111.

Orthopedic Procedures

We perform a wide variety of orthopedic surgeries with a combined 40 years of surgical experience.  Surgeries offered include:

  • Cranial Cruciate Repair
  • Femoral Neck and Head Excision
  • Fracture Repairs
  • Patellar Luxation Repair

Make an appointment to discuss whether orthopedic surgery is an option for your pet.

Veterinary Acupuncture

Dr. Cerny is certified in veterinary acupuncture. He received his training and advanced training through the CHI institute.

Acupuncture dates back thousands of years and has been shown to help with many conditions. With the use of tiny needles the body’s acupuncture points can be stimulated to help move and balance energy throughout the body to aid in healing. Diet and herbal treatments are often used along with acupuncture to help balance and restore health.

What conditions can benefit from acupuncture?

  • Pain (back, hip, leg, general pain)

  • Intervertebral disc disease

  • Anxiety

  • Seizures/Epilepsy

  • Kidney disease

  • Liver disease

  • Urinary incontinence/leakage

  • Gastrointestinal disease (ie vomiting, diarrhea, colitis)

  • Preventative care to help prevent diseases from developing

Acupuncture helps far more conditions than listed, but it is most effective when used as a preventative.

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Veterinary Chiropractic

Dr. Cerny received his chiropractic training through Options for Animals, and is certified by the International Veterinary Chiropractic Society (IVCA).

Chiropractic adjustments not only help restore motion to your pet’s neck and back, but also aid to restore normal functioning to their nervous system.

When does your pet need chiropractic care?

As with acupuncture, preventative care is the most beneficial but here is what to look for: trouble jumping up or down, holding neck or head in an abnormal position, hunched back, cries out in pain when moving). Some of these signs may be due to other conditions that chiropractic care cannot help, so it is important to have a good thorough health exam for your pet.

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Pet Dental Care

Did you know that periodontal disease is the number one problem in dogs and cats?

Studies show that by 2-3 years of age that 80% of dogs and 70% of cats have some level of periodontal disease. That’s 8 out of 10 dogs, and 7 out of 10 cats that have an oral infection or some other disease process going on in their mouth. And the sad part is dogs and cats are good at hiding mouth pain and often go through silent suffering.

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Diagnostic Care

When your pet is sick or injured, they can’t tell us what’s wrong. A thorough physical exam and history (symptoms you’ve noted at home) are the first important step. If the diagnosis is not immediately evident upon initial assessment, your veterinarian will recommend specific diagnostic tests. These may include:

  • Laboratory testing for baseline blood counts and organ function tests, or infectious disease. Blood and/or urine samples may be collected from your pet, for point-of-care testing, or reference lab tests. Point-of-care tests are those tests that are done on-site in our hospital so as to be able to determine results and make treatment recommendations in the most timely fashion possible. In other cases, lab samples may need to be sent off to off-site laboratories (reference laboratories) – when the test cannot be performed with in-hospital lab equipment, or when the test results are not needed urgently.
  • Imaging such as x-rays or ultrasound, which allows diagnosis of conditions of the heart and lungs, gastrointestinal obstruction, tumors of the internal organs or bones, fluid in the chest or abdominal cavity, urinary stones or gallstones, reproductive diseases, and bone/joint disorders. For most patients, gentle restraint can be used for these procedures, however, in some cases, sedation may be necessary.
  • Microscopy is quite useful in the evaluation of lab samples such as ear swabs, skin impressions and scrapes, and needle biopsies of tumors. These tests are helpful in diagnosis of dermatologic and otic (ear) conditions.
  • Ocular conditions may warrant evaluation for tear production (Schirmer Tear Test), corneal injuries (fluorescein stain), or abnormal intra-ocular pressures (Tonometry).

Diagnostic testing is an important step in the development of a treatment plan for your pet, allowing your veterinarian to most effectively target the underlying problem(s) and assess the probability of successful treatment. Your veterinarian can explain the purpose of each diagnostic test for your pet, and help prioritize which tests may be most helpful in determining the cause of your pet’s illness.

In-House Laboratory

When your pet becomes suddenly ill or in event of an emergency, timely diagnostic test results are extremely important to help your veterinarian determine the best treatment plan. We have state-of-the-art in-hospital laboratory equipment capable of yielding lab results within minutes. Baseline laboratory testing for your sick pet may include:

  • Determination of blood cell counts: changes in white blood cell counts, red blood cell counts, and platelet counts can indicate problems such as anemia, dehydration, infection, auto-immune disease, and certain types of cancerous conditions
  • Blood chemistry tests: these tests assess liver function, kidney function, blood sugar, blood proteins, calcium and phosphorus levels, and pancreatic function.
  • Electrolyte tests: Sodium, potassium and chloride levels may be abnormal when your pet is dehydrated or having fluid losses through vomiting or diarrhea. Intravenous fluids and/or supplementation may be indicated when electrolytes are severely deranged.
  • SNAP tests: point-of-care “snap” tests are available for certain infectious diseases such as Feline Leukemia and Feline Immunodeficiency Virus, Canine Parvovirus, Giardia, and Leptospirosis.
  • Coagulation tests: these tests detect deficiency in clotting disorders, which can be present in cases of certain kinds of rodenticide poisoning and in severe liver disease/failure
  • Microscopy: microscopic evaluation of bodily fluids including blood, urine; samples of skin and ear secretions, and needle biopsies of swellings or tumors can be performed in-clinic to assist in the diagnosis of systemic diseases, urinary disorders, skin and ear diseases, and differentiation of benign vs. cancerous tumors.

Our veterinary team will help explain which tests are most important for your pet. It is very important to us to include you in the decision-making process for your pet, so please don’t hesitate to ask a question if you need clarification.

Emergency & Urgent Care


Your pet is precious to you and when they are sick, they may not be able to wait. We offer urgent and emergency care and do our best to get your pet seen as soon as possible. New patients welcome.

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Puppy & Kitten Care

Getting your new puppy or kitten off to a healthy start sets the stage for their lives as healthy adults. Regular physical examinations, core and elective vaccinations, fecal testing for parasites, and deworming are all important elements of ensuring good health for your puppy or kitten. Our knowledgeable staff can help your family learn about potty training your pup, performing nail trims on your puppy or kitten, dietary recommendations, and potential health hazards for your new pet.

Spaying and neutering are additional topics to consider; the appropriate age for the timing of sterilization surgery may vary upon the species and breed of your pet. You may also want to consider Pet Health Insurance – a great way to get your new little family member off to a good start. Last but not least, you’ll also want to consider whether your new puppy or kitten may need preventives such as monthly heartworm prevention, and flea/tick preventives. We realize that adding a new family pet can come with lots of questions… but don’t forget, we’re here to help, so please don’t hesitate to call.

Senior Pet Care

We love Senior Pets! Senior pets have special needs, and benefit from more regular veterinary visits compared to their younger counterparts. Age-associated conditions include:

  • Arthritis
  • Dental Disease
  • Heart Disease
  • Liver Disease
  • Kidney Disease
  • Endocrine Disorders

These conditions will start to become more prevalent as your pet gets older. For this reason, we recommend twice-yearly veterinary visits for pets over 7 years of age. Your aging pet may be showing early signs of osteoarthritis such as stiffness after rest or play, difficulty going up or down stairs and reduced activity. Early intervention with joint supplements and prescription arthritis medications when indicated, along with modified nutrition and exercise plans, can greatly improve your pet’s comfort and mobility. Likewise, performing annual screening lab work on your older pet can help identify early stages of medical problems that might go unrecognized, and progress significantly without treatment.

Some pets experience age-related behavioral changes that can be a sign of cognitive dysfunction, which is similar in some ways to dementia. Your veterinarian can recommend diet modification and supplements to help improve your older pet’s mental sharpness. Getting older doesn’t have to be fraught with troubles for your pet… see your vet regularly to help keep your senior pet healthy and comfortable.


Lymphoma in dogs is caused by cancerous lymphocytes (a type of white blood cell which normally functions as part of the immune system). The most common form is multicentric lymphoma which is initially seen as enlargement of the lymph nodes (the lymph nodes on the neck just below the jaw are usually the first to be noticed and can become quite large and even affect breathing). Lymphoma can affect any lymph nodes and organs of the body. Other forms of lymphoma include gastrointestinal lymphoma which affects the intestinal tract (you may notice signs such as vomiting or diarrhea, but there are numerous causes of vomiting and diarrhea), cutaneous lymphoma (epitheliotropic lymphoma) which affects the skin (ulcerated skin lesions), and mediastinal lymphoma (affecting the thymus gland and lymph nodes in the chest).

Diagnosis is made by a pathologist who examines a biopsy of the affected tissue (requires anesthesia and local surgery).

Life expectancy for untreated dogs is just a few months. With treatment, the life expectancy can be increased from months to over a year, and hopefully much longer. There are several options to treat lymphoma. Chemotherapy (multiple chemotherapy drugs given as a course over many weeks) is currently the gold standard but there are newer treatments also available. Tanovia-CA1 is a new injectable cancer treatment for dogs that targets and kills lymphoma cells in dogs. Another new medication is Laverdia-CA1 which is an oral tablet and has shown to be effective against both B-cell and T-cell lymphoma.

The goal of any lymphoma treatment is remission of the cancer so that your pet has quality of life and more time to spend with you. No treatment currently can cure lymphoma but there is always hope on the horizon.

Cancer is common in pets and we offer surgical, chemotherapy and supplement options.

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Parasite Control

Pets are a part of our families, and preventing parasite infestations is an important part of keeping them healthy. Both ectoparasites (external parasites) and endoparasites (internal parasites) can affect your pet at some point in their life. Ectoparasites, such as fleas and ticks, are not only a nuisance to your pet, but can transmit vector-borne diseases to humans and pets such as Bartonella (cat scratch disease, transmitted by fleas); Lyme, Anaplasmosis, Ehrlichia, and Rocky Mountain Spotted fever. Fleas can also cause a severe dermatologic condition for your pet resulting in very itchy, inflamed skin, due to flea allergy dermatitis.

Roundworms are the most prevalent endoparasite in pets. Others include hookworms, whipworms, and tapeworms. Pets are typically infected with these parasites through accidental ingestion of parasite eggs (which are microscopic) from areas that have fecal contamination from other infected animals. Alternatively, some parasites are acquired through ingestion of intermediate hosts such as rodents (Taenia tapeworm species; Toxocara roundworm species) or fleas (Dipyllidium tapeworm species). These parasites are also a health risk to humans and are considered zoonotic – meaning they can be transmitted from animals to people. For example, if a person accidentally ingests roundworm eggs, the larvae can migrate in the body and cause organ damage and potentially blindness. Hookworm larvae in the soil and grass can infect bare skin and cause a condition in people known as cutaneous larval migrans.

Heartworm is another important endoparasite, but one which is not zoonotic. Heartworm infections result from pets being bitten by infected mosquitos. The larval form of the heartworm travels through the bloodstream to the heart where it develops into an adult. The adult heartworms live in the right side of the heart and left untreated, result in progressive heart failure and death. In initial stages of heartworm disease, pets may be asymptomatic. As the condition progresses, symptoms may evolve including a cough and exercise intolerance in dogs, and vomiting/coughing in cats.  Treatment of heartworm disease can be very risky for the pet, and very costly.

Because of the health risk to your family and pets, it is important to keep your pet on a year-round parasite prevention program. There are several preventives that when used properly, are very effective at greatly reducing the risk of your pet acquiring heartworm disease, intestinal parasites, and tick transmitted diseases. Additionally, you can help prevent the risk of zoonotic disease to your family by practicing good hygiene (frequent hand washing), avoiding eating unwashed raw vegetables or undercooked meats and cleaning up pet feces in your yard. For more information about pets and parasites, visit, and consult with one of our friendly staff!

Wellness Care

Preventive veterinary care is the cornerstone of keeping your pet their healthiest so that you and your pet can have more great years together. Since pets age more quickly than people do, it is critical to have regular physical examinations done to assess your pet’s health. During routine preventive exams, your veterinarian will assess:

  • Overall Body Condition
  • Eyes
  • Ears
  • Nose
  • Mouth
  • Throat
  • Heart and Lungs
  • Abdominal Organs
  • Musculoskeletal System
  • Neurologic System
  • Urogenital System
  • Lymph Nodes
  • Skin/Coat

When health problems are identified, a medical plan will be outlined to evaluate the problems in depth. If your pet appears to be healthy enough for routine preventive care, your veterinarian will discuss which immunizations are advised, as well as parasite prevention including heartworm disease, intestinal parasites, and ectoparasites (fleas, ticks, etc.). Annual age-appropriate lab tests, testing for heartworm and/or tick-borne diseases, and fecal tests for parasites may also be recommended for your pet. Finally, your pet’s nutrition, diet, and exercise routines can be assessed and optimized to help your pet be in best physical condition for their lifestyle and age. Remember, keeping up with preventive care for your pet is the best way to keep your pet happy and healthy for life.