SPECIALTY SERVICES

At Krohn Clinic, our specially trained team is ready to assist you with a range of specialty tests. Learn more about our offerings below, and contact us with any questions or to schedule an appointment.

>> Nasolaryngoscopy

Nasolaryngoscopy is a diagnostic procedure where a flexible fiber optic camera is used to look at the nose and throat. Family medicine doctors use flexible nasolaryngoscopy to evaluate patients with chronic nasal infections, bleeding or nasal foreign bodies. They can also look for causes of change in voice or persistent sense of irritation or foreign body in the upper airway. This procedure is commonly performed in the office with no specific pre-procedure restrictions or preparation. An average evaluation takes only a few minutes and is well-tolerated by the majority of patients.

Nasolaryngoscopy helps your provider to determine the cause of nasal or upper airway symptoms. It guides treatment here at Krohn Clinic, obtaining further imaging or consultation with an ENT (ear, nose and throat) specialist.

>> Colposcopy/LEEP/Cryrotherapy

Krohn Clinic provides expert care in cervical cancer prevention, including specialty tests. Colposcopy is a diagnostic procedure in which a microscope with various magnification lenses is used to provide an illuminated, magnified view of the cervix and genital tract. The primary goal of colposcopy is for detection of cancerous and pre-cancerous lesions so that they may be treated early.

Another test we use is LEEP (loop electrosurgical excision procedure). This procedure is performed in the office and removes abnormal pre-cancerous lesions of the cervix with 95 percent effectiveness. Local anesthesia is used while a thin wire loop removes the abnormal tissue. When appropriate cryrotherapy (freezing of cervix) can be performed.

>> Bone Density

Bone density is measured to assist your medical provider in determining your risk for fractures. A DEXA machine is used with much less radiation than an X-ray, and is simply obtained in the office. Krohn Clinic also offers a way to check the quality of your bones with a Trabecular Bone Score. This specialty test allows your provider to determine accurately if medication is beneficial to you as a way to decrease your chance of fracture, especially of your hips or spine.

>> Hysteroscopy

Hysteroscopy is a medical procedure where the inside of a woman’s womb can be visualized. This is used to look for cancer or other abnormalities in patients with abnormal vaginal bleeding patterns, difficulty getting pregnant or other gynecological problems. There are Krohn Clinic physicians trained in this procedure, which can be done comfortably at the Clinic, or if needed, at Black River Memorial Hospital. In addition, the physicians can perform endometrial ablation (destruction of the lining of the uterus) for women who are having heavy periods.

>> Cardiovascular Testing

The cardiovascular system includes the body’s blood vessel circulation and the heart’s blood supply.  Krohn Clinic is able to perform many tests of your cardiovascular system at our convenient location in Black River Falls:

An ECG (also called an EKG or electrocardiogram) is a test that monitors the electrical activity that normally occurs in your heart. Your provider may want you to have a “quick look” ECG that can help diagnose an irregular rhythm or determine if the symptoms you are experiencing could be related to a heart attack. In addition, we have the ability to monitor your heart for periods ranging from 24 hours to 30 days. This allows us to determine if any symptoms you might be experiencing could be coming from your heart.

If your provider is concerned that the symptoms you report could be related to problems with the blood flow to your heart, they may recommend you have a walking stress test. A doctor will monitor you and your ECGs while you exercise on a treadmill. The doctor will then go over the results with you immediately following the test and even make medication changes if needed. If additional testing is required, the doctor will arrange for you to have a referral to a cardiologist (a doctor that only treats heart conditions). Following your test, appropriate follow up with your primary care provider will be arranged to make sure your symptoms have improved.

Krohn Clinic is also able to examine your heart with sound waves in a test called an ECHOcardiogram (ECHO). This painless test uses ultrasound to image the structures of your heart, such as the muscles and valves. This test can help your provider adjust your medications to treat a variety of illnesses, including hypertension, congestive heart failure or atrial fibrillation. At Krohn Clinic, your echocardiogram is performed and interpreted by a physician, and you will get results of the test the same day. If appropriate, medication changes or other follow up testing can even be ordered at the same time.

>> Ankle Brachial Index (ABI) Testing

Peripheral Arterial Disease (PAD) is a condition where the arteries in the body are narrowed to the point that oxygen rich blood is not delivered in sufficient quantities to meet the tissues needs.  Symptoms of PAD include pain in the calves with walking, cold extremities and sometimes a blue color of the foot. Ankle Brachial Index (ABI) is a simple, non-invasive procedure where the blood pressure in the arms is compared to the blood pressure in the legs and can give your physician an indication of how the arteries in the legs are functioning. When this procedure is performed at Krohn Clinic, you will get your results the same day, and if needed, medication changes and follow up studies can be ordered as well.

>> Allergy Testing

Allergy skin testing helps your doctor figure out what allergies you have. The most common type of testing is called a skin prick test. Your doctor puts a drop of the substance you might be allergic to on your skin and makes a tiny prick. He or she then watches your skin to see if it turns red and bumpy. If that happens, it usually means you are allergic to the substance. We are happy to offer skin testing at Krohn Clinic, with advice on how to best treat any allergies you might have.

>> Ultrasounds

Ultrasound exams are a painless, radiation-free imaging study using high frequency sound waves. Ultrasounds are used in many areas of medicine and pregnancy care, being especially helpful in diagnosing problems in the abdominal and pelvic regions. Surgeons frequently use ultrasounds to guide a biopsy of the breast or thyroid gland. We can look at veins in your legs to find a blood clot or arteries in your neck to help prevent a stroke. Your exam will be done and interpreted right at Krohn Clinic.

>> Labs, X-Rays and Mammograms

Our providers frequently order lab work for patients, which can often be a critical part of an annual checkup or to help properly diagnose or manage a health issue. Krohn Clinic’s comprehensive, in-house laboratory provides one-stop service for busy patients. It frequently allows them to see their physicians and complete their lab work all in one visit.

We are CLIA (Clinical Laboratory Improvement Amendments) accredited lab. Because of our extensive test menu, most of our laboratory testing volume is able to be processed on-site, offering convenience and prompt results for our patients and providers. Any specialty labs that cannot be done on-site are sent to a reference lab and results are typically available the next day.

Krohn Clinic utilizes technology in a way that strengthens our ability to detect and diagnose, enhancing the quality of care our patients receive. Diagnostic and screening imaging technologies like digital mammography and digital X-ray are services we perform in-house, making Krohn Clinic one of the most convenient choices in family health care. Because we store our images on site, you can look at your X-ray with your provider immediately after it is taken.

Early detection is the best defense against breast cancer. Mammography is performed to screen healthy women for signs of breast cancer. It is also used to follow up on findings from screenings or to evaluate a patient who has symptoms of a breast disease, such as a lump, nipple discharge, breast pain, dimpling of the skin on the breast, or retraction of the nipple. Mammograms are the best way to detect breast cancer early. Krohn Clinic is happy to offer state of the art mammograms.

>> Vasectomy

We perform vasectomies in a safe and comfortable environment. We offer IV “light sedation,” which makes the procedure more comfortable. Local anesthetic as well as IV medicines are provided to allow for additional comfort. Typically, the procedure itself lasts 20-30 minutes, with 2 very small incisions made. Recovery is typically quite rapid, allowing for swift return to work and normal functioning.

>> Visiting Sub Specialists

On those rare occasions where you need to see a sub specialty physician for your care, we are able to make a referral to one of many physicians who see patients at Krohn Clinic. This allows you to get the care you need without having to travel out of town. Currently we have outreach sub specialty care in Cardiology (heart), ENT (Ear-Nose-Throat), Oncology (cancer), Urology (bladder), Neurology (nerve system), Orthopedics (bones and joints), Pain Medicine (especially back pain), and Ophthalmology (eye).