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Internal Medicine Of Small Animals

Research in the field focuses on gastrointestinal, pulmonary and cardiac as well as renal diseases.

Researchers in the discipline of small animal internal medicine investigate canine internal medicine, and the spearhead topics have long remained unchanged: gastrointestinal, pulmonary and cardiac diseases. A large number of publications on these topics have been published in international scholarly journals, in addition to which several doctoral theses have been written on them. New research areas have been established, the latest being renal diseases. In many projects, research is conducted in cooperation with leading Finnish and international research groups.

Our large group of patients have contributed to advancing the research. The diseases suffered by animal patients often bear a close resemblance to human diseases, making it possible to utilise many of the diseases we study as models for human diseases.

The primary goal of all of our research is to improve pet health through new therapies as well as examination and monitoring methods. Patients of the Veterinary Teaching Hospital have the opportunity to participate in studies, for example, by donating excess specimens for research purposes. In some studies, patients are invited through a separate procedure. Study participation is always voluntary, and patients are always treated using the optimal means, regardless of whether they are participating in a study or not.

Read more about our research

Cardiac diseases

Cardiac diseases are common in dogs. The cardiac disease research group strives to identify reasons for a higher than average incidence of cardiac arrhythmia in certain breeds. At the onset of a cardiac disease, the related changes can be minor. To detect such changes, the normal function and size of the heart must be known. For this reason, the group has also studied dogs with healthy hearts.

Among other methods, the group utilises ultrasound imaging, long-term ECG recording and blood sample analysis. Research results have been applied, for example, to preventing cardiac diseases through health surveys, where dogs expressing no signs of cardiac diseases are selected for breeding.

Gastroenterology

Our Finnish Small Animal Gastroenterology (FIN-SAGAS) research group investigates chronic diseases of the stomach, intestine, liver and pancreas of dogs and cats. We aim at an improvement of our knowledge concerning their etiology and pathophysiology. We also seek for simplifying the diagnostic recognition and differentiation of such diseases and for improving their treatment.

Nephrology

In nephrology, we have been investigating the role of new biomarkers to diagnose acute kidney injury in dogs with and without intoxications or bites by the European adder. From September 2021, the project extended to dogs with chronic kidney diseases. Recently, we started to introduce hemodialysis for treating severe, life threatening acute kidney injury in dogs. We also have started to use laser lithotripsy for the endoscopic removal of urinary stones in dogs with the aim to avoid invasive surgery.

Pulmonary diseases

The pulmonary disease research group investigates the onset of pulmonary diseases and looks for better diagnostic techniques and more effective therapies for acute and chronic pulmonary diseases. We study a range of respiratory tract diseases, including pulmonary fibrosis, which is a connective tissue disorder of the lungs, pneumonia and a respiratory syndrome in short-muzzled dogs.


Heersink School Of Medicine

UAB Group5 copy

The Montgomery Internal Medicine Residency Program provides high-caliber graduate medical education for trainees seeking diverse clinical experiences in both inpatient and outpatient settings, and in subspecialty and general medicine services.

Residents practice in a rich training environment and are exposed to a diverse patient population in a variety of practice settings. Our primary teaching hospital, Baptist Medical Center South, is a community-based facility with nationally-recognized cardiology, cancer and stroke services. Our residents treat patients in the UAB Montgomery Internal Medicine Clinic, offering continuity of care for patients seeking hospital follow ups.

Our growing preliminary year program provides trainees with great foundation in general medicine and prepares them to take the next steps in their medical career. With the exception of continuity clinic, our preliminary interns receive the same level of rigorous training as our categorical interns.

We endeavor to find the perfect balance between resident autonomy and faculty supervision for our residents to become competent, compassionate and independent physicians. Our goal is to graduate outstanding physicians with a love of life-long learning and the tools to continue learning for life.


Department Of Internal Medicine

Internal Medicine is the largest department in the School of Medicine with more than 145 physicians and scientists who are national and international leaders in vaccines, liver, lupus, kidney, and aging just to highlight recent accomplishments in setting standards of excellence in research.

The Department of Internal Medicine at the Saint Louis University School of Medicine offers state-of-the-art facilities, a faculty of outstanding clinical scholars and rapidly expanding research programs. Of equal importance, you will find a friendly, caring atmosphere and a love for learning that are part of the culture of this Jesuit University and medical center.

Ours is a well-established program with deep historical roots. In 1911, Charles Hugh Neilson, M.D., was appointed as the first director of the Department of Internal Medicine, marking the foundation of the department. The department celebrated its Centennial in 2011.

Letter from the Chair

Welcome to the Department of Internal Medicine. For over 100 years, we have excelled in patient care, education, research, and community services. Internal Medicine is the largest department in the School of Medicine with more than 145 physicians and scientists who are national and international leaders in vaccines, liver, lupus, kidney, and aging just to highlight recent accomplishments in setting standards of excellence in research. The department is also a leader in undergraduate, graduate and postgraduate medical education teaching with 10 specialty divisions and 12 accredited residency training programs and our faculty are dedicated to teaching our residents and medical students.

Ravi P. Nayak, M.D., FCCP Residency Training Programs

Explore our residency training program, as well as our subspecialty residency training programs, including:

Internal Medicine Research

From 2010 to 2018, 23 researchers in the Department of Internal Medicine have received funding from the National Institutes of Health (NIH), totaling $67,528,705. This funding has led to significant discoveries and inventions that have already had a major impact on the health of Americans.

Center for Vaccine Development

SLU's Center for Vaccine Development has played a key role in the development of vaccines that have saved lives and protected the public from important diseases, such as influenza, herpes virus infection and zika. It has also played a role in our national response to terrorism with its rapid testing of potential vaccines against smallpox.

Saint Louis University Liver Center

The Saint Louis University Liver Center is notable for its research on hepatitis C, with studies that have sought to understand the fundamentals mechanisms of how the hepatitis C virus attacks the liver and causes cirrhosis and liver cancer. Members of the Saint Louis University Liver Center have also been at the forefront of efforts to develop effective treatments for chronic hepatitis C, a battle that now seems largely won and may lead to the saving of hundreds of thousands of lives around the world.

Rheumatology Research

Researchers in the Division of Rheumatology have helped to develop effective treatments for systemic lupus erythematosus (SLE, or more simply Lupus), a disabling and often deadly autoimmune disease that disproportionately affects women and African Americans. We continue to obtain insights into how lupus is caused and how it damages target organs.

Research in Geriatric Medicine

Faculty in the Division of Geriatric Medicine have been national leaders in teaching people about aging successfully. They have studied and developed approaches to managing delirium, frailty and even Alzheimer's Disease. Our researchers have pioneered the use of a unique mouse model, the SAMP8, to study mechanisms of Alzheimer's and, more recently, to develop a novel therapeutic approach to this common disease of aging through the use of antisense RNA that blocks the conversion of amyloid precursor protein to beta amyloid.

Nephrology Research Researchers in the Division of Nephrology have become national leaders in finding ways to increase the number of kidney transplants done each year, including the safe use of kidneys donated by liver donors. Our researchers have recently studied both the mechanism by which secondary hyperparathyroidism occurs in patients with chronic renal failure and the role of growth genes such as the SALL family in renal growth and development.

Ravi P. Nayak, M.D., FCCPJames B. And Ethel D. Miller Endowed Chair in Internal MedicineInterim Chairman and Professor of Internal Medicine






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