Internal Medicine Department POV

Scope of Service

Types of Patients Served

Department of Internal Medicine provides comprehensive medical care, with in the outpatient and inpatient setting for adult patients. The department also provides consultation services and post outpatient care is provided when asked for by the consultants of other services. Physical exams and preventive services are also provided by the department.

Range of Conditions and Diagnoses Treated

Diagnosis and Treatment of Acute and Chronic Medical Conditions including the following:
Cardiology

• Acute MI
• Acute Coronary Syndrome
• Congestive Heart Failure
• Initial Management of Arrythmias / Heart Blocks
• Cor Pulmonale
• Pericardial Disease
• Cardiomyopathy and Myocarditis
• Aortic Disease

Pulmonary

• Pneumonia
• Acute Severe Asthma / Asthma
• COPD Exacerbation
• Initial Management of Pulmonary Hypertension
• Initial Management of Pulmonary Fibrosis / Interstitial Lung Disease.
• Sarcoidosis
• Cystic Fibrosis
• Pulmonary Thromboembolism

Gastroenterology

• Diseases of Esophagus
• Diseases of Stomach – Peptic Ulcer Disease
• Inflammatory Bowel disease – Initial Management
• Hepatitis
• Cirrhosis
• Diseases of Gall Bladder and Bile Ducts
• Diseases of the Pancreas

Nephrology

• Acute Renal Failure
• Chronic Kidney Disease
• Urinary Tract Infections
• Renal Stone Disease
• Benign Prostatic Hypertrophy
• Obstructive Uropatty
• Hypertension
• Electrolyte Disorders
• Acid-Base Disorders

Endocrinology

• Diabetes Mellitus
• Disorders of Thyroid Gland
• Disorders of the Parathyroid gland
• Disorders of the Adrenal gland
• Dyslipidemias
• Hypoglycemia

Infection Disease

• Prevalent Disease
• TB
• Malaria
• Brucellosis
• Various Bacterial, Viral, Fungal and Helminthic Infection

Critical Care

• Shock – Septic, Cardiogenic
• Respiratory Failure
• Comatose States
• Poisoning and Drug overdose

Rheumatologic Condition and Degenerative Joint disorders

• SLE (Systemic Lupus Erythematous)
• RA (Rheumatoid Arthritis
• Joint
• Infectious Arthritis
• Fibromyalgia

Range of Treatments or Activities Performed

A. Laboratory Tests Utilized for Diagnosis

• CBC, ESR
• Chemistry including:
  • Electrolytes
  • Renal function tests
  • Liver function tests
  • Lipids
• Urine analysis
• Stool analysis
• 24 hours Urine Collection test
• Thyroid Function tests
• Specialized Tests

B. Radiologic Test Utilized for Diagnosis

• X-ray
• Ultrasound
• CT scan
• MRI
• Nuclear Medicine Scan
• 2D-Echo
• TEE
• Medical Management of both Acute Chronic conditions with Medications and Therapeutic procedures
• Care of long term care patients
• Consultation service for other services in the hospital
• Pre and post outpatient care on consultation basis

C. Diagnosis and Therapeutic Procedures

• Thoracentesis
• Paracentesis
• Central line placement
• Intubation

Types of Staff Carrying Out these Activities

• Consultants
• Specialists
• Residents

Sites where Care and Service are provided

• Outpatient Clinics
• Inpatient wards / floors
• Intensive Care Unit
• Emergency Room

Times When Care and Service Are Provided

• Outpatient Clinics : 0800-1200 and 1600 – 20 hours
• Inpatient – 24 hours
• 24 hour Consultant and Resident coverage is provided by utilizing on call schedules.

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