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When Should You Consult a Doctor for Orthopedic Pain?

When Should You Consult a Doctor for Orthopedic Pain?

As you become older, aches and pains may become more common, but that doesn't always mean they're normal. Athletes may sometimes ignore injuries that they ascribe to common training aches and pains when they require medical treatment. The fact is that it might be...

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Department Of Internal Medicine

Department Of
Internal Medicine

internal-medicine

Overview

In general internal medicine, all of the body’s systems are examined to see how they all operate together and how they impact the health and well-being of people. This broad area of medicine combines laboratory science analysis with a more individualized approach to adult treatment. 

Physicians who specialize in internal medicine have two major alternatives for career options: primary care and hospitals. Primary care is the focus of attention. Internists give preventive, acute, and chronic care to their patients in general internal medicine over a lengthy time. This kind of treatment is often provided in an ambulatory context, such as a private practice. 

Hospital medicine, as the name indicates, is focused on treating patients in a hospital environment who have more complicated or life-threatening diseases that need hospitalization. Hospitalists are doctors whose major job responsibility is to treat patients exclusively when they are in the hospital.

What Is Internal Medicine?

Internal medicine is a medical specialty that focuses on the treatment of adults. It comprises highly educated doctors responsible for a wide range of medical disorders affecting several organ systems. Doctors specializing in internal medicine are sometimes referred to as internists or general internists. They are acknowledged as being specialists in diagnostics, the treatment of chronic diseases, health promotion, and disease prevention, among other things. Even while some doctors choose to pursue a career in internal medicine, others specialize in a more narrowly defined field of medicine, such as gastrointestinal or cardiology.

General Medicine vs Internal Medicine 

The primary distinction between internal medicine and general practice is that internal medicine handles illnesses that general practitioners cannot treat at their level of practice. In contrast, general practice treats minor diseases, diagnoses serious conditions, and sends those patients to specialist centers for further care.

In general practice, among the most well-known subfields of medicine, deals with patients’ daily and typically non-serious concerns while also sending them to specialist care units when required. Internal medicine is concerned with treating more severe illnesses that general practitioners are unable to treat at their level of practice.

Internal Medicine Subspecialties

Trainees in internal medicine receive expertise in a variety of fields, including:

  • Cardiovascular diseases
  • Critical care medicine
  • Dermatology
  • Endocrinology
  • Rheumatology
  • Gastroenterology
  • Geriatrics
  • Gynaecology
  • Hematology
  • Infectious diseases
  • Nephrology
  • Neurology
  • Non-surgical orthopedics
  • Oncology
  • Ophthalmology
  • Otorhinolaryngology
  • Palliative medicine
  • Psychiatry
  • Pulmonary diseases
  • Rehabilitation medicine
  • Sleep medicine

Internal medicine residents spend at least one year caring for hospitalized patients, with at least three months spent in intensive care or critical care units. They get at least one year of hospital-based training, as well as extra exposure to in-patient subspecialties like cardiology, hematology-oncology, and gastrointestinal, among others.

Many internal medicine practitioners are subspecialists in a specific field. After completing the necessary three-year internal medicine residency, the extra one to three years of fellowship study is needed to establish experience in various subspecialties.

Internal medicine subspecialties that are recognized include:

  • Advanced Heart Failure and Transplant Cardiology 
  • Allergy and Immunology (immune system)
  • Cardiovascular Disease (heart and vascular system)
  • Clinical Cardiac Electrophysiology (heart rhythm)
  • Critical and intensive care Medicine for patients with multiple organ failure
  • Endocrinology (diabetes and other metabolic and glandular disorders)
  • Gastroenterology (gastrointestinal system, liver, and gallbladder)
  • Haematology (blood)
  • Infectious diseases and inflammatory conditions caused by viral, bacterial, fungal, and parasitic infections
  • Interventional Cardiology (heart health)
  • Nephrology (kidneys)
  • Oncology (cancer)
  • Pulmonary Disease (lungs and respiratory system)
  • Rheumatology (joints and musculoskeletal system)
  • Transplant Hepatology (liver)

Condition we treat

Doctors in internal medicine diagnose, monitor, and treat a wide variety of medical disorders. Cancer, infections, and disorders affecting the heart, blood, kidneys, joints, and the digestive, respiratory, and circulatory systems, are examples of what is covered. The following are examples of conditions that internists treat:

  • Abnormal uterine bleeding
  • Acute bronchitis
  • Acute decompensated heart failure
  • Acute exacerbations of asthma
  • Acute liver failure
  • Acute migraine
  • Acute pancreatitis
  • Acute pulmonary embolism
  • Acute respiratory distress syndrome
  • Allergic rhinitis
  • Anal fissure
  • Bacterial brain abscess
  • Bleeding peptic ulcers
  • Cancer pain
  • Cardiac arrest
  • Chronic limb-threatening ischemia
  • Cognitive impairment and dementia
  • Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults
  • Disseminated intravascular coagulation
  • Electrocardiographic abnormalities suggesting myocardial ischemia and infarction
  • Epilepsy and electroencephalogram (EEG)
  • Esophageal Disease
  • Exercise-associated hyponatremia
  • Failed fibrinolysis (thrombolysis) 
  • Gastrointestinal infections
  • HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets)
  • Hyperkalemia
  • Hypotonic hyponatremia
  • Damage to internal organs by food impactions or ingested foreign bodies
  • Lower gastrointestinal bleeding
  • Lyme disease
  • Mechanical colorectal obstruction
  • Mechanical small-bowel obstruction
  • Metabolic acidosis in chronic kidney disease
  • Metabolic alkalosis
  • Neoplastic epidural spinal-cord compression
  • Neuromuscular Disease
  • Neuropathies
  • Non-HIV viral infections
  • Osteonecrosis (avascular necrosis of bone)
  • Ovarian and fallopian-tube torsion
  • Pelvic inflammatory Disease
  • Peripheral nerve and muscle disease
  • Pregnancy complications
  • Pulmonary infections
  • Retinal detachment
  • Severe Crohn’s Disease
  • Severe hypovolemia or hypovolemic shock
  • Sickle cell disease
  • Simple and mixed acid-base disorders
  • Spinal epidural abscess
  • Subacute kidney injury
  • Suspected heart problems like unstable angina or myocardial infarction
  • Thyroid storm
  • Transient ischemic attack (TIA)
  • Tubo-ovarian abscess
  • Unexplained thrombocytopenia
  • Upper gastrointestinal bleeding
  • Urinary tract obstruction and hydronephrosis
  • Ventricular arrhythmias
  • Vertigo

Diagnosis and Treatment in Internal Medicine

Internal medicine professionals conduct or prescribe tests, treatments, and operations depending on the state of the patient, their general health, and their wellness objectives.

Internists are on the front lines of oropharyngeal cancer screening as the prevalence of head and neck tumors rise. All persons 18 and older should be checked yearly, according to the Centers for Disease Control and Prevention (CDC).

Internists, like nurses and other healthcare practitioners, are educated to execute a wide range of medical operations, the application of which varies widely depending on the specialty, diagnosis, and treatment. To conduct these treatments and limit patient suffering, maximize results, and eliminate side effects, providers require expertise and competence — and in many instances, extra training and medical qualifications.

Internal medicine doctors often undertake the following procedures:

  • Arterial puncture to analyze blood gases
  • Endotracheal intubation
  • Flexible sigmoidoscopy
  • Intravenous (IV) line insertion
  • Nasogastric (NG) tube placement
  • Urinary catheters placement
  • Venipuncture (“blood draw”) to test blood

A few internists have received further training in more invasive diagnostic and therapeutic procedures, such as thoracentesis and lumbar puncture.

An internist may do the following tests and procedures, among others:

  • Allergy

Rhinoscopy and skin testing

  • Cardiology

Cardiac stress testing, coronary catheterization, echocardiograms, angioplasty, pacemakers, stent insertion, implantable defibrillators, electrophysiology testing and ablation, cardioversion, and the implantation of intra-aortic and intra-ventricular devices are some of the procedures that are performed.

  • Endocrinology

Thyroid biopsy, bone density testing, and hormone testing are all options.

  • Gastroenterology

Endoscopy of the upper and lower gastrointestinal tracts, endoscopic ultrasound, endoscopic retrograde cholangiopancreatography (ERCP), esophageal manometry, stent implantation, and liver biopsy

  • Hematology/oncology

Biopsy of the bone marrow, stem cell transplantation, lymph node biopsy, and plasmapheresis

  • Pulmonary

Intubation and ventilator management, tracheostomy placement, chest tube thoracostomy, bronchoscopy

  • Renal

Dialysis and kidney biopsy

  • Rheumatology

Joint aspiration and therapeutic injection

Ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) guide invasive operations in internal medicine and many other medical specialties. Flexible fiberoptic tools may be used to reach parts of the body that are difficult to reach.

Why choose ONP Hospital?

The Oyster and Pearl Hospital (ONP) is a well-known internal medical hospital. We believe in treating all our patients with utmost care and dignity. The departments of this hospital have experienced professionals who are accessible to treat their patients 24 hours, seven days a week, and make every effort to offer the finest treatment possible. Furthermore, in an emergency, this facility is fully trustworthy. Our vision is to provide all necessary medical services under one roof to give patients the best outcomes and improve their quality of life.

What Patient has to say about us

People heavily rely on reviews from other patients when choosing a healthcare provider

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Abhijeet Gholkar

Our Patients

5 Star

We had an excellent experience at Oyster & Pearl hospital. We were here for emergency baby delivery and after that NICU for baby. Both deliveries for the mother and NICU for the kid were so delicately taken care of that by god's grace everything went well. Dr. Amita, Dr. Nivedita, Resident doctor staff, nursing staff, administration (Akash), cashless facility (TPA) dept everyone's efforts are well appreciated! Recommended.

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Vinod Chavan

Our Patients

5 Star

Best paediatric hospital in Pune. Dr Amita Phadnis is the best paediatric doctor in Pune. The entire staff is the best and supportive. Also, sister Merry is very polite and supportive. Thank you.

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Aniket Kalaskar

Our Patients

5 Star

Best Maternity hospital around the corner for Pimple Saudagar and nearby residents. Superb management and helpful staff always available for our service. Easy admission and discharge with well experienced staff. Highly recommended!!

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Farheen Hasan

Our Patients

5 Star

ONP Rahatani, is an excellent hospital in Pimple Saudagar. Went there for my delivery. Doctors are really humble and ready to resolve all doubts. Staff is very polite and cooperative. Admin support was exceptional in all matters from the date of admission to discharge. The atmosphere of hospital was fresh, clean and positive. Hospital was well organised and everyone working in the hospital treats its patients with respect and dignity. highly recommend this hospital.

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Priti Taravade

Our Patients

5 Star

ONP Leela hospital is best gynecology hospital in pimple saudagar, hospital is well organized and treats patients with dignity and respect. The staff is warm and caring. I would recommend this to all those in need of treatment.

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Priti Dhumane

Our Patients

5 Star

I am very happy with the services provided by ONP hospitals best IVF and Maternity hospital. I am also thankful to all the doctors and staff members who supported us throughout the entire process. Special thanks to Dr. Avinash for guidance and encouragement.

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Shraddha Kulkarni Shukla
Our Patients

5 Star

Dr Abhijeet Wahegaonkar is a God in orthopaedics with an excellent team ! ONP had Superb management with a caring approach. From admission till discharge, fantastic service.

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Archana Marne
Our Patients

5 Star

Took vaccine here on 7th June. Everything is well managed and the staff is also good. Enough two wheeler parking space. The whole process of vaccination took 45 mins. Thank you team.

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Aslam Tamboli

Our Patients

5 Star

It is the best IVF hospital in Pune. All the staff are very polite. Food quality is very good. Feeling happy and satisfied. Good service. Thank you so much to every doctor and every nurse.

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Liyakatali Pathan

Our Patients

5 Star

The services and hospitality are appreciated. The nurses were available on call and very cooperative.Overall satisfied with the food quality, environment and services. Thank you.

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