DEPARTMENT OF INTERNAL MEDICINE

MISSION STATEMENT
OUR MISSION IS TO BRING HEALTHCARE OF INTERNATIONAL STANDARD WITHIN THE REACH OF EVERY INDIVIDUAL. WE ARE COMMITTED TO THE ACHIEVEMENT AND MAINTENANCE OF EXCELLENCE IN EDUCATION, RESEARCH AND HEALTHCARE FOR THE BENEFIT OF HUMANITY DR.PRATHAP C REDDY CHAIRMAN, APOLLO HOSPITALS GROUP

PRESENT MANPOWER OF INTERNAL MEDICINE DEPARTMENT

POST CONSULTANT REGISTRAR RESIDENT MEDICAL OFFICER MEDICAL SECRETARY OPD NURSE CURRENT NUMBER 4 3 2 3 1

PATIENT CARE ATTENDANT

KIND OF SERVICES BEING OFFERED

IPD VISITS OPD CONSULTATION 24 HRS EMERGENCY COVERAGE ON ROTA BASIS

ICU, HDU CONSULTATIONS

MASTER HEALTH CHECK CONSULTATION ATTENDING REFERRALS FROM OTHER DEPARTMENTS PATIENT EDUCATION AND COUNSELLING VISITING PERIPHERAL APOLLO CLINICS IN DISTRICT TOWNS

ACADEMIC ACTIVITIES

DAILY MORNING REPORT DAILY TEACHING WARD ROUNDS MONTHLY CLINICO - PATHOLOGICAL & CLINICO - RADIOLOGICAL SEMINAR PARTICIPATION IN LOCAL, NATIONAL, INTERNATIONAL CONFERENCE PUBLICATION IN MEDICAL JOURNALS - LOCAL & NATIONAL PROVIDE GUIDANCE TO DOCTORS PREPARING FOR POST GRADUATE EXAMINATIONS

TRAINING PROGRAMMES

BLS & ACLS COURSE HOSPITAL INFECTION CONTROL TRAINING PROGRAMMES PARTICIPATION IN SHORT TRAINING PROGRAMMES ABROAD

NUMBER OF CONSULTATIONS (OPD + IPD)

KIND OF PATIENTS AVAILING OUR SERVICES

SELF REFERRAL REFERRAL FROM DOCTORS OUTSIDE OUR HOSPITAL AND DOCTORS FROM OTHER DEPARTMENTS OF OUR HOSPTAL. PATIENTS COMING WITH FEVER FOR DIAGNOSIS AND TREATMENT e.g.. TYPHOID FEVER, DENGUE FEVER, URTI, VIRAL FEVERS, TUBERCULOSIS & ACUTE GASTROENTERITIS

HYPERTENSION, DYSLIPIDAEMIA, DIABETES MELLITUS, ASTHMA

EVALUATION OF ANAEMIA, WEIGHT LOSS, WEIGHT GAIN, SHORTNESS OF BREATH, CHEST PAIN, OEDEMA, DIZZINESS, DYSURIA, DYSPEPSIA, JOINT PAINS, GENERAL WEAKNESS, BODYACHE, HEADACHE, etc.

PSYCHO-SOMATIC DISORDERS
MULTIPLE CO-MORBID CONDITIONS GENERAL CHECK-UP

FOLLOW UP VISITS AFTER DISCHARGE FROM THE HOSPITAL

A CASE OF ORGANOPHOSPHORUS POISONING WAS IN VENTILATOR FOR 19 DAYS

BACK WITH HIS LOVING PARENTS

CHEST X-RAYS OF 22 YR OLD YOUNG MAN WITH KEROSENE POISONING

BACK WITH HIS FATHER AND SMILING

54 YR OLD FEMALE WITH SEVERE PANCYTOPENIA

THIS 54 YR OLD WOMAN, A KNOWN CASE OF RHEUMATOAID ARTHRITIS WHO WAS ON LONG TERM METHOTREXATE PRESENTED WITH:
1.
2. 3. 4.

FEVER GUM BLEEDING WATERY DIARRHOEA SEVERE GENERAL WEAKNESS

HER HAEMOGLOBIN 6.7gm% RBC COUNT 2.2 million/cmm TLC 500/cmm L 50% P 48% M 2% PLATELET 20,000/cmm BLOOD GROUP O+

SHE WAS PUT IN ISOLATION ROOM AND ALL MEDICAL STAFF ATTENDING HER WERE ADVISED TO WEAR MASK, GLOVES AND GOWN

AFTER SENDING SPECIMENS FOR CULTURE SHE WAS STARTED ON ANTIBIOTICS, IV CEFTAZIDIME + IV INFUSION OF VANCOMYCIN

NEUPOGEN (G-CSF) 30 million unit SC 12 hrly LEUCOVARIN (FOLINIC ACID) 50 mg IV Q 8h PLATELET TRANSFUSION BLOOD TRANSFUSION IV FLUID + POTASSIUM REPLACEMENT

ON THE 4TH DAY OF ADMISSION SHE DEVELOPED CENTRAL CHEST DISCOMFORT ASSOCIATED WITH PROFUSE SWEATING. ECG SHOWED EXTENSIVE ANTERIOR MYOCARDIAL INFARCTION. SHE WAS MOVED TO CCU FOR CLOSE MONITORING.

62 YEAR OLD FEMALE PRESENTED WITH SEVER SHORTNESS OF BREATH & CYANOSIS SHE HAD THE FOLLOWING CONDITIONS:

TYPE 2 RESPIRATORY FAILURE

RIGHT SIDED LOBAR PNEUMONIA ACUTE ON CHRONIC RENAL FAILURE CEREBRAL INFARCTION WITH RIGHT SIDED HEMIPLEGIA HYPOTHYROIDISM HYPERTENSION DM TYPE 2

AFTER 45 DAYS IN VENTILATOR & CLOSURE OF TRACHEOSTOMY WITH HUSBAND AND DAUGHTER

DIFFERENT CAUSES OF HYPONATRAEMIA

THIS 33 YEAR OLD MALE PRESENTED IN ACUTE ADRENAL CRISIS. HIS BP 75/55 mmHg PULSE 110/min RBS 2.8mmol/L SERUM Na 100mmol/L SERUM K 4.7mmol/L SERUM Cl 78mmol/L HCO3 20mmol/L SERUM CORTISOL 0.6ug/dl (normal value 5 25 ug/dl)

SYNDROME OF INAPPROPRIATE ADH SECRETION (SIADH)

83 YEAR OLD GENTLEMAN PRESENTED WITH SHORTNESS OF BREATH ON EXERTION, NAUSEA & GENERAL WEAKNESS. HIS SERUM Na 121mmol/L SERUM K 3.8mmol/L SERUM Cl 89mmol/L HCO3 24mmol/L Urinary Na (Spot) 63mmol/L SERUM Osmolality 251mosmol/kg Urine Osmolality 354mosmol/kg CHEST XRAY DIFFUSE INTERSTITIAL RETICULONODULAR SHADOWS

DRUG INDUCED HYPONATRAEMIA

THIS 70 YEAR OLD FEMALE PRESENTED WITH SEVERE WEAKNESS, LOSS OF APPETITE, INABILITY TO WALK, VOMITTING & CONFUSION HER SERUM Na 107mmol/L SERUM K SERUM Cl 2.6mmol/L 80mmol/L

SHE WAS TAKING TAB. LOSARTAN PLUS HYDROCHLORTHIAZIDE FOR HYPERTENSION

DIFFERENT CAUSES OF PLEURAL EFFUSION

Rt. SIDED TUBERCULOUS PLEURAL EFFUSION

DRESSLERS SYNDROME

PULMONARY EMBOLISM

VASCULITIS OF THE FINGERTIPS

POLYMYOSITIS

VISION STATEMENT

OUR VISION IS TO MAKE THE DEPARTMENT OF INTERNAL MEDICINE A CENTRE OF CLINICAL EXCELLENCE, A TERTIARY CARE REFERRAL CENTRE WITH STRONG EMPHASIS ON STRUCTURED TRAINING, AUDIT AND RESEARCH. WILL FOLLOW ESTABLISHED CLINICAL PAHWAYS ON THE BASIS OF EVIDENCE BASED MEDICINE. FULLY COMPLY WITH INTERNATIONAL PATIENTS SAFETY STANDARDS. OUR DEPARTMENT WILL ESTABLISH LINKS WITH POSTGRADUATE BODIES LIKE BCPS, ROYAL COLLEGES AND CONDUCT POSTGRADUATE EXAMINATIONS.

IN FUTURE WE HOPE TO START THE FOLLOWING SPECIALIZED SERVICES:

POISON CENTRE DRUG ABUSE SCREENING CLINIC GERIATRIC CLINIC ANTI COAGULANT CLINIC OCCUPATIONAL AND ENVIORONMENTAL MEDICINE CLINIC HIV CLINIC