Internal Diseases

Internal Diseases
In our Group Florence Nightingale Hospitals Internal Diseases (Internal Medicine) Department, the treatment of many systematic disease like, diabetes, hypertension, stomach and intestinal system diseases, kidney diseases, cardiovascular diseases, thyroid, osteoporosis and other endocrine diseases, blood diseases, rheumatic diseases and many diseases related to aging  are included.
In line with the scientific and technological development of modern medicine, Group Florence Nightingale Hospitals Internal Medicine Department is divided into many sub-branches.

We increase the quality and efficiency of our sub-branch services with our general internal medicine (internal medicine) services. 
General internal medicine (internal diseases) directs patients to the right department all over the world and in our country. If the patient does not have a sub-branch diagnosis related to a known internal disease, it is recommended to first come to the general internal medicine outpatient clinic. The general internal medicine outpatient clinic is extremely important in terms of making the first elimination and referring the patient to the relevant sub-unit.

The general internal medicine department diagnoses and refers to the following fields,
⦁ Nephrology (kidneys), 
⦁ Gastroenterology (digestive system),
⦁ Hematology (blood and coagulation disorders), 
⦁ Endocrine and metabolic diseases (glands and hormones), 
⦁ Rheumatology (joints) 
⦁ It plays an important role in guiding the patients to the side branches such as geriatrics (elderly health) correctly, collecting the results from different branches and evaluating them together.
In summary; in our hospitals, internal diseases sub specialists and general internal medicine polyclinics work in coordination and provide comprehensive diagnosis and treatment for all health problems of adults.
In all minor branches, diagnosis and treatment of all non-surgical complaints of the adult patient group over the age of 14 are included in the service. 

Under this service;
⦁ Outpatient clinic examinations, 
⦁ Inpatient diagnosis, 
⦁ Follow-up and treatments, 
⦁ Emergency services,
⦁ Pre-surgical evaluation,
⦁ Post-surgery patient evaluation, 
⦁ Consultation services for other branches,
⦁ Check-up programs.
The Internal Diseases Department of our hospital produces solutions to the health problems of patients within the framework of a multidisciplinary understanding in close cooperation with all branches.

Nephrology: doctors who have specialized and have a career in the field of nephrology, which includes kidney and urinary tract diseases and their treatment, work in internal diseases.
In our Nephrology Unit; 
⦁ Hypertension, 
⦁ Kidney stones, 
⦁ Other kidney diseases that cause protein loss in urine, 
⦁ Diseases that cause bleeding in the urine
⦁ Acute and chronic renal failure, 
⦁ Kidney diseases due to diabetes, 
⦁ Chronic glomerulonephritis,
⦁ Polycystic kidney disease,
⦁ Internal diagnosis, treatment and follow-up of all kidney and urinary tract diseases, including other cystic kidney diseases, are successfully carried out.
In our unit, comprehensive solutions are produced for all kinds of follow-ups and treatment of our patients undergoing dialysis treatments or kidney transplantations.
The Nephrology Unit acts with a multidisciplinary approach and a self-renewing approach with our Kidney Transplant Center, which is established for our patients in need of kidney transplantation and provides services at international standards.  

Gastroenterology: In our unit, the organs of the digestive system and the liver, gall bladder and pancreas, which are called as additional organs, are treated with medication or endoscopic treatments without the need for surgical intervention.

The main diagnostic procedures in our unit are; 
⦁ Endoscopic intervention (esophagogastroduodenoscopy) to investigate gastrointestinal diseases, which are the upper part of the digestive system
⦁ Colonoscopy and rectosigmoidoscopy for large intestine examination, 
⦁ Endoscopic retrograde cholangiopancreatography (ERCP) for biliary tract and pancreas examinations
⦁ Liver biopsy for liver diseases

The main procedures performed for treatment purposes at the Gastroenterology Unit of Group Florence Nightingale Hospitals are; 
⦁ Sclerotherapy or heat probe application in all upper and lower digestive system bleedings, 
⦁ Removal of foreign bodies in the esophagus, stomach, and rectum
⦁ Balloon and maloney bouqi dilatation in esophageal strictures
⦁ Stenting in cancer-related (malignant) strictures
⦁ Sclerotherapy and band ligation practice in esophageal varicose bleeding
⦁ Percutaneous Endoscopic Gastrostomy (PEG) practices to patients who need long-term enteral nutrition,
⦁ Removal of polyps in the large bowel (colonic) by polypectomy
⦁ Stent practice in large bowel
⦁ Band ligation and infrared thermocoagulation practice for hemorrhoids
⦁ Sphincterotomy, stone removal and stenting for problems in the biliary system and pancreatic duct.
⦁ Endoscopic mucosal resection (EMR)  
⦁ Endoscopic submucosal dissection (ESD) 
⦁ Peroral Endoscopic Myotomy (POEM), 
⦁ Balloon Enteroscopy, 
⦁ Cholangioscopy

Hematology: diagnosis and treatment of diseases related to blood and blood coagulation in adults are performed in our unit. 
Diagnostic bone marrow aspiration and / or biopsy and hematological laboratory assessments are also performed by our experienced hematology specialists within our unit.
Non-drug therapy
- Plasmapheresis (blood replacement) is performed within our unit. 
- FlorenCell Cell and Tissue Center in stem cell preparation,
- Stem cell transplantation works in close cooperation with the Bone Marrow Transplant Center.

Major diseases diagnosed and treated in our Hematology Unit;
⦁ Mediterranean anemia,
⦁ Anemias,
⦁ Aplastic anemia,
⦁ Thrombotic thrombocytopenic purpura (TTP), 
⦁ Immune thrombocytopenic purpura (ITP),
⦁ Iron deficiency anemia: 
⦁ Hodgkin Lymphoma,
⦁ Bleeding coagulation disorders,
⦁ Chronic Lymphocytic Leukemia (CLL),
⦁ Chronic Myeloid Leukemia (CML),
⦁ Lymph Cancer (Lymphoma),
⦁ Blood cancer (Leukemia),
⦁ Myelodysplastic Syndrome (MDS),
⦁ Myeloproliferative diseases,
⦁ Multiple Myeloma
⦁ Non-Hodgkin Lymphoma,
⦁ Hairy cell leukemia,
⦁ Vitamin B12 deficiency is anemia.

Endocrine and Metabolic Diseases: In Our Unit
⦁ Diabetes,
⦁ Osteoporosis (bone loss),
⦁ Diseases of the thyroid gland and goiter, 
⦁ Obesity, 
⦁ · hypertension, 
⦁ Pituitary diseases, 
⦁ Adrenal diseases, 
⦁ Sexual development disorders, 
⦁ High cholesterol and lipid metabolism diseases, 
⦁ Growth and development retardation (short stature),
⦁ · The diagnosis and treatment of tumors of the glands (thyroid cancer, pituitary and pancreatic tumors, etc.) are treated in cooperation with other relevant departments.

Rheumatology: We deal with the diagnosis and treatment of many diseases called "rheumatological (rheumatic) diseases", which result in inflammation in joints or other organs as a result of some changes in the immune system.
In our unit we have,
⦁ Degenerative joint diseases (osteoarthritis) commonly known as calcification,
⦁ Soft tissue rheumatism (myalgia, fibromyalgia, tendinitis) with pain in the soft tissues of the neck, back, arm, leg,
⦁ Internal diagnosis, treatment and follow-ups of all rheumatological diseases such as inflammatory rheumatic diseases (usually caused by various disorders in the immune system) are successfully and meticulously performed by our rheumatologists.

Geriatrics: Geriatrics is a branch of science that aims to ensure healthy aging of people aged 65 and over, and also deals with the health problems (diagnosis, treatment and follow-ups of acute and chronic diseases), social and functional lives and quality of life of this age group.
In our Geriatrics Unit; 
⦁ Thanks to preventive medicine and general scanning, we aim protect your health by early diagnosis of un symptomatic diseases.
⦁ Increasing the activity level and quality of life of patients,
⦁ Making accurate diagnosis of diseases,
⦁ Screening of geriatric syndromes such as inactivity, depression, dementia, delirium, falls, pressure sores, osteoporosis, multiple drug use, decreased vision and hearing, malnutrition, sarcopenia, as well as internal diseases such as hypertension, diabetes, hyperlipidemia, endocrine diseases, planning treatments and follow-ups,
⦁ We aim to provide optimum environmental and social support and care for the patient and therefore provide  patient-centered services.
⦁ Preventive medicine is of great importance for older people. Preventive medicine practices include lifestyle changes, protection from accidents, prevention of cardiovascular diseases, monitoring and prevention of changes in oral and dental health, psychosis and mental health, scanning tests and vaccination programs. 
⦁ Thanks to these practices, it is possible to protect health and slow down or stop the progression of chronic diseases.
⦁ "Versatile Geriatric Assessment" is performed in geriatric patients (at advanced age). In this assessment, unlike the standard medical evaluation, the medical problems, functional status, geriatric syndromes and quality of life of elderly people are assessed in various scales. 
⦁ It is also possible to determine the most risky group in terms of geriatric problems called "frail elderly" with a versatile geriatric assessment. 
⦁ Frail elderly people are at increased risk of falls, functional dependence, hospitalization and death. Identifying this patient group and arranging a treatment plan are among the most important goals of multi-dimensional geriatric evaluation.
Internal Diseases
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