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Department of Internal Medicine

A team of diligent physicians and their assistants form the backbone of hospital care. The Department of Internal Medicine comprises of sub-specialties and super –specialties.

The department of Medicine initially covered all specialities till super-specialities like Gastroenterology and Nephrology were created, to which Neurology was added and are now working as full fledged departments. The department continues to have specialities such as Oncology, Respiratory and Sleep Medicine and Endocrinology. It has consultants who are capable of diagnosing and treating complicated medical problem in the fields of diabetes and endocrinology, rheumatology, pulmonology, medical oncology, infectious diseases, HIV and AIDS and primary immunological disorders.

Diabetes Mellitus & Endocrinology
The department has experienced consultant who supervises comprehensive assessment of Type I & Type 11 diabetes patients. The work-up includes glycosylated hemoglobin (HbAlc), 24 hour urinary proteins and creatinine clearance and echocardiography. Newer insulin analogues, oral antidiabetics – rosiglitazone, repaglinide, glimepdde and new lipid lowering drugs – statins and fibric acid derivatives are being used. The emphasis is on prevention, early detection and control of diabetes and its complications. The recently started Department of Endocrinology carries out special investigations for checking urinary microalbuminuria, BCA (Body composition analysis) and tests for the assessment of autonomic neuropathy.

The department of Rheumatology & Clinical Immunology runs a rheumatology OPD with advanced laboratory back-up geared to diagnose and treat rheumatological problems such as rheumatoid arthritis, systemic lupus “hematosus, progressive systemic sclerosis, sero negative spondyloarthropathy etc. Joint aspirations and intra articular injections are given on an out patient basis. A large number of patients are on disease modifying antirheumatic drugs (DMARDS) with good results.

HIV positive and AIDS patients are treated in the hospital. ELISA (by three different assays) CD4 counts and viral loads are available for diagnosis, managing opportunistic infections and giding them for instituting antiretroviral therapy.

The department of Pulmonology has a senior pulmonologist with his team. It is equipped with the latest machines to carry out various pulmonary function tests and has expertise in giving respiratory support with different modes and equipment.

The department of Oncology has an experienced consultant and has a day care centre to give short term chemotherapy. The Oncology department along with department of Surgery, ENT and Gynaecology orgnises free cancer detection camps in different parts of North India. The Oncology department gives highly specialised chemotherapy for haematology and solid tumours.

Intensive Care
Since time is crucial for patients with life threatening infections (septicaemia), the department has a back-up of microbiology with its rapid diagnostic culture, techniques (BacT/Alert) which help in the management of patients. Sick patients are treated in the ICU where there are critical care specialists (including anaesthetists) who coordinate with the medicine department utilising state of the art equipment such as respirators, cardiac monitors, pulse oximeters and defibrillators. Assessment of patients and their efficient monitoring is done with advanced blood gas analysers.

Facilities & Services Available

Outdoor, indoor and emergency services are available round the clock.

Emergency Medical Care:
Facility from casualty to the intensive care is available for diagnosis and management of medical emergencies. The physician and his/her team are the first to attend on such patients.

Routine Medical Care:
Beside routine examination and diagnosis of diseases followed by investigation and treatment, all types of fever and infections, are also managed by the department. Specialized tests, use of rapid bacterial culture and sensitivity techniques, PCR and other investigation modalities provides the best quality support for these. (Please see section on laboratory services).

Rheumatology Clinic
The hospital offers efficient facilities for diagnosis and treatment of all types of arthritis, including new biologic agents by highly qualified and experienced Rheumatologists.

Pushpanjali Palace, Delhi Gate, Agra, Uttar Pradesh 282002

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