INTERNAL MEDICINE DEPARTMENT HEAD Doctor Jean-Emmanuel Kahn
WHAT IS INTERNAL MEDICINE?
An "internist" is a specialist in all of the medical domains which do not specifically refer to an organ of the body. At time of ultra-specialisation in terms of medical disciplines, Internal Medicine concentrates on a general treatment of patients and harmonises the various specialists involved in treating them where the complexity of their condition requires this.
An internist generally practices in a hospital environment. They must know how to treat patients with common pathologies that require hospitalisation as well as those with conditions that are rare or require complex diagnoses.
They practice a "general", global, holistic and advanced medicine involving patients with multiple pathologies whilst always making room for specialists as specific conditions arise.
WHAT PATHOLOGIES DOES THE DEPARTMENT COVER?
Internal medicine treats complex symptoms
In about half of the cases, patients come to the department as part of a programmed hospitalisation after consulting one of the department's doctors or their GP. These patients are often subject to complex conditions or symptoms: fever, inflammation syndromes and/or rare systemic diseases, auto-immune system diseases or other rare diseases... The department must therefore work in close collaboration with the National Reference Centres for each of these rare conditions.
Internal medicine after passing via the Accident & Emergency ward
In the other half of cases, Hôpital Foch receives patients who have been admitted to an A&E ward or who have been released from intensive care. The most common motives for hospitalisation are infectious diseases (pyelonephritis, various forms of pneumonia, lower limb infections often referred to as erysipelas), or more serious infections such as vertebral or heart-valve infections, phlebitis, tumorous diseases, anaemia, etc.
Internal medicine treats a very broad spectrum of pathologies
The Hôpital Foch Internal Medicine department treats pathologies related to the following disciplines:
Periodic fever syndromes: Sarcoïdosis and other systemic granuloma conditions
Other rare diseases: relapsing polychondritis, Behcet's disease, hyperIgG4 syndrome, retroperitoneal fibrosis, other systemic fibroses, Cogan's syndrome, Susac's syndrome.
Viral Hepatitis: chronic hepatitis (B, C and D), acute hepatitis (A and E).
Auto-immune hepatitis and primary biliary cirrhosis.
Hepatic conditions related to systemic or genetic conditions: Wilson's disease, hemochromatosis, cystic fibrosis, diabetes.
Alcohol related liver diseases: cirrhosis, acute alcohol-related hepatitis.
Hepatic test anomalies
HIV and AIDS infection
Digestive tract cancers
Late diagnosed rare genetic disorders
hemochromatosis and other iron overload conditions
Tuberculosis, endocarditis, septic arthritis, spondylitis, malaria, fever and diarrhoea on returning from a tropical country, Whipple's disease, Lyme's disease, rickettsiosis, cat-scratch disease, etc.
Hyperuricaemia and gout
Haematological and oncological diseases
Histiocytoses: Langherans cell histiocytosis, Erdheim-Chester's disease, Rosai-Dorfmann's disease, other histiocytoses.
Appointments should be made by telephone: 01 46 25 25 25
In this case we will require a letter from the GP or specialist who refers the patient to Internal Medicine, along with copies of all tests that have already been completed and the patient's contact details in written form: Full name, date of birth, full address and telephone number. These documents should be sent to the Internal Medicine reception:
by post: Internal Medicine Department Reception, Hôpital Foch, 40 rue Worth, 92150 Suresnes,