Internal Medicine

Internal Medicine 

Although psychiatric and neurological diseases are brain diseases, the brain works in interaction with all other systems of the body. Metabolic disorders, circulatory system diseases, and endocrine system diseases affect brain work. For this reason, our hospital, which started working with the Association of Neurology-Psychiatry-Psychology, also provides services in the specialty of Internal Medicine from the days of its establishment.

In this way, our patients, like our counterparts around the world, who serve the highest standards of Service, are thoroughly evaluated before and during treatment.

In addition to the decomposition of pathologies that contribute to the formation of the psychiatric table through affecting brain work, early detection, and treatment of systemic pathologies that may affect treatment selection and course of therapy were continued under the responsibility of the Internal Medicine specialty.


All patients hospitalized in our hospital in the formation and treatment of the disease, which is essential in both choosing and metabolic syndrome, kidney and liver diseases, Electrolyte balance disorders, hormonal disorders, thyroid disorders, etc.), vitamin deficiencies (vitamin D, vitamin B12, folic acid, etc.), Hematological Disorders, circulatory system diseases, screening for Communicable Diseases is passed.


Relationship of systemic diseases with psychiatric and neurological diseases

1-Metabolic Syndrome: It can be defined as noticeable and non-creative changes in blood sugar, blood lipids, blood pressure. It is a disorder that occurs with an increase in abdominal fat and is accompanied by a familial predisposition. There are publications that express a role in the formation mechanism of certain psychiatric diseases (Bipolar disorder, etc.).

It can also be referred to as the onset of Diabetes Mellitus Type2, which is in the World Health Organization's priority class of risky diseases. Metabolic syndrome is a significant health problem because it also increases the risk of cardiovascular diseases other than psychiatric disorders.

During the course of psychiatric treatments, the possibility of weight gain in individuals with predisposition makes observation mandatory from this point of view during the treatment process.

2-Kidney Diseases: Quiet kidney diseases that do not cause significant complaints until they reach the final stage can be responsible for both symptoms that are considered psychiatric and are essential in the choice of personalized treatment. If the drug that is planned to be used to treat a patient with silent kidney failure is excreted from the body through the kidney, it is necessary to reduce its dose or choose another drug that is excreted through the liver.

Brain involvement of some connective tissue diseases that affect the kidney can also be diagnosed through the detection of kidney disease in some cases.

3-liver Diseases: As with kidney diseases, liver diseases do not complain in many cases. It may not go unnoticed until the disease reaches its advanced stage. But it is also necessary to determine this condition in the selection of personalized treatment. In the presence of liver disease, the dose of the drug excreted in this way is reduced or the choice of an alternative excreted through the kidney.

In cases such as alcohol and substance abuse, the extent of liver damage is essential for both the patient and the doctor in terms of the behavior style during the treatment process.


4-Electrolyte Balance Disorders: The concentration of elements such as circulating sodium, potassium, calcium, and magnesium should be measured in order to predict both complications that may occur in ECT applications and unexpected disadvantages that may develop during the patient's treatment.

Because calcium and potassium low and highs affect the excitability of cells, they are parameters that need to be determined for both heart rhythm disorders and brain diseases such as epileptic seizures. In psychiatry, it is essential that these levels are normalized, especially during ECT, both in terms of the effectiveness of treatment and the frequency of treatment side effects.

In addition, especially the elderly patient population can be negatively affected by small changes in blood sodium, although it decreases, brain function, which can be sufficient for the maintenance of daily life, can show rapid deterioration.


5-Hormonal Diseases: Especially, thyroid hormones should be at an average level for the proper functioning of brain cells, as well as all body cells. An excess of thyroid hormones can exacerbate mania-like psychiatric diseases, and a deficiency can aggravate conditions such as depression.

Adrenal Diseases can also facilitate or mimic the appearance of certain psychiatric diseases (a table similar to a panic attack).

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