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Consultation Info.:049-228-3411

Number Info.:049-228-3400

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Department of General Internal Medicine

July 20,2021 Update

* Currently we are only supporting referrals from outside for; (1) Fever of unknown origin (unknown fever that lasts more than 3 weeks, (2) HIV, and (3) imported infectious diseases (excluding types 1 and 2). Please contact the attending physician in advance for (3).

Introduction

Our department was opened in 2017 as a new department of Internal Medicine. Our department is responsible for the diagnosis of patients with abnormal fevers and test abnormalities with inflammatory reactions, as well as the treatment of intractable infectious diseases that require specialized knowledge in cooperation with the Department of Infection Control.

Our hospital includes the Department of Gastroenterology and Hepatology, the Department of Cardiology, the Department of Pulmonary Medicine, the Department of Hematology, the Department of Rheumatology, the Department of Neurology, the Department of Diabetes, and the Department of Nephrology and Hypertension. So, for example, if a patient has pneumonia, then they go the Department of Pulmonary Medicine, if hepatitis, then the Department of Gastroenterology and Hepatology, but for patients with persistent fever where the cause of the high fever is not clear, it was previously hard to know which department of internal medicine they should go to in the past.

In our department, we mainly target patients, when there is an abnormality in the fever and the inflammation test, but the cause is unknown and they don't know which department they should go for treatment. At present, we are only supporting referrals and consultations through other departments in the hospital, but we will enhance the medical care system and aim to have a system that widely accepts patients. In addition, our hospital has the Department of Infection Control, but the diagnosis of the cause of an unknown fever and an increase in inflammatory reaction is performed mainly by our department, and the consultation regarding the medical treatment for general infectious diseases is done in cooperation with both departments.

Patient care at our department

Our hospital has a specialized department for each organ. However, for patients who do not have a diagnosis, you may not know which department will take lead.

In addition, even if the diagnosis comes later, if the first department is not specialized in such, it becomes a detour, and the treatment may take longer. For medical reasons, fever is the most common symptom, and even if you come to us to consult about a fever, it can be difficult to decide which department to see, and even if it is decided the cause is often not clear.
In such a case, we recommend that they are introduced to or consult with our department through the attending physician.

In addition to fever, we try to accurately diagnose the patient's marginal abnormalities, such as swelling of the lymph nodes, joint pain, rash, coughing, and diarrhea. If the result of the diagnosis is just light pneumonia, a urinary tract infection, or cellulitis, it is possible to treat them with just an outpatient treatment in our department. If the cause is still unclear, we work with each department in the hospital cooperatively to promptly resolve the cause of the fever and inflammation of the patient.

Main diseases

Unidentified fever
Sepsis

In cooperation with the Department of Infection Control, we work as the Department of Infections Disease.

  • General infectious disease consultation
  • Sexually transmitted diseases (HIV, syphilis, Neisseria gonorrhoeae infections, etc.)
  • Imported infectious diseases (dengue fever, malaria, typhoid, etc.)
  • Zoonotic infections (Q fever, Leptospirosis, parrot disease, etc.)
  • Parasitic diseases (such as Diphyllobothrium nihonkaiense, and strongyloidiasis)

Target Symptoms

Patients who have a fever but are unsure of which department to go to. Patients who have an inflammatory response but are unsure of what the cause is and to which department they should take it to. Patients who in addition to fever show rashes, joint pain, coughing, weight loss, diarrhea, etc., where the cause is not clear, and patients with a positive HIV or syphilis test. We are targeting patients who are in a poor physical condition, such as fever and diarrhea after overseas travel (currently, we only accept referrals through other departments of the hospital)

 

Medical staff

Name Job Title Position Specialized Field Credentials
岡 秀昭
(Oka Hideaki)
総合心療内科スタッフ001
Professor Chief of Clinical Services
Chief of Research
Infectious diseases diagnosis
HIV infection
Afferent infectious disease
Borard Certified Member of theJapanese Society of Internal Medicine
Fellow of the Japanese Association of for Infections Diseases
Board Certified Member of the Japanese Respiratory Society
The Japanese Society for AIDS Research
三村 一行
(Mimura kazuyuki)
総合心療内科スタッフ
Senior Lecture Vice-Chief of Clinical Services
Chief of Education
Infectious diseases
General Medicine
Pulmonary medicine
Fellow of Japanese Society of Internal Medicine
Board Certified Member of the Japanese Respiratory Society
Clinical training instructor
Infection Control Doctor(ICD)
General medical specialist training Specially appointed instructor
西田 裕介
(Nishida Yuusuke)
総合心療内科スタッフ
Instructor Mayor of foreign medical office Infectious diseases
General Medicine
Board Certified Member of the Japanese Society of Internal Medicine
酒井 梨紗
(Sakai Risa)
総合心療内科スタッフ
Instructor Infectious diseases
General Medicine
Board Certified Member of the Japanese Society of Internal Medicine
金澤 晶雄
(Kanazawa Akio)
総合心療内科スタッフ
Instructor Mayor of ward of medical office Infectious diseases
General Medicine
Board Certified Member of the Japanese Society of Internal Medicine
山下 裕敬
(Yamasita Hirotaka)
総合心療内科スタッフ003
Instructor Infectious diseases
General Medicine
Board Certified Member of the Japanese Society of Internal Medicine
佐藤 央基
(Satou Ooki)
総合心療内科スタッフ003
Instructor Infectious diseases
General Medicine
Board Certified Member of the Japanese Society of Internal Medicine
白井 絢子
(Sirai Ayako)
総合心療内科スタッフ003
Instructor Infectious diseases
General Medicine
Board Certified Member of the Japanese Society of Internal Medicine
須田 睦
(Suda Mutumi)
総合心療内科スタッフ
Instructor Infectious diseases
Department of General Surgery
Board Certified Surgeon(Jpn Surg Assoc)
Japan Medical Association Certified Industrial Doctor
浅井 緋花里
(Asai Hikari)
総合心療内科スタッフ
Instructor Infectious diseases
General Medicine
落合 佑典
(Otiai Yuusuke)
総合心療内科スタッフ
Instructor Infectious diseases
General Medicine
坂本 壮
(Sakamoto Sou)
総合心療内科スタッフ
Visiting Instructor Infectious diseases
Acute Medicine
Borard Certified Member of theJapanese Society of Internal Medicine
Acute Care Physician
The Japanese Society of Intensive Care Medicine
山本 慧
(Yamamoto Kei)
総合心療内科スタッフ
Visiting Lecture Infectious diseases
General Medicine

Outpatient clinic

Department of General Internal Medicine
  Monday Tuesday Wednesday Thursday Friday Saturday

To the Medical Institutions

In our department, we perform diagnostic treatment for unknown fever and increasing inflammatory reactions. We mainly treat infectious diseases in general such as drug-resistant bacteria, HIV, syphilis and imported infectious diseases in cooperation with the Department of Infection Control and have mainly a consultation in the hospital.

We do not accept any direct introductions to our department, so we ask you to introduce patients to us through consultation and in-hospital diagnosis through other departments of the hospital. As soon as the system is in place, we would like to provide outpatient and inpatient care as the Department of General Internal Medicine, Infections Disease. We apologize for this inconvenience for a little while but thank you for your understanding.

In addition, we are looking for staff in our department. We are particularly focused on education in order to nurture physicians with a general mindset, while having a high level of expertise and characteristics in infectious diseases. Since the training at the University Hospital focuses on the treatment of highly specialized diseases, the General Internal Medicine is a difficult area to establish, but we believe that it is possible to develop a comprehensive physician with expertise in infectious diseases by focusing the treatment of inflammatory diseases that occur in the systemic organs. If you are interested in training at our department, please contact us from our website.
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