MINISTRY OF HEALTH ANKARA CITY HOSPITAL

Endocrinology Updated: 05 November 2019

Endocrinology


 

Endocrinology

    GENERAL HOSPITAL

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General Information about the Department

Ankara City Hospital Endocrinology and Metabolic Diseases Clinic has been in service since 07.02.2019. The training staff and specialist staff of the clinic are Ankara Atatürk Training and Research Hospital Endocrinology and Metabolic Diseases Clinic-Endotem District polyclinic and Ankara Numune Training and Research Hospital Endocrinology and Metabolic Diseases Clinic. In Genel Hospital, Endocrinology Clinic provides policlinic services to outpatients and also provides inpatient services for treatment and/or medication tests when deemed necessary. In addition, there is a Preop Endocrinology policlinic in the Oncology Hospital building where endocrinological evaluations are performed prior to the patients who will have a Medical Board and surgery. Clinical and polyclinic services are carried out by a total of 4 professors, 7 associate professors, 2 physician faculty members, 7 specialists and 9 internal specialists-minor assistants.

The Department of Endocrinology and Metabolic Diseases deals with the diseases of endocrine organs known as internal glands, which are responsible for the production and secretion of hormones. In addition, metabolic disorders including fat, protein and carbohydrate production / consumption in our body are of interest.
Endocrine specialists (endocrinologists) working in this department serve the latest developments in the diagnosis and treatment of endocrine system diseases.

A special feature of this section is the measurement of the level of hormones by performing various stimulating or suppressive tests (dynamic tests) during the diagnosis of diseases. These operations are mostly cascading. Sometimes testing can take a long time to complete. Diagnosis procedures are mostly performed as an outpatient from the outpatient clinic and if necessary, under observation and hospitalization.


General Titles of Diagnosis and Treatment

1. Diabetes Mellitus
2. Obesity
3. Metabolic diseases such as hyperlipidemia, gout
4. Thyroid diseases (Goiter, Thyroid nodules, Thyroid dysfunction, Thyroid cancer)
5. Parathyroid diseases (Calcium regulating internal gland diseases)
6. Metabolic bone diseases such as osteoporosis
7. Diseases of the pituitary gland
8. Adrenal (adrenal gland) diseases
9. Reproductive disorders caused by hormones
10. Sexual development disorders of adults


Which diseases does the clinic look for?

The Endocrinology and Metabolic Diseases Clinic looks for excess or lack of function or tumoral diseases of the internal glands.

Diseases and conditions of interest are listed below considering alphabetical order:

Adrenal insufficiency
Adrenal mass
Amenorrhea
Anorexia
Acromegaly
Bariatric surgery
Lack of growth hormone
Cushing Syndrome
Diabetes mellitus
Diabetes insipidus
Goiter
Gaves disease
Pheochromositoma
Hypothyroidism
Hyperthyroidism
Hashimoto's disease
Pituitary insufficiency
Pituitary Adenomas
Hypoparathyroidism
Hyperparathyroidism
Hypoglycemia
Hirsutismus
Gynecomastia
Klinefelter Syndrome
Metabolic Syndrome
Obesity
Osteoporosis
Polycystic Ovary Syndrome
Prediabetes
Primary Aldosteronism
Thyroid Nodules
Thyroid Cancer
Turner's Syndrome


Special Procedures in Endocrinology Clinic:

1. Ultrasonographic evaluation (Ultrasonographic evaluation of thyroid and neck lymph nodes): It is a non-invasive imaging method that is frequently used in the evaluation of thyroid diseases. By ultrasonography (USG), both thyroid gland problems are evaluated and if a nodule is detected in the thyroid, it is decided whether biopsy evaluation is necessary or not according to the ultrasound characteristics of the nodule. Thyroid nodules are common in the community. It is known that thyroid nodule detection rate is only 5% with examination and it is up to 50% with USG. In other words, thyroid USG is a must-have for the detection and evaluation of nodules. Further evaluation is required in patients with malignant thyroid nodules or malignant lymph nodes in the neck. Especially in patients with malignant thyroid nodules, the detection of malignant lymph nodes before the first surgery will change the shape of the surgery and cause lymph node dissection. The most frequent recurrences in patients who underwent surgery due to thyroid cancer and follow-up are lymph nodes. Ultrasound evaluation of lymph nodes is also performed in our center. USG and fine needle aspiration biopsy (FNAB) are the first steps to differentiate benign malignant nodules and lymph nodes.

2. Ultrasound-guided Fine Needle Aspiration Biopsy (thyroid nodule, fine needle aspiration biopsy from lymph nodes): FNAB is performed on nodules or nodules according to ultrasound characteristics. FNAB is a convenient, inexpensive and reliable method to investigate whether the nodules detected by USG are malignant. Fine needle aspiration biopsy is a procedure that can be easily applied in the outpatient clinic without the need for any drug or local anesthetic. Ideally, the procedure should be performed under USG guidance. The procedure is performed using USG in our clinic.

3. Ultrasound guided washing of calcitonin and thyroglobulin from lymph nodes or thyroid nodules: In most thyroid cancers, the spread is to the neck lymph nodes. It is important in the evaluation of thyroid nodules or lymph nodes for malignancy. In cases where cytologic examination with FNAB is insufficient for diagnosis, washing procedures may be needed. Detection of metastatic lymph nodes when washing with cytology reaches 100%. In our clinic, thyroglobulin and calcitonin washing procedures are performed on both thyroid nodules and lymph nodes.


Units connected to the department:

Policlinic

1. Ultrasonography (2 rooms)
2. Biopsy (2 rooms)
3. Tanita (Body Composition Analysis) (1 room)
4. Test Room (1 room)

Bed Service (MH1-B3)

1. Ultrasonography-Biopsy (1 room)


How do I get examined:

Endocrinology and Metabolic Diseases of Our Hospital outpatient clinic for examination reference two ways: Applying without an outpatient appointment (by taking the sequence number from the hospital desks)

Appointment by appointment system (Appointments can be taken by phone or on the internet. For appointments by phone, you can call 182. Appointment via the Internet can be taken by following the directions on the page opened via Central Hospital Appointment System (MHRS).

Patients 18 years and older are admitted to our clinic.

NOTE: Since Endocrinology and Metabolic Diseases is a minor of Internal Medicine, patients must be added to the green list (by endocrinology or internal medicine specialist) in order to apply by appointment system.

According to the bed condition and the urgency of the patient, it can be admitted to the inpatient service or contacted with the secretary and printed on the appointment list. The patients who are included in the appointment list are called by the service secretary for hospitalization when the bed condition is appropriate.


Procedures

For fine needle aspiration biopsy, patients are informed about the procedure. Informed Consent Form containing detailed information about the procedure is given to the patient. The patient applies to the appointment on the day of the procedure with signed form.


Address and Extension Number:

Ankara City Hospital University District Bilkent Street No:1 Çankaya/ANKARA

Telephone:

Polyclinic Number : (0312) 552 60 00 / Dahili: 100561 – 100207
Bed Service : (0312) 552 60 00/ Dahili: 103240



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