Department of Internal Medicine, 2nd Faculty of Medicine, Charles University and University Hospital Motol

The internal clinic provides comprehensive diagnostic and therapeutic care to outpatients and hospitalized patients in the catchment area and superconsulting services to patients from all over the Czech Republic.

Its activities focus on cardiology and angiology, gastroenterology with hepatology, metabolic disorders and nephrology. As part of a broader cooperation, care is also available at the teaching hospital for people with diseases of the endocrine and lung glands.

Workplace focus

Comprehensive care for patients with internal diseases. Comprehensive diagnostics, invasive and non-invasive treatment of gastrointestinal and liver diseases. Comprehensive care for patients with diabetes mellitus, including gestational and specific complications, obesity, endocrinology. Diagnosis and treatment of kidney disease. Intensive care for indoor disorders, use of elimination methods. Care for patients with disorders of lipid metabolism and nutrition, diagnosis and treatment of vascular diseases. Care for patients with cardiac problems. Diagnosis and treatment of rheumatic diseases.

Undergraduate teaching of Czech and foreign master's students and bachelor's students within the scope of the clinic and hospital. Postgraduate specialized training focused on gastrointestinal endoscopic diagnostics and therapy, sonography and diabetology.

 

The head

prof. MD Radan KEIL Ph.D.
224 434 000, 224 434 001
radan.keil@fnmotol.cz

Primary

MD Jindra Lochmann
224 434 014
jindra.lochmannova@fnmotol.cz

Head nurse
224 434 005
katerina.lisova@fnmotol.cz

Secretariat
224 434 001
interna@fnmotol.cz

Location:

Adult Section, 4th Floor, Node D / Adult Section, 4th Floor, Block D

Contacts for individual workplaces

Professional ambulances

 

Inpatient stations

Diabetes clinic

224 434 030

 

1st bed station

224 434 035

Podiatric clinic

224 434 067

 

2st bed station

224 434 037

Nephrology clinic

224 434 064

 

3st bed station

224 434 032

Obesity clinic

224 434 064

 

5st bed station

224 433 066

Gastroenterological clinic

224 434 049

 

7st bed station

224 433 061

 

 

 

Metabolic unit

224 434 031

 

 

 

 

 

Internal medicine clinic

224 434 026

 

 

 

224 434 027

 

 

 

INTERNAL CLINIC / DEPARTMENT OF INTERNAL MEDICINE         

Adult Section, 4th Floor, Node D / Adult Section, 4th Floor, Block D

Head: Prof. MD Radan KEIL Ph.D.
Secretariat: tel .: 224 434 001     
Email: interna@fnmotol.cz
file: 224 434 026      

 

The internal clinic provides comprehensive diagnostic and therapeutic care to outpatients and hospitalized patients in the catchment area and superconsulting services to patients from all over the Czech Republic.

Its activities focus on cardiology and angiology, gastroenterology with hepatology, metabolic disorders and nephrology. As part of a broader cooperation, care is also available at the teaching hospital for people with diseases of the endocrine and lung glands.

Workplace focus

Comprehensive care for patients with internal diseases. Comprehensive diagnostics, invasive and non-invasive treatment of gastrointestinal and liver diseases. Comprehensive care for patients with diabetes mellitus, including gestational and specific complications, obesity, endocrinology. Diagnosis and treatment of kidney disease. Intensive care for indoor disorders, use of elimination methods. Care for patients with disorders of lipid metabolism and nutrition, diagnosis and treatment of vascular diseases. Care for patients with cardiac problems. Diagnosis and treatment of rheumatic diseases.

Undergraduate teaching of Czech and foreign master's students and bachelor's students within the scope of the clinic and hospital. Postgraduate specialized training focused on gastrointestinal endoscopic diagnostics and therapy, sonography and diabetology.

On these pages you will find the most important information, which we hope will answer all your questions and introduce you to the functioning of our clinic. You will find here, among others:

  • detailed information about the hospital (what to take to the hospital, what the patient's reception looks like, where the patient is to come to the hospital, etc.) 
  • detailed information about individual departments of our clinic and their focus
  • information about the doctors who take care of the patients in the individual wards
  • important telephone numbers to order examinations, outpatient visits

and many other useful information that will simplify and facilitate your orientation at our clinic.

The Department of Gastroenterology of the Department of Internal Medicine, Charles University, 2nd Faculty of Medicine and FNM deals with the diagnosis and treatment of diseases of the gastrointestinal tract, liver, bile ducts and pancreas. The department is a tertiary health care center and is accredited by the Ministry of Health of the Czech Republic for postgraduate training of physicians in the field of gastroenterology and hepatology.

The Department of Neurology, Department of Internal Medicine, 2nd Faculty of Medicine, Charles University and University Hospital Motol deals with the diagnosis and treatment of kidney diseases, complicated urinary tract infections, secondary hypertension and disorders of the internal environment. The workplace includes a department of hospital hemodialysis and a workplace for peritoneal dialysis.

The department is a tertiary health care center and holds an accreditation for postgraduate training of doctors in a specialized field of nephrology.

Diabetes center

Welcome to the website of the Diabetology Center of the Internal Medicine Clinic in Motola.

Our workplace provides outpatient and inpatient care for patients with all types of diabetes mellitus.

Our goal is to provide you with the best possible care, including the necessary knowledge, so that diabetes has no chance of harming you.

The pages of medical-preventive care are divided into 2 parts. The first part is the internal admission clinic, where treatment is provided to acutely ill patients requiring internal care, sent by a general practitioner, or by the central reception department. The main task is to determine the basic working diagnosis, provide the patient with first aid and decide whether hospitalization in an internal bed is necessary. Through the outpatient clinic, patients also come to planned hospitalizations, for example to perform specialized procedures.

The second part of the internal outpatient clinic consists of specialized outpatient clinics and clinics - nephrology, angiology, rheumatology, cardiology, lipid, diabetology, endocrinology, podiatrics, nutrition and gastroenterology. These counseling centers provide comprehensive care for patients with specific diseases and problems who are dispensed and treated here.

The inpatient department also includes a number of specialized examination methods such as echocardiography, abdominal ultrasonography, including duplex renal arteries and portal veins, thyroid sonography, duplex sonography of peripheral veins, arteries and carotid and vertebral channels, and Holter blood pressure monitoring.

The second part consists of an internal ambulance specialized ambulance and counseling nephrological , angiologicalrheumatological, cardiological, lipid, diabetological, endocrinological, podiatric, nutritional and gastroenterological. These counseling centers provide comprehensive care for patients with specific diseases and problems who are dispensed and treated here.

Internal medicine clinic, 4th floor node C

tel: 22443 4078, 4079

Vascular inputs are important and actually necessary in most medical fields, from intensive care through standard wards in hospitals, LDN, palliative care, but also for outpatients for chemotherapy, home parenteral nutrition, recurrent serious conditions (epilepsy, allergies, asthma) , pain treatment and certainly many more. Vascular inputs enable a number of essential treatment measures for the given diseases, as well as diagnostic procedures.

 On the other hand, they can be associated with serious complications that have a negative effect on the patient's prognosis.

And thanks to advances in vascular access (new types of vascular access, new materials, use of new techniques, a number of studies in this area in the last two decades), it is now possible to apply the principle of "optimal venous access", which means choosing such a venous access that enable all the functions required of it while minimizing the risk of possible complications. Of course, during its introduction and treatment according to the recommended procedures, which were created on the basis of a number of clinical studies. And so the seemingly simple issue becomes a relatively complex problem that has a significant impact on the fate of our patients.

At the internal clinic of the University Hospital in Prague Motol, we have been dealing with the issue of vascular access for a long time. Since its establishment, physicians working at the Metabolic Unit have introduced not only central venous catheters, but also hemodialysis permkathy, Broviac catheters and intravenous ports. In 2012, a PICC team was established within the Metabolic Unit, within which selected nurses, after training in the necessary techniques, began to introduce midline catheters and peripherally introduced central venous catheters (PICC). The need for these vascular access in the hospital has grown so much that it has proved necessary to create a separate department that will deal with the issue.

 A separate department "Venous accesses" was opened in February 2016 thanks to the support of the hospital management within the internal clinic. In addition to all of the above inputs, mini-midline catheters and tunneled central venous catheters are being introduced. The number of established vascular inputs is growing every year, and this year for the first time we will reach 2000 established vascular inputs per year. We try to implement inputs as soon as possible after receiving a request from the department and more than 90% of them are implemented within 24 hours. 

In addition to the introduction of vascular inputs, the department's nurses also perform their dressings according to the recommended procedures of the SPPK (Society for Ports and Permanent Catheters), and complications associated with the introduction and use of inputs are addressed at the department.

At the same time, thanks to the activity of the head nurse who founded the PICC team, courses on vascular access treatment are organized according to currently recommended procedures throughout the hospital.

A certified MZ course for the introduction of PICC and midline catheters is also of fundamental importance, on the basis of which the nurse obtains the legal authorization to introduce these inputs. This course was possible thanks to the creation of a vascular team and is so far the only one in the Czech Republic.

Our goal is to ensure "Optimal venous access" for each patient at the University Hospital in Motol and at the same time to cooperate in this area with teams that are gradually being established throughout our country. We can state with satisfaction that we are considered one of the leading workplaces in the Czech Republic in the field of vascular access.

There are currently no updates here...

PROFESSIONAL PUBLICATIONS WITH IF FOR THE YEAR 2021

1.Bhatt DL, Szarek M, Pitt B, Cannon CP, Leiter LA, McGuire DK, Lewis JB, Riddle MC, Inzucchi SE, Kosiborod MN, Cherney DZI, Dwyer JP, Scirica BM, Bailey CJ, Díaz R, Ray KK, Udell JA, Lopes RD, Lapuerta P, Steg PG; SCORED Investigators (Kvapil M): Sotagliflozin in Patients with Diabetes and Chronic Kidney Disease. N Engl J Med. 2021 Jan 14; 384 (2): 129-139. PMID: 33200891. publication 1. ISSN 0028-4793. IF: 74.699.

2.Bittnar P, Šťovíček J, Hlava Š, Kolář P, Arlt J, Arltová M, Madle K, Busch A, Kobesová A: Manual Cervical Traction and Trunk Stabilization Cause significant Changes in Upper and Lower Esophageal Sphicter: A Randomized Trial. J Manipulative Physiol Ther. 2021 May; 44 (4): 344-351. pub 28. PMID: 34090551 .. ISSN 0167-4754. IF: 1.437

3.Brož J: Hypoglycemia as a medication-related harm identified in patients admitted to geriatric wards. Polish Archives of Internal Medicine 2021; 131 (3): 313-314. pub 2. ISSN: 0032-3772. PMID 33783175. IF: 3,007.

4.Brož J, Campbell MD, Urbanová J, Nunes MA, Brunerová L, Rahelic D, Janíčková Žďárská D, Tainwall A, Brabec M, Berka V, Michalec J, Polák J: Characterization of Individualized Glycemic Excursions during a Standardized Bout of Hypoglycemia - Inducing Exercise and Subsequent Hypoglycemia Treatment - A pilot Study Nutrients 2021; 13 (11): 4165. pub 40. ISSN: 2072-6643. PMID: 34836420. Grant 64203. IF: 5.717.

5.Brož J, Pelechová B, Vejtasová V, Malinovská J: Diabetes and masked hypertension Prim Care Diabetes 2021; 15 (5): 890-891. pub 31. ISSN: 1878-0210. PMID: 33994154. IF: 2,459.

6.Brož J: Lipodystrophy related to insulin injection - often overlooked disorder Wien Klin Wochenschr 2021; 133 (9-10): 511-512. public 11. PMID: 33629170. ISSN 0043-5325. IF: 1.323.

7.Brož J, Brožová K: Hypoglycemia Communication in Primary Care J Gen Intern Med 2021; 36 (8): 2473. pub 19. PMID: 34013469. ISSN: 0884-8734. IF: 5,128.

8.Brož J, Brožová K: Impaired awarness of hypoglycemia in a study protocol Res Social Adm Pharm 2021; 17 (10): 1847. publication 29. ISSN: 1551-7411. PMID: 33579612. IF: 3.336.

9.Brož J, Brožová K: Gestational diabetes, metformin, and risk of hypoglycemia. Am J Obstet Gynecol 2021 Sep; 225 (3): 351-352. publication 30. ISSN: 0002-9378. PMID: 34051166. IF: 8,661

10. Brooch J: Clinical efficacy of a smartphone-based integrated online real-time diabetes care system in Type 2 diabetes patients. Internal Medicine Journal 2021; 51: 464. pub 3. ISSN 1444-0903. PMID 33738933. IF: 1,677.

11.Brož J, Janíčková Žďárská D, Urbanová J, Piťhová P, Doničová V, Pálová S, Pelechová B, Smržová A, Kvapil M: Insulin Management of Patients with Inadequately Controlled Type 2 Diabetes Admitted to Hospital: Titration Patterns and Frequency of Hypoglycemia as Results of a Prospective Observational Study (Hospital Study). Diabetes Ther 2021; 12 (7): 1799-1808. pub 19. PMID: 34028699. ISSN: 1869-6961. IF: 2.945.

12. Brooch J: Metabolic syndrome and postoperative thyroidectomy outcomes. Head Neck 2021; 43 (6): 1971-1972. publications 9. ISSN: 1043-3074. PMID: 33634526. IF: 2.538.

13. Dřevínek P, Hurych J, Antušková M, Tkadlec J, Berousek J, Přikrylová Z, Bureš J, Vajter J, Souček M, Masopust J, Martinková V, Adámková J, Hyšperská V, Bérbrová E: Direct detection of ESCAPEc pathogens from whole blood using the T2Bacteria Panel allows early antimicrobial stewardship intervention in patients with sepsis Microbiologyopen 2021 Jun; 10 (3): e1210. ISSN: 2045-8827. PMID 34180598. publik 46. IF: 3,14.

14. Fejfarová V, Matuška J, Jude E, Piťhová P, Flekač M, Roztočil K, Wosková V, Dubský M, Jirkovská A, Bém R, Husáková J, Lánská V: Stimulation TcPO2 Testing Improves Diagnosis of Peripheral Arterial Disease in Patients With Diabetic Foot . Front Endocrinol 2021; 12: 744195. Pub 43. ISSN: 1664-2392. PMID: 34956078. IF: 5,555.

15.Gonzales-Rivas JP, Mechanick JI, Infante-Garcia MM, Medina-Inojosa JR, Pavlovska I, Hlinomaz O, Zak P, Kunzova Š, Nieto-Martinez R, Skladaná M, Brož J, Hernandez JP, Lopez-Jimenez F , Stokin GB: The Prevalence of Dysglycemia-Based Chronic Disease in a European Population - a New Paradigm to Address Diabetes Burden: A Kardiovize Study. Endocr Pract 2021; 27 (5): 455-462. publication 8. PMID: 33685667. ISSN: 1530-891X. IF: 3,869.

16. Gonzales-Rivas JP, Mechanick JI, Hernandez JP, Infante-Garcia MM, Pavlovska I, Medina-Inojosa JR, Kunzova Š, Nieto-Martinez R, Brož J, Busetto L, Maranhao Neto GA, Lopez-Jimenez F, Urbanová J, Stokin GB: Prevalence of adiposity-based chronic disease in middle-aged adults from Czech Republic: The Kardiovize study. Obes Sci Pract 2021; 7 (5): 535-544. pub 36. ISSN 2055-2238. PMID: 34631132. IF: 2,037

18. Keil R, Hlava Š, Stanovský P, Ždímal V, Šťovíček J, Trojánek M, Drábek J, Frýbová B, Petráček V, Wasserbauer M: Commonly available but higly effective protection against SARS-CoV-2 during gastrointestinal endoscopies PLoS One. 2021 Jul 23; 16 (7): e0254979. doi: 10.1371 / journal.pone.0254979. eCollection 2021. pub 27. ISSN 1932-6203. IF: 3.240. PMID: 34297736.

19.Malinovská J, Brož J: Screening and brief interventions for harmful alcohol use Med J Aust 2021; 215 (11): 525. publications 41. ISSN: 1326-5377. PMID: 34796496. IF: 7,738.

20. Pavlovska I, Polcrova A, Mechanick JI, Brooch J, Infante-Garcia MM, Nieto-Martinez R, Maranhao Neto GA, Kunzova S, Skladana M, Novotny JS, Pikhart H, Urbanova J, Stokin GB, Medina-Inojosa JR, Vysoky R, Gonzáles-Rivas JP: Dysglycemia and Abnormal Adiposity Drivers of Cardiometabolic-Based Chronic Disease in the Czech Population: Biological, Behavioral, and Cultural / Social Determinants of Health. Nutrients 2021; 13 (7): 2338. pub 25. ISSN: 2072-6643. PMID: 34371848. IF 5.717.

21.Štechová K: New perspectives on real-time continuous glucose monitoring Lancet Child Adolesc Health 2021; 5 (4): 235-236. publications 12. ISSN: 2352-4642. PMID: 33577769. IF: 11,288.

22.Šťovíček J, Hlava Š, Keil R, Drábek J, Lochmannová J, Koptová P, Wasserbauer M, Frýbová B, Šnajdauf J, Kotalová R, Rygl M: Conjugated Hyperbilirubinemia in Infants: Is There Still a Role for ERCP? Can J Gastroenterol Hepatol 2021; 2021: 9969825. pub 26. PMID: 34258256. ISSN: 2291-2789. IF: 3.522.

23.Vitova L, Tothova M, Schück O, Horáčková M: Novel Algorithm for the Differential Diagnosis of Hyponatremia in Anuric Patients Undergoing Maintenance Haemodyalysis Kidney Blood Press Res 2021; 46 (3): 387-392. pub 18. PMID: 33979795. ISSN: 1420-4096. IF: 2.687.

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