Dr Borja de Miguel Campo
Specialist in- Systemic autoimmune diseases: vasculitis, lupus, Sjögren’s syndrome and IgG4-related disease.
- Venous thromboembolism.
- Cardiovascular risk and general internal medicine.
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Dr Carlos González Gómez
Specialty of Internal Medicine
“Clinical excellence with a holistic approach”
The Department of Internal Medicine at the Publio Cordón Memorial Hospital provides comprehensive care for adult patients through a holistic diagnostic assessment, individualised treatment planning and organised coordination of care, particularly in complex cases, chronic conditions or situations requiring a comprehensive medical assessment.
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Patient information
The Department of Internal Medicine at the Publio Cordón Memorial Hospital cares for adult patients presenting with acute or chronic conditions, multiple comorbidities, decompensated chronic conditions, clinical presentations that are difficult to interpret, or situations requiring a comprehensive and expert medical assessment.
The department provides highly specialised clinical care focused on the diagnosis, treatment and comprehensive follow-up of clinical conditions requiring a multidisciplinary approach and decision-making based on sound medical judgement.
The department is one of the hospital’s core clinical areas, integrating acute and chronic care and providing a holistic perspective that enables healthcare to be organised, prioritised and coordinated.
The involvement of specialists in Internal Medicine is particularly important in patients with multiple conditions, decompensated chronic diseases, complex infectious processes, systemic conditions or immunosuppression.
It also plays a part in the pre-operative assessment of patients at high medical risk and in the in-hospital management of situations requiring coordination between different specialities.
The speciality provides a comprehensive clinical perspective that enables treatments to be optimised, associated risks to be reduced and the care plan to be properly structured.
The speciality deals with clinical situations that cannot be analysed in terms of a single organ or system. Each case is examined by taking into account medical history, comorbidities, current treatments and functional context.
It is staffed by internists with extensive specific experience in various clinical areas, enabling them to address certain conditions in greater depth without losing sight of the patient’s overall picture.
Areas of particular interest include:
Assessment of difficult-to-manage, recurrent or unexplained infections, which require detailed clinical analysis and contextualised interpretation to determine the most appropriate treatment.
Diagnosis and monitoring of conditions that can affect various organs — such as lupus or vasculitis — and whose progression requires structured clinical management and ongoing assessment.
Comprehensive assessment aimed at identifying predisposing factors, understanding the origin of the condition and establishing a treatment strategy to safely prevent recurrences.
Management of patients with persistent symptoms or undefined clinical presentations following previous investigations, using a comprehensive clinical approach that enables the organisation of information and progress towards a diagnosis.
Coordination of care for patients with multiple chronic conditions —such as heart failure, diabetes or kidney disease— with ongoing review of treatments and adaptation of the treatment plan to their progress and overall condition.
Interpretation of symptoms from an integrative perspective, taking into account the specific characteristics of the presentation and progression of diseases, as well as hormonal factors and different life stages.
Care begins with a detailed medical consultation aimed at understanding the full scope of the clinical problem. Medical history, current treatments and previous test results are reviewed, enabling a diagnostic hypothesis to be formulated that is consistent with the overall clinical picture.
This process is underpinned by scientific evidence, rigorous clinical analysis and a comprehensive interpretation of the available information.
The specialism utilises tools such as clinical ultrasound, in-hospital monitoring and biomarker analysis, as well as coordinating further investigations with other specialisms where necessary.
The therapeutic approach focuses on integrating all aspects of the patient’s clinical condition. To this end, pharmacological treatments are reviewed, adjusted according to organ function, and interventions are prioritised in line with clinical risk and the expected clinical course.
This approach allows for a balance between therapeutic efficacy and safety, particularly in people with multiple conditions or undergoing simultaneous treatments.
Where the situation requires it, the Department of Internal Medicine acts as a coordinating hub between different medical and surgical specialities, ensuring therapeutic consistency and continuity of care throughout the clinical process.
The department provides ongoing monitoring throughout the patient’s hospital stay and, where appropriate, following discharge. This support enables treatment to be adjusted, potential complications to be anticipated and clinical stability to be improved, particularly in patients with chronic conditions or complex medical conditions.
Specialists take the time to explain diagnoses, clinical progress and changes to treatment, which helps patients to understand the process.
Coordination between specialists, regular review of treatments and advance planning for potential complications form part of the care model.
This approach enables rigorous, organised care focused on medium- and long-term clinical stability.
An expert assessment enables the clinical picture to be analysed as a whole, and diagnoses and treatments to be integrated, in order to draw up a coherent care plan tailored to the patient’s overall situation.
At Memorial Publio Cordón Hospital we understand that taking the first step is also part of your care. Our team will handle your request and guide you to the most suitable professional, specialty or service.
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