Clinical Department of Internal and Occupational Diseases, Hypertension and Clinical Oncology

Departments:

Clinical Department of Hypertension
Clinical Department of Internal Medicine

Medical activity profile of the unit:

Clinical Department of Internal and Occupational Diseases, Hypertension and Clinical Oncology is a department with a 24-hour emergency internal medicine service and a profile for the diagnosis and treatment of primary and secondary hypertension, assessment of organ complications and treatment of co-morbidities.

Based on the team's many years of experience and access to state-of-the-art testing methods, the Clinical Department offers diagnosis and treatment within the Clinical Department of Hypertension, in particular:

• hypertension difficult to control
• resistant hypertension
• hypertension accompanied by sleep apnoea syndrome
• hypertension with coexisting advanced atherosclerosis
• hypertension of hormonal aetiology
• patients with symptoms of kidney disease and hypertension
• conservative treatment of ischaemic strokes, arrhythmias, pulmonary embolism and hypertensive crisis.
• rare monogenic forms of hypertension.

The Clinic Department is one of the leading centres offering comprehensive diagnosis and care for patients with the above-mentioned forms of hypertension.

The profile of activities performed in the Clinical Department within the Clinical Department of Internal Medicine includes:

• comprehensive diagnosis, optimisation of therapy and assessment of cardiovascular complications in the course of diabetes
• comprehensive diagnosis, optimisation of therapy and assessment of cardiovascular complications in the course of chronic kidney disease,
• diagnosis and treatment of cardiovascular lesions in the course of systemic connective tissue diseases
• changes in the cardiovascular system resulting from iatrogenic effects, especially oncological chemotherapeutic treatment,
• comprehensive diagnostics and screening in haemato-oncology and clinical oncology
• internal medicine and cardiology consultation prior to non-cardiac surgery
• principles of control and treatment of patients in the postoperative period,
• internist palliative care

The diagnostic and treatment facilities include:
a 55-bed department providing diagnosis and treatment of most internal diseases based on the diagnostic capabilities of the University Clinical Hospital (full-profile state-of-the-art laboratory and imaging diagnostics) and in-house laboratories operating in the Clinical Department within the Medical University:

• Ultrasound Laboratory – performing examinations: echocardiography, Doppler ultrasound of the arterial and venous system (cephalic arteries, renal arteries, lower limbs), abdominal ultrasound, thyroid, soft tissue;
• Exercise Testing Laboratory – non-invasive diagnosis of coronary artery disease;
• Holter laboratory: resting ECG and Holter studies - diagnosis of rhythm and conduction disorders, APBM - 24-hour blood pressure measurement,
• Cardiovascular Research Laboratory: testing the stiffness of vessels, full-profile testing of endothelial function, applanation tonometry (as part of the scientific activities of the Wroclaw Medical University),
• Sleep laboratory with comprehensive polysomnographic diagnostics (within the scientific activities of the Wroclaw Medical University) – a leading centre in the region
• Fine Needle Aspiration Biopsy Laboratory – comprehensive diagnosis of thyroid diseases,
• Respiratory Function Testing Laboratory – possibility to perform spirometry, plethysmography and DLCO assessment,
• Personalised Medicine Laboratory – possibility to perform extracorporeal photopheresis in autoimmune disorders
• Monitored beds – with intensive cardiac monitoring capability – management of life-threatening patients. Non-invasive treatment of ischaemic stroke (telemetry, ventilatory support – CPAP/BIPAP).

Clinical Department of Internal and Occupational Diseases, Hypertension and Clinical Oncology is the region's leading centre for the training of doctors, paramedics and nurses, as well as specialists in various fields.
The Clinical Department has specialisation places (accreditation) in Internal Medicine and Hypertensiology.

The following individuals are employed at the Clinical Department:

• Voivodship Consultant in Hypertensiology – Anna Szymańska-Chabowska, MD, PhD
• Voivodship Consultant in Internal Medicine – Prof. Grzegorz Mazur
• Chair of Lower Silesian Department of the Polish Society of Internal Medicine – Beata Wrona-Bąk, MD, PhD

Laboratories:

Ultrasonography and Vascular Testing Laboratory
Head - Prof. Rafał Poręba

Sleep Laboratory
Head - Helena Martynowicz, MD, PhD, Wroclaw Medical University professor

Holter laboratory
Head - Prof. Rafał Poręba

Atomic Absorption Spectrophotometry Laboratory
Head - Prof. Grzegorz Mazur

Biochemistry and Lipid Metabolism Laboratory
Head - Prof. Anna Skoczyńska

Microcirculation Laboratory
Head - Prof. Adrian Doroszko

Personalised Medicine Laboratory
Head - Prof. Grzegorz Mazur

Main research directions of the unit's employees:

• Assessment of cardiac arrhythmias, heart rate variability and heart rate turbulence in the pathology of various disease states
• Studies of vascular endothelial function (vasodilatory, inflammatory, angiogenic) in selected disease entities
• The use of proteomics to define biomarkers for cardiovascular diseases and the target points for new drugs
• Proteomics research to assess platelet drug reactivity
• Studies of platelet nitric oxide biotransformation in various cardiovascular disorders
• Molecular studies of mechanisms of ischaemic and ischaemia-reperfusion myocardial injury
• Studies on the pathophysiology of secondary forms of hypertension and treatment-resistant hypertension
• Assessment of the expression of selected microRNAs associated with the development of diabetes and hypertension in individuals occupationally exposed to arsenic and heavy metals
• Impact of sleep disorders on the pathogenesis of hypertension
• Rhythm disturbances in the course of obstructive sleep apnoea
• Investigating the pathogenetic associations of bruxism and obstructive sleep apnoea and other sleep disorders
• Genetic determinants of bruxism and sleep apnoea
• The role of psychoemotional factors in the pathogenesis of bruxism during sleep
• Assessment of the response to immunomodulatory treatment (extracorporeal photopheresis) of patients with autoimmune disorders refractory to first-line therapy

SEMESTR ZIMOWY 2023/2024

Wydział LEKARSKI

                   CZWARTY ROK (PL):

• IV rok Wydział Lekarski - Tematyka ćwiczeń - Choroby wewnętrzne 2023/2024
• IV rok Wydział Lekarski - Harmonogram ćwiczeń - Choroby wewnętrzne 2023/2024

Wydział LEKARSKO-STOMATOLOGICZNY

              TRZECI I CZWARTY ROK (PL):

• III rok Wydział Lekarsko-stomatologiczny - Tematyka ćwiczeń
• III I IV rok Wydział Lekarsko-stomatologiczny - Harmonogram ćwiczeń - Choroby wewnętrzne 2023/2024

WINTER SEMESTER 2023/2024

MEDICINE

             4^th YEAR (ENG):

• 4^th year Medicine- Schedule - Internal diseases 2023/2024
• 4^th year Medicine- Curriculum- Internal diseases

DENTISTRY

             4^th YEAR (ENG):

• 4^th year Dentistry - Schedule - Internal diseases 2023/2024
• 4^th year Dentistry - Curriculum Internal diseases

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Adiunkci dydaktyczni:

Studenci polskojęzyczni: dr n. med. Damian Gajecki – godziny kontaktowe: wt i czw. 10.00-12.00

English Division students: Anna Jodkowska, MD PhD – contact: Tuesdays and Thursdays 10.00-12.00
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Uprzejmie informujemy, że sprawy administracyjne związane z podpisywaniem indeksów i kart zaliczeniowych załatwiamy wyłącznie zbiorczo dla całych grup, a osobą upoważnioną do odbioru jest wyłącznie starosta danej grupy.
Dokumenty prosimy zostawiać do podpisu w sekretariacie kliniki wyłącznie we wtorki w godzinach 10:00-12:00, do odbioru będą w czwartki w godz. 10:00-12:00.
W innych terminach przynoszone dokumenty nie będą przyjmowane ani wydawane.

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Students following the administrative procedures regarding credits for the courses and wishing to submit documents may do so in the genaral office at our Department only on Tuesdays between 10:00 and 12:00 .
You will be allowed to receive back the documents only on Thursdays between 10:00 and 12:00.
Only an authorized representative of the group will be allowed to leave and pick up the documents.
We will not accept documents from individual students or on different days and hours than stated above.

Seme