Dr. Gábor Kurucsai

What does an internist do?

An internist practices general medicine, which at its basic level includes other medical specialties, prevention, treatment, rehabilitation, and elderly care. Today, internal medicine significantly focuses on problem-oriented patient care, organizing, conducting, and summarizing the results of investigations for specific issues. Among the increasingly specialized branches of internal medicine, such as gastroenterology (gastrointestinal diseases), diabetology (diabetes), endocrinology (endocrine glands), cardiology (cardiovascular diseases), etc., the general tasks and summary, as well as patient care, fall to the internist.   In addition, serving the work of the specialized branches, the internist performs basic examinations, places great emphasis on differential diagnosis, evaluates the results of related specialties (e.g., surgery, urology, gynecology, musculoskeletal specialties), and takes a holistic view of the patient. During health screenings and preventive examinations, the internist establishes indications, summarizes and analyzes the results of the examinations, orders imaging studies, and schedules follow-ups for detected conditions.

What happens during a general internal medicine examination?

Medical history taking. The doctor inquires about diseases that occur in the family, such as cardiovascular (high blood pressure, heart attack, arteriosclerosis, thrombosis, embolism), gastrointestinal (liver, gallbladder, pancreas, and bowel diseases), metabolic (sugar, fat metabolism disorders), endocrine (endocrine glands, hormones), respiratory, urogenital (urinary tract), musculoskeletal diseases, autoimmune and infectious diseases, developmental disorders, and cancers. The doctor also learns about the familial clustering or age of onset of diseases in the family. The current complaints are discussed and evaluated, and the complaints are processed and evaluated according to a thematic order.   During the physical examination, the internist examines the general internal organ condition, the patient’s development, and nutrition. The doctor observes the color of the skin and visible mucous membranes, palpates the thyroid gland and lymph nodes. The chest, lungs, and heart are examined by percussion and auscultation, the peripheral arteries and neck arteries are palpated, and the veins are inspected. Blood pressure is measured. The abdomen is palpated to examine the liver and spleen, assess abdominal tenderness, search for pathological resistance, and detect hernias and surgical scars. An ECG is also performed. If necessary, a basic neurological examination is conducted. The musculoskeletal system and vascular network are inspected. In the summary, the internist establishes a diagnostic plan, an order of examinations, organizes laboratory tests, imaging studies, and further specialist consultations.

When evaluating the findings, the internist compares them with previous results, as the choice of therapy depends not only on the current condition but also on changes compared to previous states. The internist continuously monitors and supervises the patient’s condition and documents the identified deviations.   In my practice, you can confidently turn to me with your internal medicine or general complaints. I organize my professional tasks myself and maintain contact with my patients. During our consultation, there is an opportunity to review your health problems comprehensively and answer your related questions. It is important to see and adjust previous documentation and treatment strategies from different specialties together according to your condition. Organizing and conducting further investigations of the condition causing the complaint is also the task of internal medicine, which we perform reliably through our trusted partnerships. Blood tests, rapid tests, ultrasound diagnostics, imaging studies (X-ray, CT, MRI), and specialist examinations are conducted specifically for the condition to aid in its differentiation.

Based on the examination, I form an opinion, which I discuss with you in detail and summarize. I provide you with an examination plan, recommendations, advice, necessary information, and prescriptions for your recovery. If you have questions about urgent conditions, elderly or cancer patient care, I can also assist you. Among my profiles, the complex screening of abdominal complaints and the management of chronic complaints, early-stage examination of metabolic disorders, blood pressure management, care of vascular patients, and preventive tasks are preferred and highlighted areas.   Our new innovative screening targets chest complaints, arrhythmia sensations, dizziness, extreme morning fatigue, workplace impatience, decreased performance, and other effects due to weight problems, workplace stress, and insulin regulation disorders affecting the 35-45 age group.

With an accurate assessment of the condition, we can show you the right direction. In addition to emphasizing prevention, we have developed new types of executive screening protocols that weigh individual risks and have evolved into thematic programs spanning years based on the principle of less is more. Repeated screenings are pointless if complexity is lacking, meaning not everything needs to be repeated annually, but some conditions should be disproportionately weighted. In our screenings, we implement overlapping screenings by organ system over the years, always considering the current condition. In addition to the broadest laboratory tests – including genetic prognostics, intolerance, and other non-insurance-funded screenings – CT, MRI, CT coronary angiography, CT colonography, and complex MRI screenings are available, along with endoscopic examinations under anesthesia and routine and non-routine specialist participation. Besides the convincing power of the above, I am also available for telephone consultations for my patients, the format and availability of which I inform you about during my practice.