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Internal Medicine

Internal Medicine

Internal Medicine

Internal medicine bears this name because it is practiced inside the hospital. It is defined by the overall management of patients, either because they suffer from a disease affecting several organs simultaneously, or because they suffer from several diseases at the same time.

Internal medicine bears this name because it is practiced inside the hospital. It is defined by the overall management of patients, either because they suffer from a disease affecting several organs simultaneously, or because they suffer from several diseases at the same time.

  • Consulting

    Internal Medicine

    Pr A. Aouba, Dr G. Maigne, Dr Martin Silva, Dr Boutemy, Dr Audemard, Dr De Boysson, Dr Watelet
    Consultation schedule

      Composition of service

      • 2 University Professors Hospital Practitioners
      • 4 Hospital Practitioners
      • 2 Heads of Clinics from Universities Hospital Assistants
      • 1 senior health officer
      • 1 health executive
      • 1 social worker
      • 1 Research Engineer
      • Nurses
      • Nurses
      • Service Agents
    • Our support

      internal medicine

      The specificity of the internal medicine department concerns systemic diseases , ie diseases that can affect several organs simultaneously. These diseases can be inflammatory in nature, often autoimmune (by antibodies directed against certain organs) . Examples include systemic lupus, Gougerot-Sjögren syndrome, scleroderma, polymyositis, sarcoidosis, mastocytosis, histiocytosis, vasculitis ( such as Horton's disease, Wegener's disease, etc.) .

      These are most often chronic diseases requiring regular follow-up in the department, in collaboration with the attending physician and the organ specialist(s) (for example the cardiologist, pulmonologist, dermatologist, ophthalmologist, etc. according to the affected organs) . The service summarizes these often complex files and coordinates care.

      The service is labeled “Competence Center for Rare Diseases and Systemic and Autoimmune Diseases, Immunodeficiency and Hereditary Angioedema” : it works in close collaboration with the various national reference centers, to offer the patient the best care, adapted to the most up-to-date knowledge.

      At the request of the attending physician or specialist, the department receives for consultation and/or hospitalization whose disease has not yet been identified despite various investigations. The biological or imaging assessments, the responses to the treatments administered, the data from the clinical examination are then all pieces of a puzzle that must be ordered to make a diagnosis. As such, the service provides assessments of persistent fever, weight loss, phlebitis or recurrent pulmonary embolism .

      A significant part of the department's activity concerns patients admitted to medical emergencies for reasons as diverse as malaise, anemia, infection, phlebitis, stroke, cancer disease... Internal Medicine takes care of these patients as a whole, especially when several associated pathologies make things complex.

      The conditions for good care of these patients are also taught to the students.

      to find out more about the specialty of internal medicine, visit the site:

      The clinical activity of the “Internal Medicine and Clinical Immunology Department” is oriented on 2 main axes: consultation and hospitalization


      Hospitalization in the department takes place according to four methods:

      • by direct entry at the request of the attending physician after agreement of the medical team,
      • after prior consultation with a department doctor,
      • after admission to the Department of Reception and Emergency Treatment (DATU) of the CHU,
      • by transfer from another service or another establishment.

      This hospitalization is done in the traditional way. The HPDD can meet the needs for additional exploration in various pathological situations. It provides useful time for establishing a diagnosis and takes into account the concern for controlling health expenditure.

      Day Hospitalization ( HDJ ) mainly allows the periodic administration of various intravenous treatments such as immunosuppressants, immunoglobulins, transfusions and infusions of coagulation factors.

      During their visits, doctors question and examine patients. They meet, by appointment, the family of the patient who requests them.


      Consultation is the 2 nd major axis of the service: 4 full-time doctors provide consultations throughout the week. These consultations are open to any patient, preferably referred by their attending physician or another specialist.

      In addition to hospitalization and consultations, the service provides a telephone service 6 days a week for all doctors in the Lower Normandy region.

    • Competence centers

      Rare Disease Competence Center
      Rare Disease Competence Center
      Rare Disease Competence Center
    • Research & teaching


      The service carries out a teaching mission (courses at the faculty of medicine, practical internships) with students in medicine, pharmacy and nursing.

      Post-graduate training (EPU) is also provided with other specialists.

      Clinical research

      Finally, the department participates in clinical research projects. He conducts numerous national and international studies, particularly in the context of Horton's disease, vasculitis, scleroderma and lupus.

      giant cell arteritis

      In giant cell arteritis (= Horton's disease) , the Internal Medicine department of the University Hospital of Caen Normandy is at the initiative of research projects on the following themes:

      • Description of the different initial and progressive forms of the disease
      • Analysis of damage to large vessels (aorta and its branches)
      • Role of imaging in the diagnosis and follow-up of giant cell arteritis
      • Analysis of circulating microparticles in giant cell arteritis (MICROGIANT protocol).


      • Use and efficacy of Anakinra and/or combination with corticosteroid therapy (GIANT protocol)
      • Comparison of two corticosteroid tapering regimens (CORTODOSE protocol.)

      Analysis of rare associations:

      • Giant cell arteritis and malignancies
      • Organ locations related to giant cell arteritis.

      Patients diagnosed and followed at CHU Caen Normandie in the Internal Medicine department for giant cell arteritis have the option of accepting or opposing the use of their data in these studies.

      For any information on these studies, you can contact your referring doctor or contact our secretariat:

    • The latest news related to the service…

    Locate / contact service

    CHU Caen Normandy

    Côte de Nacre Hospital

    Avenue de la Côte de Nacre
    CS 30001
    14033 Caen cedex 9

    Internal Medicine

    Service Secretariat

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    Consultation tray · Door M
    Côte de Nacre Tower
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    Côte de Nacre Tower
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