Internal Medicine
Diagnosis and long term management of adult medical conditions, from diabetes and hypertension to infection, when the picture does not fit neatly in one specialty.
Internal medicine is where the patients go whose symptoms do not announce which department they belong to. Persistent fatigue, unexplained weight loss, recurrent fever, several conditions interacting at once, a medication list that has grown without anyone reviewing it as a whole.
Our physicians take the whole picture, order investigations in a sequence that makes sense rather than all at once, and either arrive at a diagnosis or hand you to the right specialist with the groundwork already done.
Diabetes care
Type 2 diabetes is diagnosed by fasting glucose, an oral glucose tolerance test or HbA1c, and once diagnosed it needs a structured programme rather than a prescription. That programme covers glucose targets, blood pressure, lipids, weight, foot care, eye screening and kidney surveillance.
HbA1c gives a three month average and is the measure that actually predicts complications. We check it periodically rather than relying on a single fasting reading taken on a good morning.
Diabetic foot disease is one of the most preventable causes of amputation in Nigeria and it begins with loss of sensation that the patient does not notice. Annual foot examination takes minutes and is part of every diabetes review here.
Fever, infection and the malaria assumption
Malaria and typhoid are the two diagnoses most freely given and most freely mistaken in Nigeria. The widely used Widal test in particular has poor specificity in an endemic population and produces a great many false positives, which leads to unnecessary antibiotic courses.
We investigate fever properly. That means a malaria rapid diagnostic test or blood film, full blood count, culture where indicated, urinalysis, and a look at the actual clinical picture, before committing to a treatment. Getting this right protects the individual patient and slows antimicrobial resistance.
Long term condition reviews
Patients on treatment for chronic conditions need periodic structured review rather than repeat prescriptions. A review covers whether the condition is controlled, whether the medication is still appropriate, what side effects have appeared, whether new problems have developed, and whether anything can now be stopped.
Conditions we treat
Type 2 diabetes
Diagnosis, control, complication screening
Hypertension
Shared management with cardiology
Peptic ulcer and reflux
Assessment, testing for helicobacter, treatment
Asthma and chronic lung disease
Diagnosis, inhaler technique, exacerbation management
Anaemia
Full investigation of cause, not just haematinics
Thyroid disorders
Testing and long term management
What this will cost you
Cost depends on what you actually need, and we would rather quote you accurately than post a figure that turns out not to apply. Call the front desk or send us a message with what you have been told so far, and we will give you the figure before anything is booked. If you hold an HMO plan we will check what it covers for this specific treatment first.
Common questions
Can I see a physician without a referral?
Yes. Internal medicine is a direct access clinic and is often the right first stop when symptoms are not obviously surgical or specialist.
Why did you not treat my typhoid on the Widal result?
Because a positive Widal test in Nigeria frequently reflects previous exposure rather than current infection. We would rather investigate properly than give you an antibiotic course you do not need.
Who you will see
Care in this department is coordinated by our clinical team at Magodo, with specialist input arranged where your condition calls for it. If you would like to be seen by a particular clinician, say so when you book and we will arrange it where the clinic schedule allows.
Next step
Speak to someone now, or book a time that suits you
The front desk answers at every hour of the day. If it is urgent, call. If it can wait, the booking form takes about two minutes.