Portfolio of services

External consultations

The assistance includes:

Assistive, diagnostic and therapeutic activities, as well as health promotion, health education and disease prevention, which include:

  • Initial assessment of the patient
  • Joint evaluation with referral hospitals for patients with low prevalence and high complexity pathologies
  • Indication and conduct of diagnostic examinations and procedures
  • Indication of evaluation for other pediatric specialties and joint assessment of the pathology in a multidisciplinary team when necessary
  • Teamwork in conjunction with specialized nursing
  • Indication, carrying out and monitoring of the therapeutic treatments or procedures that the patient needs
  • Information on discharge from diagnosis and procedures and care necessary for the correct monitoring of the patient in primary care

Children are treated with the following pathologies:

  • Type 1 diabetes
    • Multidisciplinary team (diabetes education nurse, endocrinologist, cardiologist, ophthalmologist, psychologist, clinical laboratory)
    • Continued care for the diabetic patient with uncontrolled disease (intercurrent process ...)
    • Knowledge to install a continuous insulin pump for the patient with appropriate conditions
    • Dissemination sessions to the relatives of patients of the Diabetics Association of Sabadell.

  • Alterations in growth
    • DIA hospital to perform GH stimulation test
    • Follow-up of patients with intrauterine growth retardation
    • GH dispensary hospital pharmacy

  • Thyroid diseases
    • Radiological support for the diagnosis: o Ultrasound, echo-PAAF or thyroid scintigraphy
    • Surgery team qualified for thyroid surgery
    • Thyroid nodule session (adults)
    • Pediatric and ICU team qualified to handle post thyroidectomy complications

  • Pathological Puberty / Hypogonadism

    Complementary tools for diagnosis:

    • Hormone laboratory with reference values ​​for age and sex
    • Functional test performed at the Pediatric Day Hospital
    • Pediatric ultrasound
    • Hypothalamic-pituitary NMR
    • Pediatric clinical geneticist
    • Methylation test by Prader-Willi study

  • Obesity
    • Reference center for the follow-up of patients with Prader-Willi Syndrome as part of the Unit of care for patients with cognitive-behavioral disorders of genetic cause (CONGE) where the patients are treated in a multidisciplinary way by visiting the same day by different specialist doctors (neuropediatist, psychologist, clinical geneticist, endocrinologist)
    • Diagnosis, treatment and support of childhood obesity of varying degrees of severity
    • Nutritionist nurse

  • Other low prevalence endocrinopathies
    • Follow-up of the oncological patient
    • Adrenal pathology
    • Panhipopituitarism
    • Hypoglycemia
    • Dyslipidemia

 

Specialized care at the Day Hospital

It encompasses the diagnostic activities of patients requiring short-stay admission under medical supervision for performing diagnostic tests, including:

  • Dynamic hormonal determinations in response to various stimuli, physiological or pharmacological
  • Monitoring for control and treatment of adverse effects during the tests
  • Availability of specific material and trained personnel in case of vital emergency

Specialized assistance in pediatric hospitalization

It covers the medical care, diagnosis and treatment of patients on a hospitalization basis, including:

  • Interview patients of other specialties, newborns or general pediatricians who require specialized medical care
  • Indication and diagnosis, treatment and monitoring of patients admitted to the specialty
  • Indication and follow-up of patients in intensive care if necessary
  • Nutrition or specific education of patients who need it
  • Information on discharge from the care process with specific instructions for the correct monitoring and treatment of the patient


Pairing

The endocrinology consultation is equipped with all the necessary devices for a correct and careful assessment of the child (Harpenden stadiometer for accurate and accurate measurement, orchidometer, plichometer (skin fold measuring device), tensiometer, scales, ... .