Diagnosis and conservative treatment of hormonal disorder in women during sexual maturation
ATOS Clinic Heidelberg
Heidelberg, Germany
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Program id #
410090
Dr. med. Sabine Knauer-Fischer
Department of Pediatric Endocrinology
Specialized in: pediatric endocrinology The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- inflammation indicators (CRP, ESR)
- indicators blood coagulation
- hormonal examination (estrogen, progesterone,
prolactin, DHEA, FSH, LH
- gynecological examination:
- colposcopy
- vaginal swab
- cervical biopsy
- histological examination
- pelvic ultrasound
- transvaginal ultrasound
- breast ultrasound
- ultrasound examination: pelvis, abdomen, thyroid
- consultation of related specialists
- symptomatic specific treatment
- the cost of essential medicines and materials
- nursing services
- control examinations
- full hospital accommodation
- developing of further guidance
Required documents
- Medical records
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About the department
The Department of Pediatric Endocrinology at the ATOS Clinic Heidelberg offers a full range of services in this area of medicine. The chief physician of this department is Dr. med. Sabine Knauer-Fischer - a competent specialist with a many years experience in the area of her specialization.
Diagnostics and treatment of children and adolescents with hormonal disorders, growth disorders and diabetes mellitus is carried out here. For the diagnosis, the department has the latest equipment, for example, the innovative Stadiometer system for high-precision measurement of the child's body size, ultrasound equipment, including duplex sonography.
The department specializes in the diagnostics and treatment of such diseases:
- Thyroid gland diseases
- Thyroid hypothyroidism (hypothyroidism)
- Thyreoiditis Hashimoto
- Basedow's disease (thyrotoxicosis)
- Growth disorders
- High stature
- Low height
- Delay in physical development
- Low growth with growth impairment at the stage of prenatal development
- Disorders of puberty
- Premature puberty
- Lack of sexual development
- Hypogonadism
- Diseases of the adrenal glands
- Adrenogenital syndrome
- Addison's disease
- Cushing's syndrome (hypercorticism)
- Pituitary diseases
- Panhypopituitarism (absence of pituitary hormones)
- Growth Hormone Deficiency
- Central hypothyroidism
- Central hypogonadism
- Hirsutism
- Excess body and face hair growth in girls
- Disturbances of bone metabolism
- Deficiency of vitamin D
- Pseudohypoparathyroidism
- Turner syndrome
- Klinefelter's syndrome
- Diabetes
- And other diseases
The range of medical services of the department covers:
Thyroid gland diseases
- Clinical examination
- Blood test and laboratory tests (diagnostics and therapy monitoring)
- THS blood testing, free T4 test, AT-TPO, AT-TG
- THS stimulating test
- Ultrasound
- Therapy prescription and its observation
- Height disorders
Growth disorders
- Clinical examination
- Determination of the expected child’s height (based on the parents’ height)
- Individual height prognosis for the child (based on the bone age)
- Blood test and other laboratory tests (diagnostics and therapy monitoring)
- Stimulating studies (on indications)
- Therapy prescription and its observation (on indications), for instance, prescription of growth hormone drugs
Puberty disorders
- Clinical examination with the definition of the puberty status
- Determination of bone age and height prognosis
- Ultrasound examination of internal genital organs
- Blood test and other laboratory tests (chromosomal analysis may also be prescribed)
- Stimulating tests (according to indications), for example, tests with LH, hCG
- Prescribing and monitoring of therapy (according to indications)
Adrenal glands diseases
- Clinical examination
- Ultrasound examination of the adrenal glands
- Laboratory tests (blood, urine, saliva)
- Stimulating and suppressive tests
- Prescribing and monitoring of therapy
Pituitary gland diseases
- Clinical examination
- Determination of hormones levels in the blood and urine
- Determination of bone age
- Stimulating tests
- Ultrasound study
- Prescribing and monitoring of therapy
Hirsutism
- Clinical examination
- Determination of bone age
- Determination of hormones levels in the blood and urine
- Ultrasound examination of internal genital organs, adrenal glands
- Prescription and monitoring of therapy (according to indications)
Disturbances of bone metabolism
- Clinical examination
- Determination of markers of bone metabolism
- Prescription and monitoring of therapy
Shereshev-Turner's syndrome
- Clinical examination with the definition of puberty status
- Blood tests and laboratory tests
- Diagnosis and treatment of concomitant diseases e.g. Hashimoto's thyroiditis, celiac disease)
- Ultrasonic examination of internal genital organs, thyroid gland
- Prescription and monitoring of therapy, for example, hormone therapy (growth hormone, sex hormones, thyroid hormone)
Klinefelter's syndrome
- Clinical examination with the definition of puberty status
- Blood tests and other laboratory tests
- Diagnosis and treatment of concomitant diseases (for example, thyroid disease)
- Prescription and monitoring of therapy, for example, hormone therapy (sex hormones, thyroid hormone)
Diabetes
- Clinical examination
- Consultation on the control of blood sugar level
- Determination of the level of glycosylated hemoglobin (HbA1c)
- Determination of fructosamine levels in the blood
- Determination of insulin and C-peptide levels in the blood
- Monitoring of therapy
Curriculum vitae
- 1983 - 1989 Study of medicine at the Ruprecht and Karl Heidelberg University.
- 1990 Defense of doctoral dissertation, Ruprecht and Karl Heidelberg University.
Clinical Practice
- January 1990 - June 1991 Internship, Institute of Pathology, Heinrich Heine Düsseldorf University.
- June 1991 - October 1991 Researcher, Institute of Pathology, Heinrich Heine Düsseldorf University.
- November 1991 - September 2003 Assistant doctor, University clinic Essen.
- October 1997 Specialist in the field of pediatric and adolescent medicine.
- October 2003 - December 2006 Researcher of the Pediatrics Center at the Heinrich Heine Düsseldorf University, Head of the Department of Pediatric Endocrinology.
- February 2007 - September 2011 Researcher of the Center for Pediatric and Adolescent Medicine, Department of Pediatric Endocrinology and Diabetology at the Heidelberg University Hospital.
Additional Qualifications
- October 1999 - April 2004 Participation in the curriculum of the working group on pediatric endocrinology. Objective: to determine the main directions of endocrinology and diabetology in accordance with the EU directives, summarizing in April 2004.
- November 2004 Member of the German Diabetes Society.
- February 2006 Additional qualification in the field of pediatric endocrinology and diabetology.
Membership in International and National Professional Societies
- German Society of Pediatric and Adolescent Medicine (the Working Group on Pediatric Endocrinology and Diabetology (APE) and the Working Group on Pediatric Diabetology (AGPD).
- Professional Association of Physicians in Pediatrics and Adolescent Medicine in Germany (BVKJ).
- German Society of Endocrinology (DGE).
- European Society of Pediatric Endocrinology (ESPE).
- Endocrinology Society.
- German Diabetes Society (DDG).
- Society of Pediatric Nephrology (GPN).
- German Society of Nephrology (DGN).
Photo of the doctor: (c) ATOS Klinik Heidelberg
About hospital
Founded in 1991, the ATOS Clinic Heidelberg combines top-quality service and cutting-edge medicine. It keeps track of the latest scientific developments and contributes to those developments.
The clinic has 73 beds. It treats about 3,000 inpatients every year. There are 5 modern operating rooms with the state-of-the-art equipment, where experienced surgeons perform surgical procedures of any severity.
The clinic employs respected medical experts whose reputations reach beyond regional and national borders. They have the very latest treatment methods and ensure the best treatment results with the help of qualified application of modern medical equipment.
Much attention is paid to interdisciplinary cooperation, which opens the possibilities for developing complex and individual approaches to treatment, allowing to achieve the most favorable results of therapy. At the primary admission to the clinic, it usually offers a special examination with the involvement of specialists from different fields. Thus, the patient has the opportunity to undergo a thorough, comprehensive preventive check-up, which, in addition to orthopedic aspects, includes an examination of the state of the cardiovascular system and other vital organs. In addition, there can be made additional examinations in allergies, oncological diseases, diabetes mellitus, etc.
The clinic provides highly specialized medical services corresponding to the strictest international standards. Every effort of the medical staff is aimed at ensuring the best treatment result and making the patient feel comfortable during the entire period of the hospital stay.
Photo: (c) depositphotos
Accommodation in hospital
Patients rooms
Patients of the ATOS Clinic Heidelberg live in single, double and triple rooms. In addition, the clinic offers enhanced-comfort rooms and suites. In order to make patients feel at home, the rooms have light colors and modern design. Standard rooms are equipped with air conditioning, radio, minibar, safe and comfortable sofa, where the patient can communicate with their visitors. Also, patients are offered a modern multimedia system and access to the Internet throughout the clinic.
Meals and Menus
The restaurant of the clinic offers delicious food. The choice of dishes is very diverse: the menu features German and exotic cuisine. All dishes are cooked from quality, fresh products, so even real gourmets will appreciate the dishes. All individual dietary preferences of patients are also taken into account.
Breakfast is served at 08:00 a.m. in a buffet-style. Lunch begins at 12:00 p.m. Here patients are offered a menu of three dishes to choose from, incl. soup or salad and a delicious dessert. Dinner, consisting of 2 dishes to choose from, is served at 17:30 p.m. From 14:45 p.m., you can also enjoy a cup of coffee with a tasty cake.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV