The field of internal medicine includes a variety of illnesses that affect the body's internal organs, including the brain, spinal column, nerves, muscles, and joints as well as the heart, lungs, liver, and gastro-intestinal tract. While some illnesses only affect a single organ, the bulk of them, such as cancer, diabetes, high blood pressure, and arteriosclerosis, can affect a number of the body's internal organs. The internist must then receive training in order to recognize and treat a wide range of illnesses, including many patients who have numerous chronic illnesses due to the aging population. The internist, a specialist in internal medicine, typically works in hospitals where he can oversee patients' care in outpatient clinics or provide acute disease care. A sizable portion of internists in certain European nations run an office-based practice with connections to neighborhood hospitals. However, a "family physician" who handles a far wider variety of issues, such as obstetrics and surgery, and who treats both adults and children, is not an internist.

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