How do you approach the management of patients with endocrine complications of chronic pancreatitis?

Sample interview questions: How do you approach the management of patients with endocrine complications of chronic pancreatitis?

Sample answer:

  • Comprehensive Evaluation:

    • Detailed medical history, including alcohol use, smoking, and family history of endocrine disorders
    • Physical examination for signs of diabetes, Cushing’s syndrome, or hypothyroidism
    • Laboratory tests (e.g., glucose, insulin, cortisol, thyroid hormones) to confirm endocrine dysfunction
  • Individualized Treatment Plan:

    • Diabetes Management: Insulin therapy tailored to individual needs, including basal-bolus regimens, continuous glucose monitoring, and lifestyle modifications
    • Cushing’s Syndrome: Surgical resection of adrenal glands or medication to suppress cortisol production
    • Hypothyroidism: Thyroid hormone replacement therapy to restore normal thyroid function
  • Management of Exocrine Pancreatic Insufficiency:

    • Pancreatic enzyme replacement therapy to facilitate digestion and prevent malnutrition
    • Monitoring of nutritional status and weight
  • Collaboration with Multidisciplinary Team:

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