Sample interview questions: How do you handle patients with endocrine complications of chronic gastrointestinal disease?
Sample answer:
Clinical Management of Endocrine Complications in Chronic Gastrointestinal Disease:
Assessment:
- Thorough history and physical examination to identify endocrine symptoms and signs
- Comprehensive laboratory testing to evaluate hormone levels, including thyroid function, adrenal function, and reproductive hormones
- Imaging studies (e.g., CT scan, MRI) to assess pituitary and adrenal gland anatomy
Management:
Thyroid Dysfunction:
- Hypo and hyperthyroid states may develop due to nutritional deficiencies or autoimmune disorders
- Implement appropriate hormonal replacement therapy (e.g., levothyroxine for hypothyroid)
- Monitor thyroid function regularly and adjust treatment as needed
Adrenal Insufficiency:
- Chronic gastrointestinal disorders can lead to malabsorption of micronutrients, including sodium and water
- Assess adrenal function with electrolyte levels and hormone assays
- Provide glucocorticoid replacement therapy (e.g., hydrocortisone) to prevent adrenal crisis
Gonadal Dysregulation:
- Malnutrition and chr… Read full answer