Sample interview questions: How do you handle patients with suspected or diagnosed eosinophilic esophagitis?
Sample answer:
When handling patients with suspected or diagnosed eosinophilic esophagitis (EoE), it is important to approach their care with expertise and compassion. EoE is a chronic immune-mediated disorder characterized by eosinophilic inflammation in the esophagus, leading to symptoms such as dysphagia, food impaction, chest pain, and heartburn. Here are the steps and considerations I would take when managing patients with EoE:
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Comprehensive Assessment: Begin by conducting a thorough history and physical examination to gather information about the patient’s symptoms, medical history, dietary habits, and potential triggers. Assess for any associated allergic conditions such as asthma, atopic dermatitis, or allergic rhinitis. This assessment will help guide further diagnostic and treatment decisions.
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Diagnostic Testing: EoE is typically diagnosed using a combination of clinical presentation, endoscopic findings, and histological evidence of eosinophilic infiltration in the esophageal mucosa. Advise the patient to undergo an upper endoscopy with biopsies to evaluate the esophagus for characteristic findings such as linear furrows, white exudates, or concentric rings, and to confirm the presence of eosinophils.
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Collaborative Care: Work closely with a multidisciplinary team, including gastroenterologists, allergists, dietitians, and speech therapists. Collaboration ensures a comprehensive approach to managing EoE, addressing not only the disease but also the patient’s nutritional needs, allergies, and potential swallowing difficulties.
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Symptom Management: Provide symptom relief by recommending lifestyle modifications and medications. Suggest dietary changes, such as an elimination diet, to identify and avoid trigger foods. Acid suppression with proton pump inhibitors ma… Read full answer
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