Sample interview questions: How do you handle patients with adrenal insufficiency in children?
Sample answer:
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Establish a comprehensive diagnosis.
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Gather a thorough medical history, including symptoms, family history, and medication use.
- Perform a physical examination, paying attention to signs of dehydration, hypotension, hyperpigmentation, and growth retardation.
- Order laboratory tests, including serum cortisol, ACTH, and electrolytes.
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If primary adrenal insufficiency is suspected, consider imaging studies to evaluate the adrenal glands.
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Initiate prompt treatment.
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Start glucocorticoid replacement therapy immediately, using hydrocortisone or prednisone.
- Monitor electrolyte levels and correct any imbalances.
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Provide intravenous fluids if necessary.
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Educate the patient and family.
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Teach the patient and family about the condition, its treatment, and the importance of compliance with medications.
- Provide written instructions on how to recognize and respond to adrenal crisis.
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Encourage the patient to wear a medical alert bracelet or necklace.
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Monitor the patient close… Read full answer
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