How do you handle patients with suspected or diagnosed eosinophilic gastroenteritis?

Sample interview questions: How do you handle patients with suspected or diagnosed eosinophilic gastroenteritis?

Sample answer:

Assessment and Diagnosis

1. Thorough Medical History: Note symptoms (eosinophilic infiltration, GI symptoms), allergies, medications, travel history, and family history.
2. Physical Exam: Inspect for skin findings (eczema, rash), abdominal tenderness, and lymphadenopathy.
3. Laboratory Tests: Order eosinophil count, stool analysis, blood tests (e.g., C-reactive protein), and allergy testing.
4. Imaging: Consider endoscopy (with biopsy) to visualize mucosal inflammation and obtain tissue samples.

Management

1. Dietary Management:
* Restrict foods that trigger eosinophilic inflammation (identified through elimination diet or allergy testing).
* Prescribe an elemental diet if severe disease or dietary avoidance is ineffective.

2. Medications:
* Budesonide (Oral or Rectal): An oral or rectal corticosteroid to suppress inflammation and reduce eosinophil infiltration.
* Montelukast: A leukotriene inhibitor to block the production of inflammatory mediators.
* Antihistamines: To alleviate allergic symptoms.
* Immunomodulators (e.g., Cyclosporine, Tacro *:mus): For … Read full answer

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