What are the key components of a suicide risk assessment in primary care?
16 Aug 2025View Answer →
clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
What follow-up care is recommended for patients who have been treated for a subdural haematoma?
Follow-up care for patients treated for a subdural haematoma should include a documented and agreed plan of care that is communicated to the...
16 Aug 2025View Answer →
When should I consider referring a patient with a subdural haematoma for neurosurgical evaluation?
Consider referring a patient with a subdural haematoma for neurosurgical evaluation if any of the following are present:New and ...
16 Aug 2025View Answer →
What are the current guidelines for the management of acute subdural haematoma in primary care settings?
Management of Acute Subdural Haematoma in Primary Care SettingsAcute subdural haematoma (ASDH) is a form of traumatic brain injury th...
16 Aug 2025View Answer →
How should I approach the investigation of a suspected subdural haematoma in a patient with a history of head trauma?
Approach to investigating suspected subdural haematoma in a patient with head trauma:Perform an urgent CT head scan as the prima...
16 Aug 2025View Answer →
What are the key clinical features that suggest a diagnosis of subdural haematoma in an adult patient?
Key clinical features suggesting a diagnosis of subdural haematoma in an adult patient include:History of head injury, which may...
16 Aug 2025View Answer →
What role do biologic therapies play in the management of spondyloarthritis, and when should they be considered?
Biologic therapies play a role in the management of spondyloarthritis, particularly for cases that do not respond adequately to NSAIDs or standard DM...
16 Aug 2025View Answer →
What criteria should I use to refer a patient with suspected spondyloarthritis to a rheumatologist?
If a person has low back pain that started before the age of 45 years and has lasted for longer than 3 months, refer the person to a rheumatologist for a spo...
16 Aug 2025View Answer →
How should I approach the management of a patient with peripheral spondyloarthritis who is not responding to NSAIDs?
For patients with peripheral spondyloarthritis who do not respond to NSAIDs, consider offering local corticosteroid injections as monotherapy for non-progres...
16 Aug 2025View Answer →
Which laboratory tests are recommended for the diagnosis of spondyloarthritis in primary care?
In primary care, the recommended laboratory test for suspected spondyloarthritis is an HLA‑B27 test, which should be performed if the clinical suspicion rema...
16 Aug 2025View Answer →
What are the key clinical features that differentiate axial spondyloarthritis from other forms of back pain?
Key clinical features that differentiate axial spondyloarthritis from other back pain include:Inflammatory back pain that starte...
16 Aug 2025View Answer →
How can I differentiate between surgical and non-surgical causes of abdominal pain in primary care?
To differentiate between surgical and non-surgical causes of abdominal pain in primary care, clinicians should focus on key clinical features, examin...
16 Aug 2025View Answer →
What are the recommended pre-operative assessments for patients undergoing elective general surgery?
Recommended pre-operative assessments for patients undergoing elective general surgery include a tailored approach based on the type and complexity of surger...
16 Aug 2025View Answer →
How should I manage a patient presenting with a hernia, and when is surgical intervention necessary?
Appropriate management of a patient presenting with a hernia involves initial assessment to determine the type, size, symptoms, and impact o...
16 Aug 2025View Answer →
What are the key indications for referring a patient with suspected appendicitis to a surgical specialist?
Key indications for referring a patient with suspected appendicitis to a surgical specialist include:Persistent or worse...
16 Aug 2025View Answer →
Which pharmacological agents are considered first-line for the long-term management of patients with frequent SVT episodes?
For the long-term management of patients experiencing frequent episodes of supraventricular tachycardia (SVT), standard beta-blockers (excluding sota...
16 Aug 2025View Answer →
What lifestyle modifications can I recommend to patients with recurrent SVT episodes to help prevent future occurrences?
Patients with recurrent supraventricular tachycardia (SVT) episodes can be advised to modify lifestyle factors that may precipitate arrhythmia episodes. ...
16 Aug 2025View Answer →
What criteria should I use to decide whether to refer a patient with SVT for specialist evaluation?
Patients with supraventricular tachycardia (SVT) should be referred for specialist evaluation if they present with any of the following criteria: red...
16 Aug 2025View Answer →
How can I effectively educate patients about the risk factors and prevention strategies for cutaneous squamous cell carcinoma?
Effective patient education on cutaneous squamous cell carcinoma (cSCC) should focus on clearly communicating the primary risk factors and practical preventi...
16 Aug 2025View Answer →
What are the indications for Mohs micrographic surgery in the treatment of cutaneous squamous cell carcinoma?
Indications for Mohs micrographic surgery (MMS) in cutaneous squamous cell carcinoma (cSCC) primarily include tumours located in anatomicall...
16 Aug 2025View Answer →