Which imaging modalities are recommended for the diagnosis of cholecystitis in primary care settings?
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.
How should I manage a patient diagnosed with Chlamydia who is also pregnant?
Management of a pregnant patient diagnosed with Chlamydia:Refer the patient to a genito-urinary medicine (GUM) clinic for specia...
16 Aug 2025View Answer →
How should I approach the management of a pregnant woman who has been exposed to chickenpox?
Management of a pregnant woman exposed to chickenpox:Establish the woman's immunity status by testing for varicella-zoster virus...
16 Aug 2025View Answer →
When should I consider referring a patient with viral conjunctivitis for specialist evaluation?
Consider referring a patient with viral conjunctivitis for specialist evaluation if:They are a neonate with red sticky eye (opht...
16 Aug 2025View Answer →
How should I manage a patient with cirrhosis who presents with ascites?
Management of a patient with cirrhosis presenting with ascites involves a comprehensive approach including assessment, symptomatic treatment, prevention of c...
16 Aug 2025View Answer →
What are the indications for referring a patient with recurrent C. difficile infections to a specialist?
Indications for referring a patient with recurrent Clostridioides difficile infections (CDI) to a specialist include:Having had ...
16 Aug 2025View Answer →
How should I manage a patient with bacterial conjunctivitis who has not improved after 48 hours of treatment?
Management of bacterial conjunctivitis not improved after 48 hours of treatment:If a patient with bacterial conjunctivitis has n...
16 Aug 2025View Answer →
Which initial investigations should be performed in a patient suspected of having cholangitis?
Initial investigations for a patient suspected of having cholangitis should include:Liver function tests (LFTs) to assess for ch...
16 Aug 2025View Answer →
What investigations should be considered to rule out other conditions in a patient suspected of having ME/CFS?
When myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is suspected, investigations should be carried out to exclude other diagnoses 1. ...
16 Aug 2025View Answer →
How should I investigate a suspected cholesteatoma in primary care before referring to ENT?
Investigating suspected cholesteatoma in primary care before ENT referral:Perform a thorough otoscopic examination to identify s...
16 Aug 2025View Answer →
What criteria should I use to determine whether a patient with a concussion requires referral to a specialist?
Refer to a specialist if the person has persistent or worsening clinical features related to the initial head injury, such as vomiting, headaches, or...
16 Aug 2025View Answer →
What are the current guidelines for referring patients with suspected colorectal cancer for further investigation?
Refer adults using a suspected cancer pathway referral (for an appointment within 2 weeks) for colorectal cancer if they have a faecal immunochemical test (F...
16 Aug 2025View Answer →
What preventive treatments are available for patients with frequent cluster headache episodes, and how should they be monitored?
Preventive treatments for patients experiencing frequent cluster headache episodes include:Offer prophylactic treatment such as ...
16 Aug 2025View Answer →
What are the referral criteria for a patient with chest pain who has risk factors for coronary artery disease?
Refer people to hospital as an emergency if they currently have chest pain, or if they are pain-free but had chest pain in the last 12 hours and an abnormal ...
16 Aug 2025View Answer →
How should I monitor a patient with CLL for disease progression and treatment response in primary care?
In primary care, monitoring a patient with chronic lymphocytic leukemia (CLL) for disease progression and treatment response primarily involves close communi...
16 Aug 2025View Answer →
How should I interpret the results of a faecal immunochemical test (FIT) in the context of colorectal cancer screening?
The faecal immunochemical test (FIT) is used in colorectal cancer screening to detect hidden blood in faeces, which may indicate colorectal cancer or advance...
16 Aug 2025View Answer →
How should I manage a patient with concussion symptoms who is experiencing persistent headaches after the initial injury?
Management of a patient with concussion symptoms experiencing persistent headaches following the initial injury should begin with reassurance and education a...
16 Aug 2025View Answer →
When should I consider referring a patient with cluster headaches to a specialist for further management?
Consider referral to a specialist for a first bout of cluster headache to ensure diagnosis confirmation and possible neuroimaging, especially if diagnosis is...
16 Aug 2025View Answer →
How can I effectively assess the impact of chronic pain on a patient's quality of life during a consultation?
To effectively assess the impact of chronic pain on a patient's quality of life during a consultation, adopt a comprehensive, person-centred approach that ex...
16 Aug 2025View Answer →
What acute treatment options are recommended for a patient experiencing a cluster headache attack in primary care?
Offer oxygen and/or a subcutaneous or nasal triptan for the acute treatment of cluster headache in primary care 1.Use 100% oxygen at a flow...
16 Aug 2025View Answer →