clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
Which red flag symptoms should prompt immediate further investigation in a patient with a chronic cough?
Red flag symptoms that should prompt immediate further investigation in a patient presenting with a chronic cough include:Age 40...
How should I assess and manage recurrent epistaxis in a patient with no identifiable underlying cause?
Assessment: For a patient with recurrent epistaxis and no identifiable underlying cause, first ensure the patient is haemodynamically stable...
What are the recommended antiviral treatments for a patient diagnosed with herpes zoster, and when should they be initiated?
Recommended antiviral treatments for herpes zoster: The first-line antiviral treatments are oral aciclovir, valaciclovir, or famciclovir. Va...
When should I refer an adult patient with hearing loss for audiological assessment or specialist evaluation?
Refer adults with sudden-onset (developing within 72 hours) unilateral or bilateral hearing loss that has occurred within the past 30 days immediately (to be...
What are the current first-line treatment options for symptomatic uterine fibroids in premenopausal women?
The current first-line treatment options for symptomatic uterine fibroids in premenopausal women include:Use of the levonorgestr...
Are there specific contraindications or considerations for prescribing emergency contraception in adolescents?
When prescribing emergency contraception to adolescents, it is important to assess their competency to consent, especially for those under 16 years, by consi...
What are the indications for referral to a dermatologist for a patient with erythema multiforme?
Indications for referral to a dermatologist for a patient presenting with erythema multiforme include:Recurrent erythema multifo...
What are the recommended first-line treatments for acute gastritis in adults?
Recommended first-line treatments for acute gastritis in adults:Identify and stop any causative agents such as NSAIDs or other u...
What are the recommended pharmacological treatments for managing essential tremor in adults?
For managing essential tremor in adults, the first-line pharmacological treatments typically include beta-blockers such as propranolol and anticonvulsants li...
How do I assess the need for referral to secondary care in a patient with acute cough and associated red flag symptoms?
Assess the patient for symptoms and signs that suggest a serious illness or require urgent investigation, such as breathlessness or confusion that is new or ...
What are the key clinical features to consider when diagnosing a food allergy in children?
Key clinical features to consider when diagnosing a food allergy in children include:Personal or family history of atopic diseas...
What are the key genetic tests available for common hereditary conditions in primary care?
In primary care, key genetic tests available for common hereditary conditions focus primarily on carrier screening and risk assessment for inherited disorder...
What are the indications for referring a patient with a corneal abrasion to an ophthalmologist?
Refer a patient with a corneal abrasion to an ophthalmologist if any of the following indications are present:Significant reduction in vi...
How should I approach the diagnosis and management of type 2 diabetes in a newly diagnosed patient?
Diagnosis: Diagnose type 2 diabetes based on clinical features and confirm with appropriate blood glucose tests, including HbA1c measurement...
What are the key clinical features to differentiate between plantar fasciitis and Achilles tendinopathy in a patient presenting with heel pain?
Key clinical features differentiating plantar fasciitis from Achilles tendinopathy in heel pain:Plantar fasciitis...
How can I differentiate between GAD and other anxiety disorders during a patient assessment?
To differentiate generalized anxiety disorder (GAD) from other anxiety disorders during a patient assessment, focus on the following key aspects:...
What follow-up is recommended for patients who start using the progestogen-only injection for contraception?
Follow-up recommendations for patients initiating progestogen-only injectable contraception include:Advise the woman to return e...
What clinical features should I look for to differentiate Functional Neurological Disorder (FND) from other neurological conditions?
Clinical features to differentiate Functional Neurological Disorder (FND) from other neurological conditions include:Pos...
What psychological support options are available for patients who have experienced FGM?
Patients who have experienced female genital mutilation (FGM) should be offered tailored psychological support that addresses the emotional and mental health...