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 with recurrent urinary tract infections and associated haematuria?
Management of a patient with recurrent urinary tract infections (UTIs) and associated haematuria involves the following steps:...
When should I consider referring a patient with haemochromatosis to a specialist for further evaluation and management?
Consider referring a patient with haemochromatosis to a specialist for further evaluation and management if they have evidence of liver disease, part...
When should I consider referring a patient with gonorrhoea for specialist sexual health services?
All people diagnosed with gonorrhoea from age 13 years onwards should be referred to a genito-urinary medicine (GUM) clinic or other local specialist sexual ...
How should I manage a patient with haematemesis who is stable but has a history of liver disease?
Management of a stable patient with haematemesis and a history of liver disease:Assess the patient’s haemodynamic stability and ...
What lifestyle modifications should I advise to patients to prevent the recurrence of haemorrhoids?
Lifestyle modifications to prevent recurrence of haemorrhoids include:Advise patients to maintain a high-fibre diet by gradually...
Are there any specific laboratory tests that can help confirm a diagnosis of Gilbert's Syndrome?
Specific laboratory tests to confirm Gilbert's syndrome primarily involve measuring serum bilirubin levels, particularly unconjugated hyperbilirubina...
What are the potential complications of HFMD that I should be aware of in my practice?
Potential complications of hand, foot, and mouth disease (HFMD) to be aware of in general practice include:Central nervous syste...
When should I consider referring a patient with haemophilia to a specialist haemophilia centre?
Consider referring a patient with haemophilia to a specialist haemophilia centre:When the patient has significant active bleedin...
When should I consider referring a patient with suspected Giant Cell Arteritis to a specialist?
Refer a patient with suspected Giant Cell Arteritis (GCA) urgently to a specialist (usually a rheumatologist) if GCA is strongly suspected based on c...
What are the recommended management strategies for a patient diagnosed with hereditary haemochromatosis?
The primary management strategy for a patient diagnosed with hereditary haemochromatosis is therapeutic phlebotomy, which aims to remove exc...
When should I consider referring a patient with glandular fever for specialist evaluation?
For a patient with a suspected or confirmed diagnosis of glandular fever, you should consider referring for specialist evaluation in several scenarios, rangi...
What are the current guidelines for partner notification and treatment in cases of gonorrhoea?
Partner Notification Guidelines for Gonorrhoea:People diagnosed with a sexually transmitted infection (STI) should be advised on...
How can I effectively monitor the progression of Guillain-Barré Syndrome in a primary care setting?
Effective monitoring of Guillain-Barré Syndrome (GBS) progression in primary care involves close observation of rapidly progressive symmetrical limb ...
What are the recommended management strategies for a patient with minimal change disease?
For a patient diagnosed with minimal change disease (MCD), the recommended management strategies primarily focus on inducing remission of nephrotic syndrome ...
What are the referral criteria for a patient with haematuria to a urologist?
Referral criteria for a patient with haematuria to a urologist often involve a suspected cancer pathway (2-week wait) due to the potential for underlying mal...
What are the key differential diagnoses to consider in a patient with haematemesis?
When a patient presents with haematemesis, key differential diagnoses to consider primarily include conditions causing upper gastrointestinal bleeding 3...
When should I consider referring a patient with suspected Gilbert's Syndrome for further investigation?
You should consider referring a patient with suspected Gilbert's syndrome for further investigation if there are any features that suggest a more serious und...
What criteria should I use to decide whether to refer a patient with haemorrhoids for surgical intervention?
To determine whether to refer a patient with haemorrhoids for surgical intervention, consider the following criteria: Urgent Referral/Admission C...
What are the potential complications of GPA that I should be aware of when managing patients in primary care?
When managing patients with granulomatosis with polyangiitis (GPA) in primary care, it is important to be aware that GPA is a form of vasculitis, previously ...