How should I manage a patient with Barrett's oesophagus who develops dysplasia during surveillance endoscopy?
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 criteria should I use to decide when to refer a patient with alopecia areata to a dermatologist?
You should consider referring a patient with alopecia areata to a dermatologist based on several key criteria:When intralesional steroid ...
16 Aug 2025View Answer →
How can I differentiate between a mild and severe asthma attack in a patient presenting to the clinic?
To differentiate between a mild and severe asthma attack in a patient presenting to the clinic, assess the following clinical features and measurements:...
16 Aug 2025View Answer →
When should I consider referring a patient with anaemia of chronic disease to a specialist for further evaluation?
When considering referring a patient with anaemia of chronic disease to a specialist for further evaluation, particularly if chronic kidney disease (CKD) is ...
16 Aug 2025View Answer →
What are the key diagnostic criteria for Borderline Personality Disorder according to NICE guidelines?
Key diagnostic criteria for Borderline Personality Disorder (BPD) according to NICE guidelines are not explicitly listed as a discrete set o...
16 Aug 2025View Answer →
How should I manage a patient with recurrent bacterial vaginosis after completing standard treatment?
When managing a patient with recurrent bacterial vaginosis (BV) after completing standard treatment, it is important to advise the woman that recurrence of s...
16 Aug 2025View Answer →
When should I consider referring a patient for specialist assessment of ADHD?
Refer a child or young person to secondary care (such as a child psychiatrist, paediatrician, or specialist ADHD CAMHS) for assessment if their behavioural a...
16 Aug 2025View Answer →
What are the key clinical features that should raise suspicion for a primary brain tumour in adults?
Key clinical features that should raise suspicion for a primary brain tumour in adults include:New onset or progressively worsen...
16 Aug 2025View Answer →
What is the recommended initial management protocol for an acute ankle sprain in adults?
The recommended initial management protocol for an acute ankle sprain in adults involves a combination of early functional support, pain management, and grad...
16 Aug 2025View Answer →
What are the eligibility criteria for the national bowel cancer screening programme in the UK?
Eligibility criteria for the National Bowel Cancer Screening Programme in the United Kingdom:Adults aged 50 years and over are e...
16 Aug 2025View Answer →
How can I differentiate between ASD and other developmental disorders during the initial assessment?
During the initial assessment, differentiate between autism spectrum disorder (ASD) and other developmental disorders by gathering detailed developmental his...
16 Aug 2025View Answer →
What are the key clinical features to consider when diagnosing arrhythmogenic cardiomyopathy in a young athlete?
Key clinical features to consider when diagnosing arrhythmogenic cardiomyopathy (AC) in a young athlete include:Symptoms...
16 Aug 2025View Answer →
What are the recommended first-line pharmacological treatments for adults diagnosed with ADHD?
Offer lisdexamfetamine or methylphenidate as first-line pharmacological treatment for adults with ADHD 1.Consider switchin...
16 Aug 2025View Answer →
What are the key clinical features that differentiate acute bronchitis from pneumonia in adults?
Key clinical features differentiating acute bronchitis from pneumonia in adults:Acute bronchitis typically pres...
16 Aug 2025View Answer →
What are the key clinical features to consider when diagnosing acute appendicitis in adults?
Key clinical features for diagnosing acute appendicitis in adults include:Initial presentation typically involves abdominal pain...
16 Aug 2025View Answer →
What referral pathways should I follow for a child suspected of having ASD, and what information is essential to include in the referral?
Follow the referral pathway by arranging referral to a local multidisciplinary autism team, or a neurodevelopmental paediatrician or child and adolescent psy...
16 Aug 2025View Answer →
How can I differentiate between atopic eczema and other skin conditions in a patient presenting with pruritic dermatitis?
To differentiate atopic eczema from other skin conditions in a patient presenting with pruritic dermatitis, consider the following clinical features ...
16 Aug 2025View Answer →
How can I effectively monitor disease progression and treatment response in patients with ankylosing spondylitis?
Effective monitoring of disease progression and treatment response in patients with ankylosing spondylitis involves regular assessment of disease activity, p...
16 Aug 2025View Answer →
How can I differentiate autoimmune hepatitis from other liver diseases based on clinical and laboratory findings?
Autoimmune hepatitis (AIH) can be differentiated from other liver diseases by a combination of clinical presentation and specific laboratory findings...
16 Aug 2025View Answer →
Which initial investigations should I perform to assess for amyloidosis in a patient with suspected systemic involvement?
Initial investigations to assess for amyloidosis with suspected systemic involvement include:Serum and urine protein electrophor...
16 Aug 2025View Answer →