clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
When should I refer a patient with suspected or confirmed asthma to specialist
Refer to an asthma/respiratory specialist for the following indications: ^1 Diagnostic uncertainty in adults or children, including when objective testing has n...
Kaj je lahko vzrok bolečinam v trebuhu, nižje od popka do simfize, trajajo 7
The main possibilities are a prostatitis-type presentation, pelvic floor dysfunction, or a urinary outflow problem, because suprapubic/lower abdominal pain with...
6 months girl, vomiting x 3, no fever, mild dehydration. Management?
Use low-osmolarity oral rehydration solution (ORS) as first-line treatment for mild dehydration, rather than intravenous fluids, provided she can tolerate oral ...
What signs of worsening dehydration should prompt urgent medical assessment?
Seek urgent medical assessment if your baby develops any of these signs of dehydration or deterioration: ^2 Fewer wet nappies than usual, indicating reduced uri...
For this patient,A 78-year-old male with history of hypertension complains of
Prioritised differential diagnosis Ibuprofen-associated fluid retention precipitating or unmasking heart failure: this is the leading working diagnosis, given t...
For this patient (A 78-year-old male with history of hypertension complains of
Prioritised differential diagnosis Heart failure with systemic congestion, potentially precipitated or aggravated by recent NSAID exposure: raised JVP and depen...
history taking in breast mass
Focus the history on the breast lump, associated nipple or skin changes, and age-related referral criteria ^1. Establish the patient’s age and whether the lump ...
how to manage epileptic seizure in primary care
During a seizure lasting under 5 minutes: Note the time, look for epilepsy identification, protect the person from injury by cushioning their head, loosening ti...
Создай максимально полное, актуальное и практически применимое клиническое
Что можно включить в руководство на основании предоставленных источников Предоставленная подборка позволяет подготовить ограниченный раздел о лечении рецидивной...
Создай максимально полное, актуальное и практически применимое клиническое
Что можно включить в руководство на основании предоставленных источников Предоставленная подборка позволяет подготовить ограниченный раздел о лечении рецидивной...
Создай максимально полное, актуальное и практически применимое клиническое
Что можно включить в руководство на основании предоставленных источников Предоставленная подборка позволяет подготовить ограниченный раздел о лечении рецидивной...
Pathophysiology of rickets
Rickets is defective mineralisation of the growth plate in the growing skeleton, with failure of normal endochondral ossification and usually accompanying osteo...
causes of facial pain
Possible causes include dental problems such as caries, periodontal disease, tooth abscess, and wisdom tooth eruption, as well as temporomandibular disorders ^2...
24 year old male, 5-6 year history of deep, sharp, slightly left of centre
Assessment: The long-standing, brief episodes and lack of an exertional trigger are less typical of angina, which more often occurs with exertion and improves w...
How should urethritis be investigated in primary care?
History: Ask about symptoms and sexual history, including timing of recent sexual contacts, partners and their genders, types of sexual contact and exposed site...
How can parents be supported to take care and manage their children's health?
Support parents as partners in the child’s care: ask what is hardest to manage, what support they already have, and what would make day-to-day care easier; need...
Elevated PSA; a. Prostatic carcinoma b. BPH c. Prostatic infections d. Perineal
Possible causes of an elevated PSA include prostate cancer, benign prostatic enlargement (BPH), and prostate infection or inflammation, including prostatitis or...
Do we know what proportion of pediatric patients in the UK who require an
The provided NICE CKS excerpt does not report what proportion of UK children requiring appendicectomy have the procedure laparoscopically, so the proportion can...
A 24-year-old female presents with low-grade fever, right wrist tenosynovitis,
The most likely unifying diagnosis is disseminated gonococcal infection (DGI), presenting as the arthritis–dermatitis syndrome. Fever, tenosynovitis, joint pain...