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clinical q&a library

Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.

Your partner has given birth to your first child a month ago. After returning

Suggested ranking: C → D → A → B. This is a situational judgement rather than a ranking explicitly established by the supplied guidance, which addresses shift-r...

7 Nov 2026View Answer →

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...

7 Nov 2026View Answer →

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 Nov 2026View Answer →

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 ...

6 Nov 2026View Answer →

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...

6 Nov 2026View Answer →

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...

5 Nov 2026View Answer →

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...

5 Nov 2026View Answer →

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 ...

5 Nov 2026View Answer →

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...

2 Nov 2026View Answer →

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...

27 Oct 2026View Answer →

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...

27 Oct 2026View Answer →

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...

27 Oct 2026View Answer →

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...

26 Oct 2026View Answer →

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 Oct 2026View Answer →

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...

23 Oct 2026View Answer →

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...

22 Oct 2026View Answer →

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...

21 Oct 2026View Answer →

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...

21 Oct 2026View Answer →

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...

20 Oct 2026View Answer →

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...

18 Oct 2026View Answer →
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