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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.

O quadro leva a entender uma ansiedade subclinica, pois o paciente relata

Resposta direta: Cansaço e formigamentos ocasionais, isoladamente, não permitem diagnosticar ansiedade subclínica nem atribuir os sintomas a uma sequela do zolp...

22 Sept 2026View Answer

Sodium and potassium condition sheet. Difference between hypo and hyper,

Scope and normal ranges: The supplied sources define hyponatraemia as serum sodium <135 mmol/L and hypokalaemia as serum potassium <3.5 mmol/L, but do not state...

22 Sept 2026View Answer

Xylocaine spray for anal cancer pain

Bottom line: There is no direct evidence in the supplied literature that topical lidocaine (Xylocaine) spray improves cancer-related anal pain in adults with an...

21 Sept 2026View Answer

Xylocaine spray for anal cancer pain

Bottom line: There is no direct evidence in the supplied literature that topical lidocaine (Xylocaine) spray improves cancer-related anal pain in adults with an...

21 Sept 2026View Answer

32 years Patient came with a headache, unable to remember subjects which

Likely diagnostic formulation The presentation is most consistent with problematic or compulsive sexual behaviour only if there is persistent impaired control, ...

21 Sept 2026View Answer

In a patient with fatigue lasting for several days after ejaculation, what is

Clinical framing: Several days of reproducible, flu-like fatigue after ejaculation raises the possibility of a sexual-activity-associated syndrome, but this is ...

20 Sept 2026View Answer

What are the causes, effects, and consequences of an inguinal hernia?

Formation and causes An inguinal hernia is protrusion of abdominal or pelvic contents through a dilated internal inguinal ring alongside the spermatic cord, wit...

17 Sept 2026View Answer

Welche aktuellen hochgangig publizierten Studien gibt es bezüglich der

Relevante hochrangige Evidenz bis Ende 2024 Für die operative Versorgung des chronischen Subduralhämatoms (cSDH) ist die Bohrlochkraniostomie mit postoperativer...

16 Sept 2026View Answer

In an adult patient after open reduction and internal fixation (ORIF) for a

Recommended approach: For this unstable fracture-dislocation pattern with deltoid injury, use a below-knee immobilisation device that protects the ankle in a pl...

15 Sept 2026View Answer

What immediate management actions should be undertaken in primary care

Arrange emergency/same-day ophthalmology assessment for suspected uveitis; diagnosis requires slit-lamp examination and dilated fundus examination, and delay in...

13 Sept 2026View Answer

Demens hastalığına çare varmı

Kısa yanıt: Mevcut tedaviler demansı tamamen ortadan kaldıran veya kesin olarak iyileştiren bir çare değildir; özellikle Alzheimer hastalığında amaç bilişsel be...

12 Sept 2026View Answer

hhkthk

“hhkthk” is not a recognised clinical term in the supplied UK guideline excerpts, so it should be clarified before applying a diagnosis-specific pathway. If thi...

12 Sept 2026View Answer

"How can I design a prescribing workload ladder (stepwise analgesic treatment

Structured prescribing workload ladder Use a condition-agnostic ladder that is anchored to diagnosis, acuity, functional impact, expected recovery time, comorbi...

12 Sept 2026View Answer

At what stage of neurological development is a typically developing 6-year-old

Developmental stage at 6 years: A typically developing 6-year-old is in early childhood, transitioning into the school-age period, with rapid consolidation of l...

8 Sept 2026View Answer

Cómo tratar una TV monomorfa en domicilio en una mujer de 73 años 80kg TA 88/40

Trátela como una TV con pulso e inestabilidad hemodinámica (PAS 88 mmHg): es una emergencia tiempo-dependiente. En domicilio, active inmediatamente el 999/SEM, ...

8 Sept 2026View Answer

What is the recommended treatment protocol for a patient with severe

Immediate hospital-level management: A potassium of 6.4 mmol/L is below the source’s stated threshold of >6.5 mmol/L requiring immediate attention, but it is cl...

7 Sept 2026View Answer

"What is the most appropriate treatment for scabies in adults and children,

First-line treatment For uncomplicated classical scabies in adults and children aged 2 months or over, use either permethrin 5% cream or oral ivermectin 200 mic...

6 Sept 2026View Answer

¿Cuál es el tratamiento óptimo para prevenir la fractura por osteoporosis en

No está indicado iniciar tratamiento farmacológico antiosteoporótico únicamente por un T-score de cadera de −2,0 si no hay factores de riesgo adicionales, ya qu...

4 Sept 2026View Answer

Why might a 9-month-old child present with a unilateral squint when focusing on

Most likely this is an accommodative esotropia: at near fixation the infant must accommodate, and the associated convergence can cause one eye to turn inwards, ...

29 Aug 2026View Answer

How should I perform a comprehensive clinical examination of a 9-month-old

At 9 months, any suspected squint is clinically significant: normal binocular coordination is usually established by about 3 months, and a constant deviation re...

29 Aug 2026View Answer
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