clinical q&a library

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

How long before excision of SCC on antihelix and skin grafting should apixaban b

Appropriate duration to discontinue apixaban before excision of squamous cell carcinoma on the antihelix and skin grafting:Excision o...

23 Jan 2026View Answer

Complication of ckd

Chronic kidney disease (CKD) is associated with multiple potential complications affecting various organ systems and overall health. The key complica...

23 Jan 2026View Answer

Can l argynine help in ed

L-arginine is not currently recommended by UK clinical guidelines for the management of erectile dysfunction (ED) due to a lack of robust evidence on...

20 Jan 2026View Answer

Primary care mx of allergic rhinitis: first-line treatments + environment contro

First-line treatments for allergic rhinitis in primary care include intranasal corticosteroids and antihistamines, which can be intranasal or oral non-sedati...

16 Jan 2026View Answer

Nano Minoxidil with tretinoin

Safety and efficacy of nano Minoxidil combined with tretinoin for hair loss:There is no direct UK guideline evidence or high-quality ...

13 Jan 2026View Answer

Can we use DOAC in patient with AF and had tissue AVR 10 years ago

Direct oral anticoagulants (DOACs) are generally not recommended for patients with atrial fibrillation who have a prosthetic heart valve req...

12 Jan 2026View Answer

Management for CKD stage 3

Management of a patient with stage 3 chronic kidney disease (CKD) involves:Arranging regular follow-up in primary care, with fre...

11 Jan 2026View Answer

Management of 82 year old BP suffers drop in BP when standing

Appropriate management for an 82-year-old patient experiencing a drop in blood pressure upon standing (orthostatic hypotension, OH) involves a compre...

11 Jan 2026View Answer

Management for CKD stage 3

Management of patients with stage 3 chronic kidney disease (CKD), defined by an estimated glomerular filtration rate (eGFR) of 30-59 ml/min/1.73 m2...

11 Jan 2026View Answer

What are signs of active infection or systemic illness in a 3 year old who is du

Signs of active infection or systemic illness in a three-year-old child scheduled for tonsillectomy include:Fever: Elevated temp...

10 Jan 2026View Answer

3 year old is due to have tonsillectomy but had a temperature of 38 degrees for

A tonsillectomy in a 3-year-old child who had a temperature of 38°C for three hours four days prior to surgery does not necessarily need to be postpo...

10 Jan 2026View Answer

Preterm problems

Preterm birth is associated with a wide range of common problems affecting multiple organ systems and developmental domains. Neurologically, children born pr...

4 Jan 2026View Answer

In a patient with chronic, treatment-refractory seborrhoeic dermatitis and rosac

In a patient with chronic, treatment-refractory seborrhoeic dermatitis and rosacea on facial skin with impaired epidermal barrier, the most advanced speciali...

2 Jan 2026View Answer

خانمی مسن با سابقه کانسر پستان که درمان شده است فریتین ۱۸۰۰ دارد چه باید کرد؟

Appropriate management for an elderly woman with a history of treated breast cancer and a ferritin level of 1800:A ferritin leve...

1 Jan 2026View Answer

Stepwise acne treatment in primary care, including topical/oral therapies?

Stepwise management of acne in primary care:General advice: Acne is not caused by poor hygiene; avoid over-clea...

1 Jan 2026View Answer

How do you manage phimosis in puberty

Management of phimosis in adolescents during puberty primarily involves conservative approaches initially, as physiological phimosis is comm...

29 Dec 2025View Answer

How do you manage balanitis in puberty

Management of balanitis in adolescents during puberty involves advising on good daily hygiene, including washing the genital area daily with...

29 Dec 2025View Answer

How do you manage phimosis in puberty

Management of phimosis in adolescents during puberty primarily involves conservative approaches initially, as physiological phimosis is comm...

29 Dec 2025View Answer

what are the off-label psychiatric applications of nacc?

Off-label psychiatric applications of N-acetylcysteine (NAC) include its use as an adjunctive treatment in various psychiatric disorders suc...

27 Dec 2025View Answer

what are the off-label psychiatric applications of nacc?

Off-label psychiatric applications of N-acetylcysteine (NAC) include its use as an adjunctive treatment in various psychiatric disorders suc...

27 Dec 2025View Answer
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