clinical q&a library

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

At what age should I refer a child for specialist evaluation if I suspect retinoblastoma based on my clinical findings?

Refer any child of any age for specialist ophthalmological assessment if you suspect retinoblastoma based on clinical findings such as an absent fund...

22 Aug 2025View Answer

When should I consider referring a child to a specialist after a resuscitation attempt?

Consider referring a child to a specialist immediately following a resuscitation attempt if the child shows any signs of an immediately life-threaten...

22 Aug 2025View Answer

What are the indications for advanced paediatric life support interventions in primary care settings?

In primary care settings, advanced paediatric life support (APLS) interventions are indicated when a child presents with symptoms or signs suggestive of an i...

22 Aug 2025View Answer

How do I assess the effectiveness of my resuscitation efforts in a paediatric patient?

Assessing the effectiveness of resuscitation efforts in a paediatric patient involves continuous monitoring of clinical signs and physiological param...

22 Aug 2025View Answer

What specific guidelines should I follow for the management of a child in cardiac arrest?

In managing a child experiencing cardiac arrest, immediate initiation of paediatric advanced life support (PALS) protocols is essential, focusing on high-qua...

22 Aug 2025View Answer

What are the key differences in the approach to paediatric resuscitation compared to adult resuscitation?

Key differences in paediatric resuscitation compared to adult resuscitation include:Initial approach: In newbor...

22 Aug 2025View Answer

When should I consider referring a patient for post-resuscitation care after successful adult resuscitation?

Consider referring an adult patient for post-resuscitation care immediately following successful resuscitation if they have ongoing rehabilitation ne...

22 Aug 2025View Answer

What are the key differences between adult Basic Life Support (BLS) and Advanced Life Support (ALS) protocols in the UK?

Key differences between adult Basic Life Support (BLS) and Advanced Life Support (ALS) protocols in the UK:Basic Life Su...

22 Aug 2025View Answer

What are the current guidelines for the use of non-invasive ventilation in patients with Type 2 respiratory failure?

Current guidelines recommend the use of non-invasive ventilation (NIV) in patients with Type 2 respiratory failure primarily in the context of condit...

22 Aug 2025View Answer

When should I consider referring a patient with chronic respiratory failure to secondary care for further management?

Consider referring a patient with chronic respiratory failure to secondary care for further management when:There is diagnostic ...

22 Aug 2025View Answer

What investigations are recommended to confirm the diagnosis of hypercapnic respiratory failure in a primary care setting?

Recommended investigations to confirm hypercapnic respiratory failure in primary care:Measure arterial or arterialised capillary...

22 Aug 2025View Answer

How should I approach the initial assessment and management of a patient presenting with acute hypoxaemic respiratory failure?

Initial assessment of a patient presenting with acute hypoxaemic respiratory failure should include a thorough clinical evaluation focusing ...

22 Aug 2025View Answer

What are the key clinical features that differentiate between Type 1 and Type 2 respiratory failure in adults?

Type 1 respiratory failure is characterised by hypoxaemia (low blood oxygen levels) without hypercapnia (normal or low carbon dioxide levels...

22 Aug 2025View Answer

What are the key clinical features that suggest a diagnosis of renal tubular acidosis in a patient?

Key clinical features suggesting a diagnosis of renal tubular acidosis (RTA) include:Non-anion gap metabolic acidosis with a nor...

22 Aug 2025View Answer

In which cases of kidney disease is a renal biopsy particularly contraindicated?

A renal biopsy is particularly contraindicated in cases where there is a high risk of bleeding, such as in patients with uncontrolled hypertension, bleeding ...

22 Aug 2025View Answer

What are the key indications for referring a patient for a renal biopsy in primary care?

In primary care, key indications for referring a patient for a renal biopsy generally align with criteria for specialist assessment of chronic kidney disease...

22 Aug 2025View Answer

What role does multidisciplinary teamwork play in the rehabilitation of patients with complex needs?

Multidisciplinary teamwork plays a central role in the rehabilitation of patients with complex needs by ensuring coordinated, comprehensive, and pati...

22 Aug 2025View Answer

When should I refer a patient with a traumatic brain injury to a specialist rehabilitation service?

Refer a patient with a traumatic brain injury to a specialist rehabilitation service as soon as possible after the injury, ideally starting rehabilit...

22 Aug 2025View Answer

What evidence-based interventions should I consider for managing chronic pain in patients undergoing rehabilitation?

For managing chronic pain in patients undergoing rehabilitation, consider the following evidence-based interventions:Supervised group exe...

22 Aug 2025View Answer

How can I assess the need for referral to a rehabilitation specialist for a patient with post-operative complications?

To assess the need for referral to a rehabilitation specialist for a patient experiencing post-operative complications, use a person-centred, individualised,...

22 Aug 2025View Answer
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