What are the current guidelines for referring patients with suspected pulmonary hypertension to a specialist?
16 Aug 2025View Answer →
clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
What follow-up protocols should be implemented for patients treated for non-melanoma skin cancer to monitor for recurrence?
For patients treated for non-melanoma skin cancer (NMSC), such as basal cell carcinoma or squamous cell carcinoma, routine follow-up protocols are not explic...
16 Aug 2025View Answer →
How should I manage a child with suspected pertussis who has not been vaccinated?
In managing a child with suspected pertussis who has not been vaccinated, immediate clinical assessment is essential, with a low threshold f...
16 Aug 2025View Answer →
How should I manage a patient with rectal bleeding and a history of inflammatory bowel disease?
In managing a patient presenting with rectal bleeding who has a history of inflammatory bowel disease (IBD), the initial approach should focus on assessing t...
16 Aug 2025View Answer →
What is the appropriate duration for a trial of proton pump inhibitors (PPIs) in managing GERD symptoms before considering further investigation?
The appropriate duration for a trial of proton pump inhibitors (PPIs) in managing gastroesophageal reflux disease (GORD) symptoms before considering ...
16 Aug 2025View Answer →
What imaging modalities are recommended for the diagnosis of pneumothorax in primary care?
In primary care, the recommended imaging modality for diagnosing pneumothorax is a chest X-ray, typically an upright posteroanterior or anteroposteri...
16 Aug 2025View Answer →
How can I effectively monitor disease progression and treatment response in patients with psoriatic arthritis?
Effective monitoring of disease progression and treatment response in patients with psoriatic arthritis involves a comprehensive, individualized appr...
16 Aug 2025View Answer →
How can I differentiate between viral and bacterial pneumonia in a primary care setting?
In primary care, differentiating viral from bacterial pneumonia relies primarily on clinical assessment supported by selective investigations....
16 Aug 2025View Answer →
How should I approach the management of a patient presenting with symptoms suggestive of chlamydia or gonorrhoea?
Initial assessment and referral: For any patient aged 13 years or older presenting with symptoms suggestive of chlamydia or gonorrhoea, stro...
16 Aug 2025View Answer →
How can I differentiate between a sickle cell crisis and other acute abdominal conditions in a patient with known sickle cell disease?
To differentiate between a sickle cell crisis and other acute abdominal conditions in a patient with known sickle cell disease, conduct a thorough clinical a...
16 Aug 2025View Answer →
How should I document my concerns regarding a child's safety and wellbeing in the medical record?
Document your concerns regarding a child's safety and wellbeing in the medical record by:Recording exactly what you have observe...
16 Aug 2025View Answer →
What role do topical anesthetics play in the management of premature ejaculation, and how should they be prescribed?
Topical anesthetics play a key role in the management of premature ejaculation by reducing penile sensitivity, thereby delaying ejaculation and impro...
16 Aug 2025View Answer →
What criteria should I use to determine whether a patient with placental abruption requires immediate referral to a specialist?
Criteria for immediate referral of a patient with placental abruption to a specialist include:Signs of haemodynamic instability ...
16 Aug 2025View Answer →
What criteria should I use to determine whether to refer a patient who has self-harmed to mental health services?
Refer a patient who has self-harmed to mental health services if there is thought to be an immediate risk of self-harm or suicide, and in such cases, refer t...
16 Aug 2025View Answer →
When should I consider referring a patient with a personality disorder to specialist mental health services?
Consider referring a patient with a personality disorder to specialist mental health services when:They present in primary care ...
16 Aug 2025View Answer →
Which laboratory tests are most useful for confirming a diagnosis of Sjögren's Syndrome?
The most useful laboratory tests for confirming a diagnosis of Sjögren's syndrome include detection of specific autoantibodies such as anti-Ro/SSA an...
16 Aug 2025View Answer →
What are the recommended topical and systemic treatments for scabies, and how do they differ in efficacy?
Recommended topical treatments for scabies in the UK include permethrin 5% cream, which is the first-line treatment licensed for use from 2 ...
16 Aug 2025View Answer →
When should I consider referring a patient with PBC to a specialist for further evaluation or management?
Consider referring a patient with primary biliary cholangitis (PBC) to a specialist hepatologist or gastroenterologist for further evaluation or mana...
16 Aug 2025View Answer →
What follow-up is recommended for patients with simple ovarian cysts that are asymptomatic?
For patients with asymptomatic simple ovarian cysts, current UK guidelines recommend a conservative approach with no routine follow-up if the cyst is simple,...
16 Aug 2025View Answer →
How should I manage a patient with scarlet fever who presents with severe symptoms or complications?
Management of a patient with scarlet fever presenting with severe symptoms or complications:Arrange urgent hospital admission if...
16 Aug 2025View Answer →