What criteria should I use to determine whether to refer a pregnant patient with gestational diabetes to a specialist?
22 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.
How should I manage a pregnant patient with a history of hypertension and current elevated blood pressure readings?
For a pregnant patient with a history of chronic hypertension and current elevated blood pressure readings, management should include the following steps:...
22 Aug 2025View Answer →
What are the key risk factors to consider when assessing a pregnant patient for high-risk complications?
When assessing a pregnant patient for high-risk complications, key risk factors encompass a broad range of pre-existing medical conditions, obstetric history...
22 Aug 2025View Answer →
What multidisciplinary support services should be involved in the care of a patient with Prader-Willi Syndrome?
Patients with Prader-Willi Syndrome require multidisciplinary support involving several specialist services to address their complex needs. Key multi...
22 Aug 2025View Answer →
What are the recommended referral criteria for genetic testing in suspected cases of Prader-Willi Syndrome?
Recommended referral criteria for genetic testing in suspected cases of Prader-Willi Syndrome (PWS) are not explicitly detailed in the provided UK gu...
22 Aug 2025View Answer →
How should I approach the management of obesity in a patient with Prader-Willi Syndrome?
Management of obesity in a patient with Prader-Willi syndrome (PWS) requires a tailored, multidisciplinary approach that addresses the unique challenges of t...
22 Aug 2025View Answer →
What are the key clinical features to consider when diagnosing Prader-Willi Syndrome in a child?
Key clinical features to consider when diagnosing Prader-Willi Syndrome (PWS) in a child include:Neonatal hypotonia and ...
22 Aug 2025View Answer →
When should I refer a patient with suspected POTS to a specialist for further evaluation and management?
Refer a patient with suspected postural orthostatic tachycardia syndrome (POTS) to a specialist for further evaluation and management if:...
22 Aug 2025View Answer →
What lifestyle modifications and non-pharmacological treatments should I consider for managing POTS in primary care?
Lifestyle modifications and non-pharmacological treatments for managing postural orthostatic tachycardia syndrome (POTS) in primary care include:...
22 Aug 2025View Answer →
Which initial investigations are recommended for a patient presenting with symptoms suggestive of POTS?
For a patient presenting with symptoms suggestive of postural orthostatic tachycardia syndrome (POTS), the initial investigations should focus on assessing o...
22 Aug 2025View Answer →
What clinical criteria should I use to diagnose Postural Orthostatic Tachycardia Syndrome (POTS) in my patients?
Clinical criteria to diagnose Postural Orthostatic Tachycardia Syndrome (POTS) include:A sustained increase in heart rate of ≥30...
22 Aug 2025View Answer →
What follow-up care and support should be provided to a patient after an episode of postpartum psychosis?
After an episode of postpartum psychosis, follow-up care and support should include a comprehensive care plan covering the postnatal period,...
22 Aug 2025View Answer →
What are the recommended pharmacological treatments for postpartum psychosis, and how do they differ from those for postpartum depression?
Pharmacological treatments for postpartum psychosis typically involve the use of antipsychotic medications, which are considered first-line ...
22 Aug 2025View Answer →
What criteria should I use to determine whether to refer a patient with postpartum psychosis to specialist mental health services?
Criteria for referral of a patient with postpartum psychosis to specialist mental health services include:Presence of a severe m...
22 Aug 2025View Answer →
How should I approach the immediate management of a patient presenting with suspected postpartum psychosis in a primary care setting?
Immediate management of suspected postpartum psychosis in primary care should include:Urgent referral to specialist peri...
22 Aug 2025View Answer →
What are the key symptoms that differentiate postpartum psychosis from other postpartum mood disorders?
Key symptoms that differentiate postpartum psychosis from other postpartum mood disorders include the rapid onset of severe symptoms such as hallucin...
22 Aug 2025View Answer →
What diagnostic tests are most useful in confirming a diagnosis of aspiration pneumonia in a primary care setting?
In a primary care setting, the diagnosis of aspiration pneumonia is primarily clinical, supported by history and physical examination. The most useful diagno...
22 Aug 2025View Answer →
When should I consider referring a patient with aspiration pneumonia to secondary care?
Consider referring a patient with aspiration pneumonia to secondary care if they have a CRB65 score of 2 or more, indicating intermediate to high ris...
22 Aug 2025View Answer →
What are the recommended antibiotic regimens for treating aspiration pneumonia in adults?
Aspiration pneumonia in adults requires antibiotic regimens that cover both aerobic and anaerobic organisms commonly involved in aspiration events. The recom...
22 Aug 2025View Answer →
What are the key risk factors for aspiration pneumonia that I should assess in my patients?
When assessing patients for the risk of aspiration pneumonia, key factors to evaluate include impaired swallowing or dysphagia, neurological disorders affect...
22 Aug 2025View Answer →