What are the key clinical features that suggest a diagnosis of pulmonary hypertension in a primary care setting?
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 lifestyle modifications should I advise to a patient recovering from an episode of acute pancreatitis?
Advise the patient to avoid alcohol consumption for at least 6–12 months following hospital discharge, regardless of the underlying cause or severity of acut...
16 Aug 2025View Answer →
What are the recommended first-line treatments for patients with primary Raynaud's phenomenon?
First-line treatment for patients with primary Raynaud's phenomenon involves lifestyle modifications and pharmacological therapy primarily using calc...
16 Aug 2025View Answer →
When should I consider referring a patient with pelvic organ prolapse for surgical intervention?
Consider referring a patient with pelvic organ prolapse (POP) for surgical intervention if:The woman’s symptoms have not improve...
16 Aug 2025View Answer →
How can I differentiate between anterior and posterior epistaxis during a clinical assessment?
Anterior epistaxis typically originates from the Kiesselbach's plexus on the anterior part of the nasal septum and is usually visible on ant...
16 Aug 2025View Answer →
How should I counsel parents about the expected course and management of acute otitis media in their children?
Advise parents that the usual course of acute otitis media is about 3 days, but can be up to 1 week. Most children get better within 3 days without a...
16 Aug 2025View Answer →
How can I differentiate between pancreatic cancer and other causes of obstructive jaundice in my patients?
To differentiate pancreatic cancer from other causes of obstructive jaundice in your patients:Refer all patients aged 40 years a...
16 Aug 2025View Answer →
What non-pharmacological interventions are recommended for patients with OCD, and how can I implement them in practice?
Recommended non-pharmacological interventions for patients with obsessive-compulsive disorder (OCD) include cognitive-behavioural therapy (CBT) with ...
16 Aug 2025View Answer →
What are the recommended prevention strategies for patients at high risk of pressure ulcers?
Develop and document an individualised care plan for patients at high risk, considering risk and skin assessment outcomes, mobility, comorbi...
16 Aug 2025View Answer →
What pre-operative preparations are necessary for a patient undergoing surgery for phaeochromocytoma?
Pre-operative preparations for a patient undergoing surgery for phaeochromocytoma primarily focus on stabilising cardiovascular status and m...
16 Aug 2025View Answer →
What are the first-line antibiotic regimens for treating uncomplicated PID in primary care?
First-line antibiotic regimens for treating uncomplicated pelvic inflammatory disease (PID) in primary care involve a combination therapy to...
16 Aug 2025View Answer →
How can I effectively counsel patients on the risks and benefits of elective cesarean delivery?
Effective counselling for elective caesarean delivery involves providing balanced, evidence-based information about the benefits and risks of both ca...
16 Aug 2025View Answer →
What are the key public health initiatives I should be aware of to improve vaccination rates in my practice?
Key public health initiatives to improve vaccination rates in your practice include:Opportunistic vaccination offers at multiple...
16 Aug 2025View Answer →
When should I consider referring a patient with peritonitis to secondary care for surgical intervention?
Consider referring a patient with peritonitis to secondary care for surgical intervention urgently if they present with signs of complicated intra-ab...
16 Aug 2025View Answer →
What are the indications for referring a patient with PAD to a vascular specialist?
Indications for referring a patient with peripheral arterial disease (PAD) to a vascular specialist include:Urgent referral for ...
16 Aug 2025View Answer →
What initial investigations should be performed for a patient presenting with rectal bleeding in primary care?
Initial investigations for a patient presenting with rectal bleeding in primary care include:Perform a thorough history and phys...
16 Aug 2025View Answer →
What role do adjuvant medications play in the management of neuropathic pain, and which should I consider?
Role of adjuvant medications in neuropathic pain management: Adjuvant medications are used to specifically target neuropathic pain mechanism...
16 Aug 2025View Answer →
What monitoring protocols should be followed for a patient with pre-eclampsia to prevent complications?
Monitor blood pressure regularly: Measure blood pressure hourly during labour in women with hypertension, and every 15 to 30 minutes until b...
16 Aug 2025View Answer →
What are the recommended approaches for managing common symptoms such as nausea and breathlessness in palliative care?
For managing nausea in palliative care: Assess for likely causes such as medications, recent chemotherapy, biochemical causes, or gastrointe...
16 Aug 2025View Answer →
Which laboratory tests are recommended for confirming a diagnosis of pertussis in primary care settings?
Recommended laboratory tests for confirming pertussis diagnosis in primary care:Polymerase chain reaction (PCR) testing of nasop...
16 Aug 2025View Answer →