How can I differentiate between Post-Concussion Syndrome and other potential causes of persistent symptoms in my patients?
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.
What lifestyle modifications can I suggest to patients experiencing fatigue and cognitive difficulties after a concussion?
Lifestyle modifications recommended for patients experiencing fatigue and cognitive difficulties following a concussion include:...
22 Aug 2025View Answer →
What criteria should I use to determine when to refer a patient with Post-Concussion Syndrome to a specialist?
Refer a patient with Post-Concussion Syndrome to a specialist if they have persistent or delayed symptoms after a head injury, or if they have ongoing proble...
22 Aug 2025View Answer →
How should I approach the management of a patient with persistent headaches following a concussion?
Approach to managing persistent headaches following a concussion:Recognise that persistent headaches can be part of post-concuss...
22 Aug 2025View Answer →
What are the recommended assessment tools for diagnosing Post-Concussion Syndrome in adults?
There is no single definitive diagnostic tool recommended by NICE guidelines specifically for diagnosing Post-Concussion Syndrome (PCS) in adults; rather, di...
22 Aug 2025View Answer →
What are the indications for referring a patient with suspected porphyria to a specialist clinic?
Indications for referring a patient with suspected porphyria to a specialist clinic include clinical suspicion based on characteristic sympt...
22 Aug 2025View Answer →
How should I manage a patient with porphyria who presents with acute abdominal pain and is at risk of an attack?
Management of a patient with porphyria presenting with acute abdominal pain and at risk of an attack involves prompt recognition and supportive care ...
22 Aug 2025View Answer →
Which laboratory tests are most useful for confirming a diagnosis of acute porphyria in primary care settings?
The most useful laboratory tests for confirming a diagnosis of acute porphyria in primary care are the measurement of urinary porphobilinogen (PBG) a...
22 Aug 2025View Answer →
What are the key clinical features that suggest a diagnosis of porphyria in a patient presenting with abdominal pain and neurological symptoms?
Key clinical features suggesting porphyria in a patient with abdominal pain and neurological symptoms include:Severe, un...
22 Aug 2025View Answer →
What follow-up measures should I implement after deprescribing to monitor patient outcomes and medication adherence?
After deprescribing, follow-up measures should include offering extra, unscheduled reviews when needed, especially if the patient reports ad...
22 Aug 2025View Answer →
How do I involve patients and their families in the decision-making process regarding deprescribing?
Involving patients and their families in deprescribing decisions involves several key steps:Offer the opportunity for in...
22 Aug 2025View Answer →
What are the recommended strategies for safely deprescribing medications in older adults?
Safe deprescribing of medications in older adults involves a patient-centred, gradual, and closely monitored approach to minimise withdrawal symptoms and adv...
22 Aug 2025View Answer →
How can I effectively assess the appropriateness of a patient's current medication regimen before considering deprescribing?
To effectively assess the appropriateness of a patient's current medication regimen before considering deprescribing, conduct a structured medication review ...
22 Aug 2025View Answer →
What criteria should I use to identify patients at risk of polypharmacy in my practice?
Criteria to identify patients at risk of polypharmacy in your practice include:Adults prescribed 15 or more regular medicines, a...
22 Aug 2025View Answer →
What lifestyle modifications should I advise to patients with polycythaemia to reduce cardiovascular risks?
Advise patients with polycythaemia to adopt lifestyle modifications aimed at reducing cardiovascular risk, including:Healthy eating:...
22 Aug 2025View Answer →
What are the recommended follow-up protocols for patients diagnosed with polycythaemia vera?
Recommended follow-up protocols for patients diagnosed with polycythaemia vera (PV) include regular clinical assessment and laboratory monitoring to ...
22 Aug 2025View Answer →
What follow-up strategies should be implemented for patients treated for aspergillosis to monitor for recurrence or complications?
Follow-up strategies for patients treated for aspergillosis should include:Regular clinical assessment to monitor symptoms and d...
22 Aug 2025View Answer →
When should I consider referring a patient with suspected invasive aspergillosis to a specialist?
Consider referring a patient with suspected invasive aspergillosis to a specialist immediately if they are immunocompromised, particularly if they ar...
22 Aug 2025View Answer →
What are the recommended first-line treatment options for patients diagnosed with chronic pulmonary aspergillosis?
For patients diagnosed with chronic pulmonary aspergillosis (CPA), the recommended first-line treatment is sustained antifungal therapy aimed at suppressing ...
22 Aug 2025View Answer →
Which diagnostic tests are most effective for confirming a diagnosis of aspergillosis in patients with respiratory symptoms?
For confirming a diagnosis of aspergillosis in patients presenting with respiratory symptoms, the most effective diagnostic approach combines clinical assess...
22 Aug 2025View Answer →