clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
What are the recommended first-line treatments for a patient diagnosed with Polyarteritis Nodosa?
The recommended first-line treatment for Polyarteritis Nodosa (PAN) involves immunosuppressive therapy primarily with high-dose glucocorticoids combi...
What are the key clinical features that suggest a diagnosis of Polyarteritis Nodosa in a patient presenting with systemic symptoms?
Key clinical features suggesting a diagnosis of Polyarteritis Nodosa (PAN) in a patient with systemic symptoms include:C...
What vaccination recommendations should I provide to patients with a history of polio to prevent future infections?
Patients with a history of polio should be advised to maintain up-to-date poliovirus immunisation according to the UK routine immunisation schedule to preven...
How can I effectively manage the symptoms of post-polio syndrome in my patients, particularly regarding pain and fatigue?
Effective management of post-polio syndrome (PPS) symptoms, particularly pain and fatigue, involves a multidisciplinary, individualized approach focu...
Which common substances should I consider in the differential diagnosis of an overdose in adults?
In the differential diagnosis of overdose in adults, common substances to consider include analgesics such as paracetamol and non-steroidal anti-inflammatory...
What initial assessments should I perform for a patient presenting with suspected poisoning?
When assessing a patient with suspected poisoning, initial assessment should prioritise airway, breathing, and circulation (the ABCs) to ide...
What criteria should I use to determine if a patient with neuropathy requires a podiatry referral for preventative foot care?
Patients with neuropathy should be referred to podiatry for preventative foot care if they are assessed to be at moderate or high risk of developing a diabet...
Which conservative management strategies are effective for treating common foot conditions such as bunions and corns?
Effective conservative management strategies for common foot conditions such as bunions and corns include:Footwear modif...
What are the recommended assessment tools for evaluating foot health in elderly patients?
Recommended assessment tools for evaluating foot health in elderly patients include a comprehensive foot examination that involves removing shoes, socks, ban...
How can I differentiate between plantar fasciitis and Achilles tendinopathy in a patient presenting with heel pain?
To differentiate plantar fasciitis from Achilles tendinopathy in a patient presenting with heel pain, focus on the location and characteristics of th...
What are the key indicators for referring a patient with diabetic foot ulcers to a podiatrist?
Refer a patient with diabetic foot ulcers to a podiatrist if there are limb-threatening or life-threatening conditions, such as ulceration with fever...
When should I consider referring a patient with suspected Pneumocystis pneumonia to secondary care?
Consider referring a patient with suspected Pneumocystis pneumonia (PCP) to secondary care if they show signs of severe illness or respiratory compro...
Which diagnostic tests are recommended for confirming Pneumocystis pneumonia in a primary care setting?
In a primary care setting, there are no specific rapid diagnostic tests recommended to confirm Pneumocystis pneumonia (PCP) due to the complexity of obtainin...
What are the key clinical features and risk factors for diagnosing Pneumocystis pneumonia (PCP) in immunocompromised patients?
Key clinical features of Pneumocystis pneumonia (PCP) in immunocompromised patients typically include progressive dyspnoea, non-productive c...
When should I refer a patient with suspected pneumoconiosis to a specialist for further evaluation?
Refer a patient with suspected pneumoconiosis to a specialist for further evaluation when there is diagnostic uncertainty or when the diagnosis needs...
What are the current guidelines for the management and follow-up of patients diagnosed with pneumoconiosis?
Management and follow-up of patients diagnosed with pneumoconiosis:Current UK guidelines do not provide specific detailed recommendat...
Which investigations are recommended to confirm a diagnosis of pneumoconiosis in primary care?
Recommended investigations to confirm a diagnosis of pneumoconiosis in primary care include:Chest X-ray: This i...
What are the key clinical features to consider when diagnosing pneumoconiosis in a patient with occupational exposure to dust?
Key clinical features to consider when diagnosing pneumoconiosis in a patient with occupational dust exposure include:Hi...
What are the common causes of pleural disease that I should consider in a patient with a history of lung cancer?
In a patient with a history of lung cancer, common causes of pleural disease to consider include malignant pleural involvement from lung cancer itself and me...