clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
Which investigations should be considered to confirm a diagnosis of lymphoedema in a primary care setting?
Investigations to confirm a diagnosis of lymphoedema in primary care are primarily clinical, as there is no specific diagnostic test routinely recomm...
How should I counsel a patient with a previous caesarean section regarding the risks and benefits of a trial of labour versus repeat caesarean?
When counselling a patient with a previous caesarean section about the risks and benefits of attempting a trial of labour (TOL) versus having a repeat caesar...
What are the recommended prophylactic medications for malaria prevention in travelers to endemic areas?
Recommended prophylactic medications for malaria prevention in travellers visiting endemic areas include:Suppressive chemoprophy...
When should I refer a child with cerebral palsy to a specialist for further evaluation or intervention?
Refer children with suspected cerebral palsy to a child development service for an urgent multidisciplinary assessment if they have abnormal motor features s...
What is the recommended management protocol for a child diagnosed with viral meningitis in primary care?
Recommended management protocol for a child diagnosed with viral meningitis in primary care:Viral meningitis is generally a s...
How should I manage a patient with abnormal cervical screening results, specifically regarding colposcopy referral criteria?
Management of a patient with abnormal cervical screening results involves assessing the high-risk human papillomavirus (hrHPV) status and cytology results to...
How can I differentiate between vulvovaginal candidiasis and other causes of vulvovaginal symptoms?
Differentiating vulvovaginal candidiasis (VVC) from other causes of vulvovaginal symptoms involves careful clinical assessment and appropriate invest...
What are the key clinical features to consider when diagnosing measles in a primary care setting?
Key clinical features to consider when diagnosing measles in a primary care setting include:Fever, often high and persistent....
What are the key clinical signs and symptoms that indicate a patient may be experiencing malignant hyperthermia during or after anaesthesia?
Key clinical signs and symptoms indicating malignant hyperthermia (MH) during or after anaesthesia include a rapid and unexplained rise in end-tidal ...
What are the key clinical features that differentiate benign from malignant lymphadenopathy in adults?
Key clinical features differentiating benign from malignant lymphadenopathy in adults include:Duration and progression:...
When should I consider referring a patient with heavy menstrual bleeding to secondary care?
Consider referring a patient with heavy menstrual bleeding (HMB) to secondary care if:The woman has iron deficiency anaemia that...
What are the key clinical features to differentiate between dry and wet age-related macular degeneration (AMD) during assessment?
Key clinical features differentiating dry and wet age-related macular degeneration (AMD) during assessment include:Dry A...
What are the key clinical features to differentiate between infectious and non-infectious mastitis in breastfeeding women?
Key clinical features differentiating infectious from non-infectious mastitis in breastfeeding women include:Infectious ...
What are the recommended screening guidelines for prostate cancer in men over 50?
Recommended screening guidelines for prostate cancer in men over the age of 50 in the UK do not endorse routine population-wide screening bu...
What are the recommended antibiotic regimens for treating uncomplicated cellulitis in adults?
Recommended antibiotic regimens for treating uncomplicated cellulitis in adult patients:First-line treatment is flucloxa...
What are the key clinical signs and symptoms that should raise suspicion for bacterial meningitis in adults?
Key clinical signs and symptoms that should raise suspicion for bacterial meningitis in adults include the red flag combination of:...
What are the current guidelines for the multidisciplinary management of cerebral palsy in primary care?
In primary care, the key responsibilities for managing cerebral palsy include: coordinating care where necessary, identifying associated pro...
What are the indications for referring a patient with ICP to a specialist, and what information should I include in the referral?
Indications for referring a patient with increased intracranial pressure (ICP) to a specialist include:Persistent or worsening c...
Which diagnostic tests are recommended for evaluating median nerve compression in suspected carpal tunnel syndrome?
Recommended diagnostic tests for evaluating median nerve compression in suspected carpal tunnel syndrome (CTS) primarily include nerve conduction stu...