clinical q&a library

Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.

Nano Minoxidil with tretinoin

Safety and efficacy of nano Minoxidil combined with tretinoin for hair loss:There is no direct UK guideline evidence or high-quality ...

13 Jan 2026View Answer

Can we use DOAC in patient with AF and had tissue AVR 10 years ago

Direct oral anticoagulants (DOACs) are generally not recommended for patients with atrial fibrillation who have a prosthetic heart valve req...

12 Jan 2026View Answer

Management for CKD stage 3

Management of a patient with stage 3 chronic kidney disease (CKD) involves:Arranging regular follow-up in primary care, with fre...

11 Jan 2026View Answer

Management of 82 year old BP suffers drop in BP when standing

Appropriate management for an 82-year-old patient experiencing a drop in blood pressure upon standing (orthostatic hypotension, OH) involves a compre...

11 Jan 2026View Answer

Management for CKD stage 3

Management of patients with stage 3 chronic kidney disease (CKD), defined by an estimated glomerular filtration rate (eGFR) of 30-59 ml/min/1.73 m2...

11 Jan 2026View Answer

What are signs of active infection or systemic illness in a 3 year old who is du

Signs of active infection or systemic illness in a three-year-old child scheduled for tonsillectomy include:Fever: Elevated temp...

10 Jan 2026View Answer

3 year old is due to have tonsillectomy but had a temperature of 38 degrees for

A tonsillectomy in a 3-year-old child who had a temperature of 38°C for three hours four days prior to surgery does not necessarily need to be postpo...

10 Jan 2026View Answer

Preterm problems

Preterm birth is associated with a wide range of common problems affecting multiple organ systems and developmental domains. Neurologically, children born pr...

4 Jan 2026View Answer

In a patient with chronic, treatment-refractory seborrhoeic dermatitis and rosac

In a patient with chronic, treatment-refractory seborrhoeic dermatitis and rosacea on facial skin with impaired epidermal barrier, the most advanced speciali...

2 Jan 2026View Answer

خانمی مسن با سابقه کانسر پستان که درمان شده است فریتین ۱۸۰۰ دارد چه باید کرد؟

Appropriate management for an elderly woman with a history of treated breast cancer and a ferritin level of 1800:A ferritin leve...

1 Jan 2026View Answer

Stepwise acne treatment in primary care, including topical/oral therapies?

Stepwise management of acne in primary care:General advice: Acne is not caused by poor hygiene; avoid over-clea...

1 Jan 2026View Answer

How do you manage phimosis in puberty

Management of phimosis in adolescents during puberty primarily involves conservative approaches initially, as physiological phimosis is comm...

29 Dec 2025View Answer

How do you manage balanitis in puberty

Management of balanitis in adolescents during puberty involves advising on good daily hygiene, including washing the genital area daily with...

29 Dec 2025View Answer

How do you manage phimosis in puberty

Management of phimosis in adolescents during puberty primarily involves conservative approaches initially, as physiological phimosis is comm...

29 Dec 2025View Answer

what are the off-label psychiatric applications of nacc?

Off-label psychiatric applications of N-acetylcysteine (NAC) include its use as an adjunctive treatment in various psychiatric disorders suc...

27 Dec 2025View Answer

what are the off-label psychiatric applications of nacc?

Off-label psychiatric applications of N-acetylcysteine (NAC) include its use as an adjunctive treatment in various psychiatric disorders suc...

27 Dec 2025View Answer

The patient is suffering from fever from past 2 days

Management and investigations for a patient with fever lasting two days:Perform a thorough clinical assessment to identify any i...

25 Dec 2025View Answer

Hypertensive patient on lercanidipine 10mg and losartan 100mg remains hypertensi

For a hypertensive patient who remains hypertensive despite taking lercanidipine 10 mg (a calcium-channel blocker) and losartan 100 mg (an angiotensin II rec...

24 Dec 2025View Answer

70 years old lady presented with the excessive sweating on the head,face and nec

Management approach: For a 70-year-old woman with a three-year history of excessive resting sweating localized to the head, face, and neck, ...

22 Dec 2025View Answer

Cefalaxin for severe infections and guidance for treatment

Appropriate use of cephalexin in managing severe infections:Cephalexin is a first-generation cephalosporin antibiotic primarily used ...

22 Dec 2025View Answer
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