clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
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...
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...
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...
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...
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...
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...
Preterm problems
Preterm birth is associated with a wide range of common problems affecting multiple organ systems and developmental domains. Neurologically, children born pr...
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...
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...
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...
How do you manage phimosis in puberty
Management of phimosis in adolescents during puberty primarily involves conservative approaches initially, as physiological phimosis is comm...
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...
How do you manage phimosis in puberty
Management of phimosis in adolescents during puberty primarily involves conservative approaches initially, as physiological phimosis is comm...
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...
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...
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...
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...
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, ...
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 ...