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 key clinical features to consider when diagnosing hyperphosphataemia in a primary care setting?
Key clinical features to consider when diagnosing hyperphosphataemia in primary care include:Assessment of serum phosphate level...
How can I effectively educate patients about lifestyle modifications to manage their arthritis symptoms?
Effective patient education on lifestyle modifications for managing arthritis symptoms involves:Providing tailored infor...
When should I consider referring a patient with arthritis to a rheumatologist for further evaluation?
Consider referring a patient with arthritis to a rheumatologist for further evaluation if they present with suspected persistent synovitis of undeter...
What are the recommended first-line pharmacological treatments for managing pain in patients with osteoarthritis?
Recommended first-line pharmacological treatments for managing pain in patients with osteoarthritis include:Offer a topical non-...
Which laboratory tests are essential for the initial assessment of a patient with suspected inflammatory arthritis?
For the initial assessment of a patient with suspected inflammatory arthritis, the essential laboratory tests include:Rheumatoid factor (...
What guidelines should I follow for managing anticoagulation in patients undergoing surgery?
Management of anticoagulation in patients undergoing surgical procedures involves careful risk assessment and balancing the risk of venous thromboemb...
When should I refer a patient to a specialist for further evaluation before surgery?
Refer a patient to a specialist for further evaluation prior to surgery if:They have cardiac symptoms (such as breathlessness, p...
What are the key postoperative care strategies to prevent complications such as infection and thromboembolism?
Key postoperative care strategies to prevent complications such as infection and thromboembolism include a combination of mechanical and pharmacological inte...
How can I optimize a patient's medication regimen in the perioperative period to reduce surgical complications?
To optimize a patient's medication regimen in the perioperative period and reduce the risk of surgical complications, a comprehensive, multidisciplinary appr...
What preoperative assessments are recommended for patients with comorbidities undergoing elective surgery?
For patients with comorbidities undergoing elective surgery, a tailored preoperative assessment is recommended to optimise surgical outcomes and minimise ris...
What role do psychological factors play in the management of chronic pelvic pain, and how can I address these in my practice?
Role of psychological factors in chronic pelvic pain management: Psychological factors play a significant role in the experience and managem...
When should I consider referring a patient with chronic pelvic pain to a specialist, and what criteria should guide this decision?
Consider referring a patient with chronic pelvic pain to a specialist when:They have symptoms suggestive of endometriosis, such ...
What are the recommended management strategies for chronic pelvic pain in primary care, including pharmacological and non-pharmacological options?
Management strategies for chronic pelvic pain in primary care include both pharmacological and non-pharmacological options.Ph...
What initial investigations should be conducted for a patient presenting with chronic pelvic pain to rule out serious underlying conditions?
Initial investigations for a patient presenting with chronic pelvic pain should aim to exclude serious underlying conditions such as ectopic pregnancy, ovari...
How can I effectively counsel patients with a PFO regarding their risk of recurrent stroke and the need for follow-up?
Counseling patients with a patent foramen ovale (PFO) regarding their risk of recurrent stroke and the need for follow-up involves clear communicatio...
What role do anticoagulants play in the management of patients with a PFO and a history of stroke?
Anticoagulants are not routinely recommended solely for the management of patients with a patent foramen ovale (PFO) and a history of stroke. The use of anti...
How should I manage a patient with a PFO who has had a transient ischaemic attack (TIA) or stroke?
Management of a patient with a patent foramen ovale (PFO) who has experienced a transient ischaemic attack (TIA) or stroke involves a compre...
What are the recommended diagnostic criteria for identifying a patent foramen ovale (PFO) in patients who have experienced a stroke?
Recommended diagnostic criteria for identifying a patent foramen ovale (PFO) in patients who have experienced a stroke focus primarily on im...
When should I consider referring a patient with Parvovirus B19 infection for specialist evaluation?
Consider referring a patient with Parvovirus B19 infection for specialist evaluation if they are pregnant, particularly in the first or second trimes...