What are the indications for referring a patient with suspected parasitic infections to a specialist?
22 Aug 2025View Answer →
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 diagnostic tests for identifying protozoan infections in patients presenting with gastrointestinal symptoms?
Key diagnostic tests for identifying protozoan infections in patients with gastrointestinal symptoms include microscopic examination of stool samples...
22 Aug 2025View Answer →
What role do serum tumor markers play in the diagnosis and monitoring of paraneoplastic syndromes?
Serum tumor markers have a limited but specific role in the diagnosis and monitoring of paraneoplastic syndromes. These markers, which often...
22 Aug 2025View Answer →
Which paraneoplastic syndromes are most commonly associated with lung cancer, and how should they be managed in primary care?
Common paraneoplastic syndromes associated with lung cancer include:Hypercalcaemia, often linked to squamous cell carcinoma of t...
22 Aug 2025View Answer →
What are the recommended referral criteria for a patient suspected of having a paraneoplastic syndrome in primary care?
There are no specific, separate referral criteria explicitly stated for paraneoplastic syndromes in the provided UK primary care guidelines. However, patient...
22 Aug 2025View Answer →
What are the key clinical features that may suggest a paraneoplastic syndrome in a patient with an undiagnosed malignancy?
Key clinical features that may suggest a paraneoplastic syndrome in a patient with an undiagnosed malignancy include a constellation of non-specific systemic...
22 Aug 2025View Answer →
What rehabilitation strategies are recommended for patients recovering from paralysis to optimize motor function recovery?
Optimizing motor function recovery in patients recovering from paralysis involves a multidisciplinary rehabilitation approach that integrates early, tailored...
22 Aug 2025View Answer →
How should I manage a patient with paralysis following a traumatic injury in terms of immediate care and follow-up?
Immediate Care:At the scene, follow the ABCDE trauma assessment sequence prioritising catastrophic haemorrhage, airway with in-l...
22 Aug 2025View Answer →
What are the appropriate referral criteria for a patient with paralysis suspected to be due to a neurological condition?
Refer adults presenting with paralysis suspected to be caused by a neurological condition according to the following criteria:Sudden-onse...
22 Aug 2025View Answer →
Which initial investigations should be performed in a patient with sudden onset paralysis to rule out a stroke?
Initial investigations for a patient with sudden onset paralysis to exclude stroke include:Perform immediate brain imaging with ...
22 Aug 2025View Answer →
What are the criteria for referring a patient with paracetamol overdose to secondary care?
Criteria for referring a patient with paracetamol overdose to secondary care include:Any patient presenting with a significant p...
22 Aug 2025View Answer →
What symptoms or changes in a patient's condition should prompt immediate re-evaluation of a pancreatic cyst?
Symptoms or changes in a patient's condition that should prompt immediate re-evaluation of a pancreatic cyst include:Development...
22 Aug 2025View Answer →
When should I consider referring a patient with a pancreatic cyst to a specialist for further evaluation?
Consider referring a patient with a pancreatic cyst to a specialist for further evaluation if any of the following high-risk features are present:...
22 Aug 2025View Answer →
What are the current guidelines for the surveillance of patients with known pancreatic cysts, including frequency and type of imaging?
Surveillance of patients with known pancreatic cysts involves imaging primarily with pancreatic protocol CT scan or magnetic resonance chola...
22 Aug 2025View Answer →
What are the key imaging modalities recommended for the initial assessment of pancreatic cysts in primary care?
Key imaging modalities recommended for the initial assessment of pancreatic cysts in primary care are pancreatic protocol CT scan and magnetic resona...
22 Aug 2025View Answer →
How can I effectively educate patients on self-management strategies for acute pain relief?
To effectively educate patients on self-management strategies for acute pain relief, follow these key steps:Engage in pe...
22 Aug 2025View Answer →
What are the guidelines for prescribing opioids for acute pain management in primary care?
In primary care, opioids should be prescribed for acute pain management only when pain is moderate to severe and other analgesics such as paracetamol and NSA...
22 Aug 2025View Answer →
What criteria should I use to determine whether to refer a patient with acute pain for specialist evaluation?
Criteria for referral of a patient with acute pain for specialist evaluation include:Presence of red flag symptoms such as sudde...
22 Aug 2025View Answer →
How should I approach the management of acute pain in patients with a history of substance misuse?
When managing acute pain in patients with a history of substance misuse, careful assessment and cautious prescribing are essential. Evaluate...
22 Aug 2025View Answer →
What are the recommended assessment tools for evaluating acute pain in adults in a primary care setting?
Recommended assessment tools for evaluating acute pain in adults within a primary care setting include:Use of patient self-repor...
22 Aug 2025View Answer →