clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
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...
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...
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 ...
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...
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...
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:...
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...
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...
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...
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...
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...
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...
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...
What lifestyle modifications should I advise patients with pacemakers or ICDs to ensure optimal device function and patient safety?
Advise patients with pacemakers or implantable cardioverter-defibrillators (ICDs) to engage in regular, moderate physical activity tailored to their individu...
How can I differentiate between symptoms related to device malfunction and those due to underlying cardiac issues?
To differentiate between symptoms caused by implanted cardiac device malfunction and those due to underlying cardiac pathology, a thorough clinical a...
What are the common complications associated with pacemaker and ICD implantation that I should be aware of?
Common complications associated with pacemaker and implantable cardioverter-defibrillator (ICD) implantation include lead-related issues such as lead dislodg...
What are the key indications for referring a patient for pacemaker or ICD implantation in primary care?
Key indications for referring a patient for pacemaker implantation in primary care include symptomatic bradycardia due to sinus node dysfunc...
What role do bladder training and pelvic floor exercises play in the management of overactive bladder?
Bladder training is recommended as a first-line treatment for women with urgency or mixed urinary incontinence, lasting for a minimum of 6 weeks, to help man...
When should I consider referring a patient with overactive bladder to a specialist for further evaluation?
Consider referring a patient with overactive bladder to a specialist for further evaluation if:They have overactive bladder symptoms that have no...