How should I approach the management of a patient with achondroplasia who presents with recurrent ear infections?
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 clinical features to consider when diagnosing achondroplasia in a child?
Key clinical features to consider when diagnosing achondroplasia in a child include:Rhizomelic shortening of the limbs:...
22 Aug 2025View Answer →
How should I approach the management of a patient presenting with earwax impaction?
Approach to managing earwax impaction begins with confirming the diagnosis through history and otoscopic examination to identify symptoms su...
22 Aug 2025View Answer →
What are the guidelines for managing patients with sudden sensorineural hearing loss in primary care?
In primary care, adults presenting with sudden sensorineural hearing loss (SSNHL) should first be assessed to exclude external or middle ear causes such as i...
22 Aug 2025View Answer →
What criteria should I use to refer a patient with tinnitus for specialist evaluation?
Criteria for referring a patient with tinnitus for specialist evaluation include:Tinnitus that persists and bothers the patient ...
22 Aug 2025View Answer →
How can I differentiate between conductive and sensorineural hearing loss during a routine examination?
To differentiate between conductive and sensorineural hearing loss during a routine clinical examination:Begin with otoscopy to ...
22 Aug 2025View Answer →
What are the recommended first-line treatments for acute otitis media in children?
First-line treatment for acute otitis media (AOM) in children primarily involves symptomatic management rather than immediate antibiotic use....
22 Aug 2025View Answer →
What are the appropriate antibiotic choices for managing orbital cellulitis in adults and children?
Appropriate antibiotic choices for managing orbital cellulitis in both adults and children involve prompt initiation of empirical intravenou...
22 Aug 2025View Answer →
When should I consider referring a patient with orbital cellulitis to secondary care?
Consider referring a patient with orbital cellulitis to secondary care urgently if there are signs of severe infection, visual impairment, or systemi...
22 Aug 2025View Answer →
What are the guidelines for managing patients with anticoagulant therapy who require oral surgical procedures?
Management of patients on anticoagulant therapy who require oral surgical procedures involves careful assessment of the balance between thromboembolic risk a...
22 Aug 2025View Answer →
What are the recommended post-operative care instructions for patients undergoing tooth extraction?
Recommended post-operative care instructions for patients undergoing tooth extraction include:Pain management: ...
22 Aug 2025View Answer →
When should I consider referring a patient with opioid overdose to secondary care for further management?
Consider referring a patient with opioid overdose to secondary care for further management if:There is a need to address the pri...
22 Aug 2025View Answer →
What are the guidelines for prescribing naloxone to patients at risk of opioid overdose?
Current guidelines recommend prescribing naloxone to patients at risk of opioid overdose as a harm reduction measure, particularly for those who have...
22 Aug 2025View Answer →
What immediate interventions should be taken in the emergency management of an opioid overdose in primary care?
Immediate interventions in the emergency management of an opioid overdose in a primary care setting include:Assess and s...
22 Aug 2025View Answer →
How should I approach the assessment and management of a child presenting with a red eye?
Assessment of a child presenting with a red eye:Begin with a thorough clinical assessment to identify any signs of serious illne...
22 Aug 2025View Answer →
What management strategies are effective for children diagnosed with conjunctivitis, and when should I consider referral?
Effective management strategies for children diagnosed with conjunctivitis primarily involve supportive care and symptom relief, as most cas...
22 Aug 2025View Answer →
What are the recommended screening guidelines for amblyopia in children, and at what age should they be implemented?
Recommended screening guidelines for amblyopia in children involve early vision assessment primarily through orthoptic vision screening, typically im...
22 Aug 2025View Answer →
What are the key signs and symptoms of common paediatric eye conditions that should prompt referral to ophthalmology?
Key signs and symptoms of common paediatric eye conditions that should prompt referral to ophthalmology include:New-onset squint (strabis...
22 Aug 2025View Answer →
What are the indications for surgical intervention in patients with aortic regurgitation?
Indications for surgical intervention in patients with aortic regurgitation include:Adults with symptomatic severe aortic regurg...
22 Aug 2025View Answer →
When should I consider referring a patient with aortic regurgitation to a cardiologist?
Consider referring a patient with aortic regurgitation to a cardiologist if they have moderate or severe valve disease of any type, including aortic ...
22 Aug 2025View Answer →