How should I manage a patient with a nasal fracture who presents with significant nasal bleeding?
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 clinical signs should I look for to confirm a diagnosis of a nasal fracture in a patient presenting after facial trauma?
To confirm a diagnosis of a nasal fracture in a patient presenting after facial trauma, look for the following clinical signs: visible deformity or asymmetry...
22 Aug 2025View Answer →
When should I consider referring a patient with nail disorders to a dermatologist?
Consider referring a patient with nail disorders to a dermatologist if:There is a major functional or cosmetic impact of the nai...
22 Aug 2025View Answer →
What are the potential complications of myxoedema coma that I should monitor for during management?
Potential complications of myxoedema coma that should be monitored during its management include:Respiratory failure:...
22 Aug 2025View Answer →
When should I consider referring a patient with myxoedema coma to secondary care?
Consider referring a patient with myxoedema coma to secondary care immediately. Myxoedema coma is a life-threatening emergency caused by sev...
22 Aug 2025View Answer →
What laboratory investigations are essential for confirming myxoedema coma in an emergency situation?
Essential laboratory investigations to confirm myxoedema coma in an emergency include:Measurement of thyroid function tests, spe...
22 Aug 2025View Answer →
How should I initiate treatment for a patient diagnosed with myxoedema coma in a primary care setting?
Initiation of treatment for myxoedema coma in a primary care setting:Myxoedema coma is a medical emergency requiring immediate h...
22 Aug 2025View Answer →
What are the key clinical features to identify a patient in myxoedema coma?
Key clinical features used to identify a patient with myxoedema coma include:Profound hypothermia, often with body temperature b...
22 Aug 2025View Answer →
What patient education should I provide regarding the risks and benefits of anticoagulation therapy?
When educating patients about anticoagulation therapy, it is essential to provide clear, comprehensive information on both the benefits and risks to support ...
22 Aug 2025View Answer →
When should I consider switching a patient from Warfarin to a DOAC, and what factors should influence this decision?
Consider switching a patient from warfarin to a direct oral anticoagulant (DOAC) if the patient has atrial fibrillation and a CHA2DS2-VASc score of 2 or abov...
22 Aug 2025View Answer →
What are the recommended reversal strategies for patients on DOACs who present with major bleeding?
Recommended reversal strategies for patients on direct oral anticoagulants (DOACs) presenting with major bleeding:Rapidly revers...
22 Aug 2025View Answer →
What are the key considerations for initiating anticoagulation therapy in patients with atrial fibrillation?
Key considerations for initiating anticoagulation therapy in patients with atrial fibrillation include:Assess the patient's stro...
22 Aug 2025View Answer →
What management strategies should I implement for a patient diagnosed with inflammatory myopathy?
Management of inflammatory myopathy should begin with prompt initiation of immunosuppressive therapy, primarily high-dose corticosteroids, to control muscle ...
22 Aug 2025View Answer →
Which blood tests are most useful in the initial assessment of myopathy?
In the initial assessment of a patient presenting with suspected myopathy, the most useful blood tests include serum creatine kinase (CK), liver function tes...
22 Aug 2025View Answer →
What are the referral criteria for a patient with suspected myopathy to a neurologist?
Referral criteria for suspected myopathy to a neurologist:Refer adults with slowly progressive (weeks to months) limb or neck...
22 Aug 2025View Answer →
What laboratory tests are essential for monitoring disease progression in patients diagnosed with myelofibrosis?
Essential laboratory tests for monitoring disease progression in patients diagnosed with myelofibrosis include a full blood count to assess for anemia, leuko...
22 Aug 2025View Answer →
How should I approach the management of a patient with myelofibrosis who is experiencing significant symptoms but is not a candidate for stem cell tra
In managing a patient with myelofibrosis who is symptomatic but not eligible for stem cell transplantation, the approach should focus on symptom control, imp...
22 Aug 2025View Answer →
What are the key diagnostic criteria for myelofibrosis in a patient presenting with splenomegaly and cytopenias?
Key diagnostic criteria for myelofibrosis in a patient presenting with splenomegaly and cytopenias include a combination of clinical, laboratory, and...
22 Aug 2025View Answer →
What patient education should I provide regarding the transmission and prevention of Mycoplasma genitalium?
Patient education on transmission and prevention of Mycoplasma genitalium should include the following key points:Mycoplasma ...
22 Aug 2025View Answer →
When should I consider referring a patient with recurrent Mycoplasma genitalium infections to a specialist?
Consider referring a patient with recurrent Mycoplasma genitalium infections to specialist sexual health services when:They have...
22 Aug 2025View Answer →