clinical q&a library

Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.

What role do bicarbonate supplements play in the management of metabolic acidosis in adults?

Bicarbonate supplements play a targeted role in the management of metabolic acidosis in adults, particularly in the context of chronic kidney disease...

22 Aug 2025View Answer

What are the key management strategies for a patient with diabetic ketoacidosis presenting in primary care?

Key management strategies for a patient presenting with diabetic ketoacidosis (DKA) in primary care include:Immediate re...

22 Aug 2025View Answer

What are the indications for urgent referral to secondary care for a patient with suspected acute mesenteric ischaemia?

Indications for urgent referral to secondary care in patients with suspected acute mesenteric ischaemia include:Severe, constant...

22 Aug 2025View Answer

Which initial investigations should be performed in suspected cases of acute bowel ischaemia in primary care?

Initial investigations in primary care for suspected acute bowel ischaemia should focus on urgent clinical assessment and basic blood tests....

22 Aug 2025View Answer

What are the key clinical features that suggest acute mesenteric ischaemia in a patient presenting with abdominal pain?

Key clinical features suggesting acute mesenteric ischaemia in a patient presenting with abdominal pain include:Sudden o...

22 Aug 2025View Answer

What follow-up protocols should be in place for patients diagnosed with meningioma after surgical intervention?

Offer **regular clinical review** for people with meningioma to assess changes in their physical, psychological, and cognitive wellbeing Base follow-u...

22 Aug 2025View Answer

How should I manage a patient with a known meningioma who presents with new neurological deficits?

Management of a patient with a known meningioma presenting with new neurological deficits:Arrange an urgent clinical review incl...

22 Aug 2025View Answer

What are the current guidelines for referring patients with suspected meningioma to a specialist for further evaluation?

Referral Guidelines for Suspected MeningiomaFor patients with suspected meningioma, the current UK guidelines recommend offering a st...

22 Aug 2025View Answer

Which imaging modalities are recommended for the initial assessment of suspected meningioma in primary care?

Recommended imaging modality for initial assessment of suspected meningioma in primary care:Offer standard structural MRI as the...

22 Aug 2025View Answer

What are the key clinical features that may suggest a diagnosis of meningioma in a patient presenting with neurological symptoms?

Key clinical features suggesting meningioma in a patient with neurological symptoms include:Focal neurological deficits dependin...

22 Aug 2025View Answer

What follow-up strategies should I implement for patients diagnosed with mild cognitive impairment to monitor progression?

Follow-up strategies for patients diagnosed with mild cognitive impairment (MCI) should include:Regular monitoring through follo...

22 Aug 2025View Answer

How should I approach the management of a patient with memory loss who has a history of depression or anxiety?

Approach to managing a patient presenting with memory loss who has a history of depression or anxiety:Initially, assess wheth...

22 Aug 2025View Answer

What are the key red flags in a patient's history or examination that would indicate the need for urgent referral to a specialist for memory loss?

Key red flags in a patient's history or examination indicating the need for urgent referral to a specialist for memory loss include:...

22 Aug 2025View Answer

Which screening tools are recommended for evaluating cognitive impairment in primary care settings?

In primary care settings, the recommended screening tools for evaluating cognitive impairment include brief, validated structured cognitive instruments such ...

22 Aug 2025View Answer

What initial assessments should I perform for a patient presenting with memory loss to differentiate between normal aging and pathological conditions?

Initial assessments for a patient presenting with memory loss to differentiate between normal aging and pathological conditions include:...

22 Aug 2025View Answer

What role do topical agents like hydroquinone and azelaic acid play in the management of melasma?

Topical agents such as hydroquinone and azelaic acid play a central role in the management of melasma by reducing hyperpigmentation through inhibitio...

22 Aug 2025View Answer

What lifestyle modifications should I advise patients with melasma to help manage their condition?

Lifestyle modifications for patients with melasma to help manage their condition include:Strict sun protection:...

22 Aug 2025View Answer

What are the recommended first-line treatments for melasma in adults, and how effective are they?

Recommended first-line treatments for melasma in adults primarily include topical agents such as hydroquinone, azelaic acid, kojic acid, and...

22 Aug 2025View Answer

What are the implications of p-values and confidence intervals in the context of patient management decisions?

Implications of p-values and confidence intervals in patient management decisions revolve around their roles in interpreting the reliability...

22 Aug 2025View Answer

How do I calculate the number needed to treat (NNT) for a specific intervention based on available clinical data?

To calculate the Number Needed to Treat (NNT) for a specific intervention, you first need to determine the Absolute Risk Reduction (ARR) from available clini...

22 Aug 2025View Answer
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