clinical q&a library

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

How can I effectively assess the risks and benefits of lumbar puncture in a patient with suspected meningitis?

To effectively assess the risks and benefits of performing a lumbar puncture (LP) in a patient with suspected meningitis, first evaluate for any contraindica...

22 Aug 2025View Answer

How can I support patients with Long COVID in managing their symptoms in a primary care setting?

Support patients with Long COVID by adopting a personalised, symptom-focused management approach within primary care.Advise patients ...

22 Aug 2025View Answer

When should I refer a patient with Long COVID symptoms to a specialist for further evaluation?

Refer a patient with Long COVID symptoms to a specialist for further evaluation if:Symptoms consistent with myalgic encephalomye...

22 Aug 2025View Answer

What management strategies are recommended for patients experiencing cognitive dysfunction as part of Long COVID?

Management of cognitive dysfunction in patients with Long COVID should focus on a personalised, multidisciplinary approach that emphasises symptom management...

22 Aug 2025View Answer

Which investigations should be considered for a patient presenting with persistent fatigue after COVID-19?

For a patient presenting with persistent fatigue following COVID-19 infection, investigations should be considered primarily to exclude other diagnoses and i...

22 Aug 2025View Answer

What are the key symptoms to assess for in a patient suspected of having Long COVID?

When assessing a patient suspected of having Long COVID, key symptoms to evaluate include persistent fatigue characterized by low physical energy, cognitive ...

22 Aug 2025View Answer

What immunosuppressive therapy regimens are commonly used in liver transplant patients, and what are their side effects?

Common immunosuppressive therapy regimens in liver transplant patients typically include a combination of calcineurin inhibitors (such as ta...

22 Aug 2025View Answer

How should I monitor liver transplant recipients for signs of rejection or complications in the post-transplant period?

Monitoring liver transplant recipients for signs of rejection or complications during the post-transplant period requires a multifaceted approach combining c...

22 Aug 2025View Answer

What are the key indications for referring a patient for liver transplantation in primary care?

Key indications for referring a patient for liver transplantation in primary care include:Development of decompensated liver dis...

22 Aug 2025View Answer

How can I differentiate between alcoholic and non-alcoholic liver disease based on liver function test results?

Distinguishing alcoholic liver disease (ALD) from non-alcoholic fatty liver disease (NAFLD) based solely on liver function tests (LFTs) is challenging becaus...

22 Aug 2025View Answer

What lifestyle modifications should I recommend to patients with mildly elevated liver enzymes?

Lifestyle modifications recommended for patients with mildly elevated liver enzymes, particularly if related to non-alcoholic fatty liver disease (NA...

22 Aug 2025View Answer

When should I consider referring a patient with abnormal liver function tests to a specialist?

Consider referring a patient with abnormal liver function tests (LFTs) to a specialist in the following situations:If the patien...

22 Aug 2025View Answer

What are the recommended antibiotic regimens for treating pyogenic liver abscesses in adults?

Recommended antibiotic regimens for treating pyogenic liver abscesses in adult patients:Initial treatment typically involves int...

22 Aug 2025View Answer

When should I consider referring a patient with suspected listeriosis to secondary care?

Consider referring a patient with suspected listeriosis to secondary care immediately if they meet any high risk criteria for sepsis, especially if t...

22 Aug 2025View Answer

What are the key clinical features to consider when diagnosing listeriosis in a pregnant patient?

When diagnosing listeriosis in a pregnant patient, key clinical features to consider include nonspecific flu-like symptoms such as fever, chills, myalgia, an...

22 Aug 2025View Answer

What are the recommended treatment options for acute limb ischaemia in a primary care setting before specialist intervention?

Recommended treatment options for acute limb ischaemia in a primary care setting before specialist intervention include:...

22 Aug 2025View Answer

When should I refer a patient with suspected acute limb ischaemia to secondary care for further management?

Refer a patient with suspected acute limb ischaemia to secondary care immediately for urgent assessment and management. Acute limb ischaemia...

22 Aug 2025View Answer

What initial investigations should be performed in a patient suspected of having acute limb ischaemia?

In a patient suspected of having acute limb ischaemia, the initial investigations should include a thorough clinical assessment and measurement of the ankle ...

22 Aug 2025View Answer

How should I differentiate between acute limb ischaemia and other causes of limb pain in a primary care setting?

To differentiate acute limb ischaemia (ALI) from other causes of limb pain in primary care, focus on the sudden onset of symptoms and the classical c...

22 Aug 2025View Answer

What are the key clinical signs and symptoms that indicate acute limb ischaemia in a patient?

Key clinical signs and symptoms indicating acute limb ischaemia include the sudden onset of the '6 Ps': pain, pallor, pulselessness, paraesthesia, pa...

22 Aug 2025View Answer
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