clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
What guidelines exist regarding the use of laser therapy for acne scars in adults?
Current clinical guidelines on laser therapy for treating acne scars in adults:If an adult has severe acne-related scarring that pers...
When should I consider referring a patient for laser therapy rather than managing their skin condition in primary care?
Consider referring a patient for laser therapy when their skin condition is not adequately controlled within primary care despite optimal management,...
How should I prepare a patient for a laryngoscopy procedure in terms of consent and pre-procedural assessment?
Obtaining Consent: Ensure that informed consent is obtained and documented before the laryngoscopy procedure. Provide the patient (or their ...
What are the recommended referral criteria for patients requiring laryngoscopy after initial assessment?
Recommended referral criteria for laryngoscopy following initial assessment:Consider referral for laryngoscopy in adults with is...
What are the indications for performing a laryngoscopy in primary care settings?
Indications for performing a laryngoscopy in primary care settings primarily include persistent or unexplained symptoms suggestive of upper ...
When should I consider referring an infant with laryngomalacia to an ENT specialist?
Consider referring an infant with laryngomalacia to an ear, nose, and throat (ENT) specialist if the infant shows signs of significant airway obstruc...
What follow-up care is recommended for patients treated for laryngeal cancer to monitor for recurrence?
Follow-up care for patients treated for laryngeal cancer should include tailored information for patients and carers about symptoms of recurrence and...
How should I manage a patient with laryngeal cancer who presents with pain and difficulty swallowing?
Management of a patient with laryngeal cancer presenting with pain and difficulty swallowing should include:Assessment:...
What are the referral criteria for suspected laryngeal cancer to an ENT specialist?
Referral criteria for suspected laryngeal cancer to an ENT specialist:Consider a suspected cancer pathway referral for laryngeal...
Which investigations are recommended for confirming a diagnosis of laryngeal cancer in primary care?
Investigations recommended in primary care to confirm a diagnosis of laryngeal cancer include:Consider urgent referral via a sus...
What are the referral criteria for a patient suspected of having LEMS to a neurologist?
Referral criteria for a patient suspected of having Lambert-Eaton myasthenic syndrome (LEMS) to a neurologist:Refer adults with ...
When should I consider referring a patient with Korsakoff Syndrome to specialist services for further evaluation and management?
Consider referring a patient with Korsakoff syndrome to specialist services for further evaluation and management when:They have...
What are the current guidelines for the management and treatment of Korsakoff Syndrome in primary care?
Management and treatment of Korsakoff syndrome in primary care involves primarily prevention and supportive care.People at high risk ...
What initial investigations are recommended for a patient suspected of having Korsakoff Syndrome?
Initial investigations for a patient suspected of having Korsakoff syndrome should focus on identifying and managing Wernicke's encephalopathy, the a...
How should I approach the diagnosis of Korsakoff Syndrome in a patient presenting with memory impairment and confabulation?
Approach to Diagnosis of Korsakoff SyndromeIn a patient presenting with memory impairment and confabulation, Korsakoff syndrome shoul...
What are the key clinical features that differentiate Korsakoff Syndrome from Wernicke's Encephalopathy in a patient with a history of alcohol misuse?
Key clinical features differentiating Korsakoff syndrome from Wernicke's encephalopathy in patients with alcohol misuse:...
Which initial investigations should be performed to confirm a diagnosis of Klinefelter Syndrome?
Initial investigations to confirm a diagnosis of Klinefelter syndrome should include karyotype analysis of the man's chromosomes. This is es...
What lifestyle modifications should I advise to a patient who has recently undergone a kidney transplant?
Advise the patient to adopt a heart-healthy lifestyle that includes regular physical activity, smoking cessation, and maintaining a healthy weight to reduce ...
When should I refer a post-transplant patient back to secondary care for further evaluation?
Refer a post-transplant patient back to secondary care for further evaluation if they show signs of slower than expected recovery or develop new or u...