clinical q&a library

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

Is there need for tapering corticosteroids prescribed for asthma attack?!

Short courses of oral corticosteroids (less than 4 weeks) prescribed for an asthma attack can be stopped abruptly without tapering. Gradual withdrawal should...

23 Nov 2025View Answer

فاطم شوقي شوقي حذافه 55yrs old female pt unknown medical illness Presented to ER

Assessment: The presentation of sudden right-sided numbness, paresthesia, and weakness suggests a possible acute stroke or transient ischaem...

22 Nov 2025View Answer

فاطم شوقي شوقي حذافه 55yrs old female pt unknown medical illness Presented to ER

Assessment: The presentation of sudden right-sided numbness, paresthesia, and weakness suggests a possible acute stroke or transient ischaem...

22 Nov 2025View Answer

in a patient with UC and PSC on yearly colonoscopy - can i use TXI mode on the s

In a patient with ulcerative colitis and primary sclerosing cholangitis undergoing yearly colonoscopy surveillance, current UK guidelines recommend continuin...

15 Nov 2025View Answer

Patient 73 yo female KTH alzheimer presented for sudden onset fatigue,malaise an

Differential diagnosis for a 73-year-old female with Alzheimer's disease presenting with sudden onset fatigue, malaise, and bilateral lower ...

15 Nov 2025View Answer

Antibiotics for malignant Otis externa

Appropriate use of antibiotics in malignant otitis externa involves systemic antibiotic therapy targeted at Pseudomonas aeruginosa, the most common c...

14 Nov 2025View Answer

Patient is 24, female with PCOS who has presented wirh abdominal pain and has ma

Management and investigation of a 24-year-old female with PCOS presenting with abdominal pain and maroon blood in stool:Given...

12 Nov 2025View Answer

sindrome menier

Clinical Presentation: Meniere's syndrome typically presents in adults from age 18 onwards with recurrent episodes of vertigo lasting up to ...

7 Nov 2025View Answer

describe the difference between decisional capacity and executive capacity

Decisional capacity in a clinical context refers to a person's ability to make a specific decision at the time it needs to be made. This inc...

6 Nov 2025View Answer

can you wirte all the thing that peresent in NICE CKS angina topic management se

Management recommendations for stable angina according to the NICE CKS angina topic include:Information and support:...

29 Oct 2025View Answer

which HRT to start for pre-diabetic

For a patient with pre-diabetes, hormone replacement therapy (HRT) can be considered, with preference given to transdermal rather than oral preparati...

29 Oct 2025View Answer

please point it out what NICE recommanded test in angina, only test name

The test recommended by NICE for the investigation of angina is 64-slice (or above) CT coronary angiography. This is offered as the first-li...

29 Oct 2025View Answer

Asthma current guidelines

Initial assessment and diagnosis: Asthma diagnosis requires a suggestive clinical history (wheeze, cough, breathlessness, chest tightness, s...

27 Oct 2025View Answer

Association between addiction and piles

There is no direct or established association between addiction and haemorrhoids documented in UK clinical guidelines or related treatment summaries....

26 Oct 2025View Answer

How to treat and manage rheumatoid arthritis?

Treatment and management strategies for rheumatoid arthritis (RA) include:Pharmacological treatment: Initiate c...

24 Oct 2025View Answer

A patient is complaining of chest pain and fever, what could cause this

Potential causes of chest pain accompanied by fever in a patient include community-acquired pneumonia, which often presents with chest pain ...

24 Oct 2025View Answer

What is the indication of testerone injection in children ?

Indications for testosterone injections in children are very limited and generally not licensed for use in this population. Testosterone ena...

23 Oct 2025View Answer

Bacterial meningitis initial empiric antibiotics < 3 months = IV cefotaxime + am

Intravenous cefotaxime and amoxicillin are used as initial empiric antibiotics in infants under 3 months with suspected bacterial meningitis to provi...

23 Oct 2025View Answer

In pcos what is the dose of metformin

The recommended dose of metformin for managing polycystic ovary syndrome (PCOS) in clinical practice is typically initiated at 500 mg once or twice d...

22 Oct 2025View Answer

How soon should radiotherapy start post lumpectomy for breast cancer

The recommended time frame for initiating radiotherapy after a lumpectomy (breast-conserving surgery) in patients with breast cancer is typically wit...

21 Oct 2025View Answer
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