In a 40-year-old sedentary man with obesity (BMI ~35.5), bloating and excessive
22 Aug 2026View Answer →
clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
In an emergency department patient with end-stage renal failure on dialysis who
Treat this as a life-threatening hyperkalaemic emergency and involve senior ED/critical-care and renal teams immediately, while arranging urgent haemodialysis. ...
19 Aug 2026View Answer →
In a 25-year-old woman with persistent urinary symptoms after 3 days of
Reassess her clinically now rather than automatically prescribing another antibiotic. Persistent symptoms after 48 hours of treatment warrant consideration of a...
18 Aug 2026View Answer →
In a patient with cirrhosis, what peri-operative assessment, risk
Peri-operative approach Elective surgery should be jointly planned with hepatology, anaesthesia and surgery, with explicit consideration of whether the indicati...
16 Aug 2026View Answer →
How should a patient in primary care be managed for a suspected stye
Assess first: Confirm that the presentation is consistent with a typical left-eye stye, while checking visual acuity and asking about eye pain, redness, blurred...
15 Aug 2026View Answer →
How should a patient in primary care be managed for a suspected stye
Assess first: Confirm that the presentation is consistent with a typical left-eye stye, while checking visual acuity and asking about eye pain, redness, blurred...
15 Aug 2026View Answer →
Give me the SOAP format clinical record in walk in clinic family medicine
SOAP documentation for an Alberta family-medicine walk-in encounter Use a contemporaneous, factual, patient-specific note that records the clinical reasoning, a...
15 Aug 2026View Answer →
Describe possible side effects, benefits and risks of finasteride and
Clinical fit and expected benefit: With a prostate volume of approximately 106 mL, he falls within the group with a large prostate at increased risk of BPH prog...
12 Aug 2026View Answer →
Describe possible side effects, benefits and risks of finasteride and
Clinical fit and expected benefit: With a prostate volume of approximately 106 mL, he falls within the group with a large prostate at increased risk of BPH prog...
12 Aug 2026View Answer →
What are the causes and evidence-based treatment options for scalp psoriasis in
Cause and triggers Scalp psoriasis is a manifestation of psoriasis, a systemic immune-mediated inflammatory skin disease with a chronic relapsing–remitting cour...
9 Aug 2026View Answer →
In a patient with several tumours in different parts of the body, what is the
Most appropriate primary-care approach: treat this as malignancy of undefined primary origin (MUO)—metastatic malignancy identified on limited testing without a...
8 Aug 2026View Answer →
What are the potential consequences and health outcomes of untreated chronic
Untreated CIDP can cause progressive and potentially irreversible peripheral nerve disability. The available evidence specifically supports ongoing clinical det...
6 Aug 2026View Answer →
Compare SSRI medication in these side effects: somnolence Fatigue or reduced
Evidence-limited comparison: The supplied UK sources provide adverse-effect frequencies only for fluoxetine and sertraline; they do not provide a common numeric...
5 Aug 2026View Answer →
What initial tests should be performed in primary care to determine whether
Initial primary-care work-up Repeat serum potassium at an interval guided by clinical judgement to exclude a spurious result and identify a rapidly falling conc...
5 Aug 2026View Answer →
How should low potassium (hypokalaemia) be interpreted when considering dietary
Interpretation in primary care: Hypokalaemia is serum potassium below 3.5 mmol/L; classify it as mild (3.0–3.4 mmol/L), moderate (2.5–2.9 mmol/L), or severe (be...
5 Aug 2026View Answer →
In adults, what is the clinical definition, diagnostic criteria, and
Clinical definition Mixed hyperlipidaemia (mixed dyslipidaemia) is a lipid-pattern diagnosis in which both cholesterol-containing atherogenic lipoproteins and t...
5 Aug 2026View Answer →
What is the recommended management of primary insomnia in adults in primary
Assessment and first steps: Confirm insomnia as difficulty initiating or maintaining sleep, or poor sleep quality, despite adequate opportunity, with impaired d...
2 Aug 2026View Answer →
What are the clinical benefits of cognitive behavioural therapy for insomnia
CBT-I is the preferred first-line treatment for adults with chronic insomnia because its benefits persist after treatment ends, whereas pharmacological therapy ...
30 Jul 2026View Answer →
go through nice guidance to suggest a protocol for doing a mental health care
Primary-care mental health care-plan protocol Develop the mental healthcare plan collaboratively with the person and, where possible, their family, carers and a...
30 Jul 2026View Answer →
What is the step-by-step management pathway for hypokalaemia in primary care,
Definitions and immediate triage: Hypokalaemia is serum potassium below 3.5 mmol/L; mild is 3.0–3.4 mmol/L, moderate is 2.5–2.9 mmol/L, and severe is below 2.5 ...
27 Jul 2026View Answer →