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clinical q&a library

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

75 year old fit female has not had a bowel movement in ten days; she has been

It may pose health risks for a 75-year-old female with ten days of constipation undergoing standard bowel preparation for colonoscopy without prior careful asse...

6 Jul 2026View Answer

Are there any additional biomarkers that should be considered alongside KELIM

Are there any additional biomarkers that should be considered alongside KELIM to optimize treatment planning in BRCA-negative, HRD-negative ovarian cancers?...

6 Jul 2026View Answer

Management of non specific terminal ideal crohns

Management of non-specific terminal ileal Crohn's disease (CD) begins with confirming the diagnosis through secondary care referral and specialist investigation...

6 Jul 2026View Answer

Is there any malaria preventative medication in the UK apart from Lariam that

Answer: Yes, in the UK, other than Lariam (mefloquine), there are malaria preventive medications that can be taken weekly prior to traveling to Nigeria. However...

6 Jul 2026View Answer

Which among the recent meds do you surmise is responsible for the hair loss?

The medication most likely responsible for the patient's recent rapid body hair loss is escitalopram. Drug-induced telogen effluvium is a common cause of rapid,...

6 Jul 2026View Answer

Epitrochlear LAP diff diag

Differential diagnoses for epitrochlear lymphadenopathy encompass a range of infectious, malignant, and inflammatory causes given that epitrochlear nodes are pe...

5 Jul 2026View Answer

Hb pcv rbc high WBC normal spo 2 98 epo 7 range of4 to 29

Implications of high hemoglobin, elevated packed cell volume, increased red blood cell count, normal white blood cell count, oxygen saturation of 98%, and eryth...

4 Jul 2026View Answer

A 36-year-old gentleman has recurrent sneezing, rhinorrhoea, and nasal

The most effective treatment for a 36-year-old man with recurrent sneezing, rhinorrhea, and nasal obstruction occurring seasonally during spring, without signif...

4 Jul 2026View Answer

What is the neural chemical connection between social anxiety relief,

Neurochemical connections and neurochemical modulators in social anxiety relief Social anxiety disorder involves complex neurochemical interactions encompassing...

3 Jul 2026View Answer

What is the neural chemical connection between social anxiety relief,

Neurochemical Connection: Social anxiety and its relief involve multiple neurotransmitter systems, notably serotonin, dopamine, endorphins, oxytocin, and the re...

3 Jul 2026View Answer

What is the neural chemical connection between social anxiety relief,

Neurochemical Connection: Social anxiety and its relief involve multiple neurotransmitter systems, notably serotonin, dopamine, endorphins, oxytocin, and the re...

3 Jul 2026View Answer

persistent cough, occasional wheezing, breathlessness, oedema in lower leg,

Assessment: For a patient presenting with persistent cough, occasional wheezing, breathlessness, lower limb oedema, and concerns about lung health, a thorough i...

3 Jul 2026View Answer

Доказанные препараты при андрогенной алопеции

Evidence-Based Medications for Androgenetic Alopecia (AGA): The two primary evidence-based pharmacological treatments for androgenetic alopecia are topical mino...

3 Jul 2026View Answer

Say me types of perianal fistula based on surgery references

Perianal fistulas are surgically classified primarily based on their anatomical relation to the anal sphincter complex, following the Parks classification, whic...

30 Jun 2026View Answer

bcl2 negativity in relapse of FL in previous bcl2 pos FL?

Yes, BCL2 negativity can occur in the relapse of follicular lymphoma (FL) in patients who initially had BCL2-positive FL. Follicular lymphoma often harbors BCL2...

30 Jun 2026View Answer

As a nurse, what would you do to a newly admitted patient with mental illness

Immediate management of a newly admitted patient with mental illness who is shouting on a medical ward should prioritise safety, assessment, and de-escalation. ...

29 Jun 2026View Answer

I have tinnitus, dizziness, palpitations after abusing zolpidem for 5 years,

Potential Causes: In a patient with a history of prolonged zolpidem abuse who is now abstinent for one year, tinnitus, dizziness, and palpitations may arise fro...

29 Jun 2026View Answer

49-year-old woman with right knee swelling.

Clinical Assessment: For a 49-year-old woman presenting with right knee swelling, a thorough clinical assessment should be initiated with a detailed history foc...

28 Jun 2026View Answer

Dificuldade em segurar a bexiga por muito tempo ao urinar

Difficulty in holding the bladder for a long time during urination may be caused by several factors affecting bladder storage and voiding mechanisms. First, fun...

28 Jun 2026View Answer

pt above 75 years old on atorvastatin 40 , when should it be reduced to

In patients over 75 years old taking atorvastatin 40 mg, the general guidance is to consider a moderate-intensity statin dose based on individual factors such a...

26 Jun 2026View Answer
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