How can understanding human factors improve patient safety in my practice?
22 Aug 2025View Answer →
clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
When should I refer a patient with Horner's syndrome for further investigation or specialist assessment?
Refer a patient with Horner's syndrome for further investigation or specialist assessment if:There is any suspicion of an underl...
22 Aug 2025View Answer →
How should I monitor a patient with chronic haemolytic anaemia for potential complications?
Monitoring a patient with chronic haemolytic anaemia for potential complications involves regular clinical and laboratory assessments focused on earl...
22 Aug 2025View Answer →
What management strategies are recommended for patients with confirmed autoimmune haemolytic anaemia?
Management strategies for autoimmune haemolytic anaemia (AIHA) focus on controlling haemolysis, treating underlying causes, and preventing complicati...
22 Aug 2025View Answer →
When should I consider referring a patient with hoarseness for specialist evaluation, and what criteria should guide this decision?
Consider referring a patient with hoarseness for specialist evaluation if the hoarseness is persistent and unexplained, especially in adults aged 45 ...
22 Aug 2025View Answer →
What are the recommended follow-up protocols for patients who have been prescribed PrEP?
Support patients taking PrEP to get regular HIV testing and STI screening every 3 months 1.Monitor kidney function...
22 Aug 2025View Answer →
Are there specific populations that may benefit more from PrEP, and how should I approach discussions with them?
Specific populations that may benefit more from pre-exposure prophylaxis (PrEP) include people at higher risk of HIV, such as gay, bisexual,...
22 Aug 2025View Answer →
What counselling should be provided to patients starting PrEP regarding adherence and potential side effects?
Counselling for patients starting PrEP should include clear information on the importance of strict medication adherence to ensure maximum effectiven...
22 Aug 2025View Answer →
How often should patients on PrEP be monitored for HIV and renal function?
Patients on pre-exposure prophylaxis (PrEP) should be monitored for HIV infection and renal function every 3 months. This includes regular H...
22 Aug 2025View Answer →
What are the eligibility criteria for prescribing PrEP to patients at high risk of HIV acquisition?
Eligibility criteria for prescribing pre-exposure prophylaxis (PrEP) to patients at high risk of acquiring HIV include offering PrEP to peop...
22 Aug 2025View Answer →
What follow-up care and testing should be provided to patients who have completed a course of PEP?
Patients who have completed a course of post-exposure prophylaxis (PEP) should receive structured follow-up care that includes clinical monitoring and approp...
22 Aug 2025View Answer →
In which scenarios should I refer a patient for specialist assessment after initiating PEP?
Refer a patient for specialist assessment after initiating post-exposure prophylaxis (PEP) in the following clinical scenarios:If the pat...
22 Aug 2025View Answer →
How soon after occupational exposure should PEP be started to be effective, and what is the recommended duration of treatment?
The optimal time frame for initiating post-exposure prophylaxis (PEP) following occupational exposure is as soon as possible, ideally within 1 to 2 h...
22 Aug 2025View Answer →
What are the current guidelines for initiating HIV Post-Exposure Prophylaxis (PEP) after potential sexual exposure?
Initiation of HIV post-exposure prophylaxis (PEP) following potential sexual exposure should be considered as an urgent intervention ideally started ...
22 Aug 2025View Answer →
What follow-up care and monitoring should I provide for patients on antiretroviral therapy?
Patients undergoing antiretroviral therapy (ART) require structured follow-up care and monitoring to ensure treatment efficacy, adherence, and early detectio...
22 Aug 2025View Answer →
When should I consider referring a patient to a specialist for HIV management?
Consider referring a patient to an HIV specialist promptly if they have a confirmed positive HIV test result. According to UK guidelines, pe...
22 Aug 2025View Answer →
What are the recommended first-line antiretroviral therapy (ART) regimens for newly diagnosed HIV patients?
Recommended first-line antiretroviral therapy (ART) regimens for patients newly diagnosed with HIV are not explicitly detailed in the provid...
22 Aug 2025View Answer →
How should I interpret a positive HIV test result, and what are the next steps for diagnosis?
Interpreting a Positive HIV Test Result: A positive HIV test result indicates that HIV antibodies or antigens have been detected in the pers...
22 Aug 2025View Answer →
What are the current guidelines for HIV screening in high-risk populations in primary care?
In primary care settings, HIV testing should be offered and recommended to everyone who has not previously been diagnosed with HIV and who presents with symp...
22 Aug 2025View Answer →
What is the role of histopathology in the diagnosis and management of thyroid nodules?
Role of Histopathology in Diagnosis and Management of Thyroid NodulesHistopathology plays a critical role primarily after initial cyt...
22 Aug 2025View Answer →