clinical q&a library

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

How should I interpret histopathology results when managing patients with suspected inflammatory bowel disease?

When interpreting histopathology results in patients with suspected inflammatory bowel disease (IBD), it is essential to integrate clinical, endoscopic, and ...

22 Aug 2025View Answer

What are the referral criteria for patients with abnormal histopathology findings in primary care?

Referral criteria for patients with abnormal histopathology findings in primary care depend on the specific suspected cancer type and associ...

22 Aug 2025View Answer

How can I differentiate between benign and malignant lesions based on histopathology reports?

To differentiate between benign and malignant lesions based on histopathology reports, key microscopic features must be assessed. Benign lesions...

22 Aug 2025View Answer

What are the key histopathological features to look for in a biopsy of suspected melanoma?

Key histopathological features to look for in a biopsy of a suspected melanoma include:Assessment of Breslow thickness, which measures the depth ...

22 Aug 2025View Answer

What post-operative care and follow-up are necessary for patients who have undergone surgery for Hirschsprung's disease?

Post-operative care and follow-up for patients who have undergone surgery for Hirschsprung's disease should include tailored, multidisciplinary support focus...

22 Aug 2025View Answer

How should I approach the referral of a child with suspected Hirschsprung's disease to a specialist?

Approach to Referral for Suspected Hirschsprung's Disease:Do not perform a digital rectal examination yourself if the child is o...

22 Aug 2025View Answer

What are the current guidelines for the surgical management of Hirschsprung's disease in paediatric patients?

Current guidelines for the surgical management of Hirschsprung's disease in paediatric patients focus primarily on appropriate diagnosis and...

22 Aug 2025View Answer

Which diagnostic tests are recommended for confirming Hirschsprung's disease in a child presenting with constipation?

Diagnostic tests recommended for confirming Hirschsprung's disease in a child presenting with constipation include a rectal biopsy when specific clin...

22 Aug 2025View Answer

What are the key clinical features to consider when diagnosing Hirschsprung's disease in infants?

Key clinical features to consider when diagnosing Hirschsprung's disease in infants include:Delayed passage of meconium beyond 4...

22 Aug 2025View Answer

What are the indications for performing an endoscopy in patients with suspected hiatal hernias?

Indications for performing an endoscopy in patients with suspected hiatal hernias include:Presence of gastro-oesophageal symptom...

22 Aug 2025View Answer

How effective are proton pump inhibitors (PPIs) in managing symptoms associated with hiatal hernias, and are there any specific guidelines for their u

Effectiveness of Proton Pump Inhibitors (PPIs) in Hiatal Hernia Symptom ManagementPPIs are effective in managing symptoms associated ...

22 Aug 2025View Answer

What lifestyle modifications should I recommend to patients diagnosed with a hiatal hernia to alleviate symptoms?

For patients diagnosed with a hiatal hernia, lifestyle modifications to alleviate symptoms primarily focus on reducing gastro-oesophageal reflux and dyspepsi...

22 Aug 2025View Answer

When should I consider referring a patient with a hiatal hernia for surgical evaluation?

Consider referring a patient with a hiatal hernia for surgical evaluation if they have a confirmed diagnosis of acid reflux (GORD) with symptoms that...

22 Aug 2025View Answer

How can I counsel patients regarding the risks and benefits of surgical versus conservative management for incisional hernias?

Counseling patients on surgical versus conservative management for incisional hernias involves explaining the benefits and risks of each approach to ...

22 Aug 2025View Answer

When should I refer a patient with an abdominal wall hernia for surgical evaluation?

Refer a patient with an abdominal wall hernia for surgical evaluation if they have symptoms such as pain, signs of incarceration or strangulation, or...

22 Aug 2025View Answer

What initial investigations should be considered for a patient presenting with a suspected abdominal wall hernia?

For a patient presenting with a suspected abdominal wall hernia, the initial investigations primarily involve a thorough clinical examination to confirm the ...

22 Aug 2025View Answer

What are the implications of HHT for family members, and how should I approach genetic counseling in these cases?

Implications of hereditary hemorrhagic telangiectasia (HHT) for family members: HHT is an autosomal dominant genetic disorder, meaning that ...

22 Aug 2025View Answer

What are the current management strategies for recurrent epistaxis in patients with HHT?

Management of recurrent epistaxis in patients with hereditary hemorrhagic telangiectasia (HHT) involves a stepwise approach combining local, medical, and som...

22 Aug 2025View Answer

Which investigations are recommended to confirm a diagnosis of HHT in primary care?

Investigations recommended to confirm a diagnosis of hereditary hemorrhagic telangiectasia (HHT) in primary care:There are no...

22 Aug 2025View Answer

What are the key clinical features to consider when diagnosing Hereditary Haemorrhagic Telangiectasia (HHT) in a patient?

Key clinical features for diagnosing Hereditary Hemorrhagic Telangiectasia (HHT) include recurrent spontaneous epistaxis, mucocutaneous telangiectasi...

22 Aug 2025View Answer
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