clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
What are the referral criteria for a patient with suspected aplastic anaemia to a haematologist?
Referral criteria for suspected aplastic anaemia to a haematologist:Patients presenting with unexplained pancytopenia (reduction...
How do I differentiate between aplastic anaemia and other causes of bone marrow failure in primary care?
In a primary care setting, differentiating aplastic anaemia (AA) from other causes of bone marrow failure primarily relies on clinical suspicion and initial ...
How should I approach the management of a patient with a heart murmur and a history of rheumatic fever?
Approach to managing a patient with a heart murmur and a history of rheumatic fever:Consider an echocardiogram to assess for val...
What are the referral criteria for a patient with a newly detected heart murmur and associated symptoms such as dyspnea or chest pain?
Referral criteria for a patient with a newly detected heart murmur and associated symptoms such as dyspnea or chest pain:Offer a...
What referral pathways exist for patients experiencing health inequalities related to specific demographic factors?
Patients experiencing health inequalities related to specific demographic factors can be referred through multiple pathways tailored to their needs and circu...
How should I approach the management of mental health conditions in patients from diverse socioeconomic backgrounds?
Approach to managing mental health conditions in patients from diverse socioeconomic backgrounds:Provide comprehensive, ...
What resources are available to support patients from disadvantaged backgrounds in accessing healthcare services?
There are multiple resources available to support patients from disadvantaged backgrounds in accessing healthcare services. Care navigation ...
How can I assess the impact of social determinants of health on the outcomes of my patients with chronic diseases?
To assess the impact of social determinants of health (SDOH) on outcomes in patients with chronic diseases, start by systematically collecting data on key so...
What strategies can I implement in my practice to identify and address health inequalities among my patients?
Strategies to identify and address health inequalities in your practice include:Systematic identification: Rout...
What role do reassurance and patient education play in the management of illness anxiety disorder?
Reassurance and patient education play a foundational role in the management of illness anxiety disorder. They help patients understand thei...
When should I consider referring a patient with health anxiety to a mental health specialist?
Consider referring a patient with health anxiety to a mental health specialist if:They have received at least two interventions ...
What non-pharmacological interventions are recommended for managing health anxiety in adults?
For managing health anxiety in adults, non-pharmacological interventions primarily involve psychological therapies, particularly cognitive behavioural therap...
How can I effectively differentiate between health anxiety and other anxiety disorders in a primary care setting?
In a primary care setting, effectively differentiating health anxiety from other anxiety disorders requires a focused clinical assessment that emphasises the...
What are the key diagnostic criteria for illness anxiety disorder according to NICE guidelines?
Key diagnostic criteria for illness anxiety disorder according to NICE guidelines are not explicitly detailed in the provided guideline excerpts....
What lifestyle modifications can I recommend to patients experiencing frequent migraines?
Lifestyle modifications recommended for patients experiencing frequent migraines include:Keeping a headache diary to record the ...
How should I approach the management of a patient with chronic tension-type headaches in primary care?
Management of chronic tension-type headaches in primary care should begin with a thorough assessment to exclude secondary causes and identif...
What initial investigations are recommended for a patient with recurrent headaches and no prior history of similar symptoms?
For a patient presenting with recurrent headaches and no prior history of similar symptoms, initial investigations should focus on identifying any red-flag f...
Which red flag symptoms should prompt immediate referral for a patient presenting with a new-onset headache?
Immediate referral should be considered for a patient presenting with a new-onset headache if any of the following red flag symptoms are present:...
What are the key features in the history and examination that help differentiate between primary and secondary headaches?
Key features in history and examination that differentiate primary from secondary headaches include:Onset and progressio...