When should I consider referring a pregnant patient with a history of GBS infection in previous pregnancies to a specialist?
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.
What are the recommended antibiotic prophylaxis protocols for GBS in women with risk factors during labor?
Offer intrapartum antibiotic prophylaxis to women in labour who have risk factors for group B streptococcus (GBS) infection, including those with GBS colonis...
22 Aug 2025View Answer →
How should I manage a pregnant patient who tests positive for GBS during routine screening?
If a pregnant patient tests positive for Group B Streptococcus (GBS) during routine screening, the primary management is to offer intrapartum antibiotic prop...
22 Aug 2025View Answer →
What are the current UK guidelines for screening pregnant women for Group B Streptococcus (GBS) colonization?
Current UK guidelines do not recommend universal screening of pregnant women for Group B Streptococcus (GBS) colonization. Instead, the appr...
22 Aug 2025View Answer →
What criteria should I use to determine whether a patient with GvHD requires referral to a specialist for further management?
Criteria for referral of a patient with graft-versus-host disease (GVHD) to a specialist include:Severity and extent of ...
22 Aug 2025View Answer →
What are the recommended follow-up protocols for monitoring renal function and pulmonary symptoms in patients treated for Goodpasture's syndrome?
Recommended follow-up protocols for monitoring renal function and pulmonary symptoms in patients treated for Goodpasture's syndrome include:...
22 Aug 2025View Answer →
What criteria should I use to determine when to refer a patient with suspected Goodpasture's syndrome to a nephrologist or pulmonologist?
Referral criteria for suspected Goodpasture's syndrome:Refer to a nephrologist if there is evidence of kidney involvemen...
22 Aug 2025View Answer →
What are the key clinical features and laboratory findings that suggest a diagnosis of Goodpasture's syndrome in a patient presenting with pulmonary-r
Key clinical features of Goodpasture's syndrome in a patient presenting with pulmonary-renal syndrome include rapidly progressive glomerulon...
22 Aug 2025View Answer →
What role do corticosteroid injections play in the management of golfer's elbow, and when should they be considered?
Corticosteroid injections have a limited and cautious role in the management of golfer's elbow (medial epicondylitis). They may be considere...
22 Aug 2025View Answer →
What are the referral criteria for a patient with suspected glycogen storage disorder to a specialist metabolic clinic?
Referral criteria for suspected glycogen storage disorder (GSD) to a specialist metabolic clinic:Refer any patient with clinical...
22 Aug 2025View Answer →
How can I differentiate between various types of glycogen storage disorders based on clinical presentation and biochemical findings?
Glycogen storage disorders (GSDs) can be differentiated based on their clinical presentation and biochemical findings by focusing on key organ involv...
22 Aug 2025View Answer →
What are the key clinical features to consider when suspecting a glycogen storage disorder in a paediatric patient?
When suspecting a glycogen storage disorder (GSD) in a paediatric patient, key clinical features to consider include hypoglycaemia often pre...
22 Aug 2025View Answer →
Which medications should be avoided in patients with G6PD deficiency to prevent hemolytic crises?
Medications to avoid in patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency to prevent hemolytic crises include certain antibiotics, an...
22 Aug 2025View Answer →
What screening recommendations exist for G6PD deficiency in newborns and at-risk populations in the UK?
In the United Kingdom, routine universal screening for glucose-6-phosphate dehydrogenase (G6PD) deficiency in newborns is not standard practice. However, tes...
22 Aug 2025View Answer →
What lifestyle modifications should I recommend to a patient with mildly reduced GFR to prevent progression of kidney disease?
For a patient with mildly reduced glomerular filtration rate (GFR), recommend the following lifestyle modifications to help prevent progression of kidney dis...
22 Aug 2025View Answer →
How often should GFR be monitored in patients with chronic kidney disease (CKD) stages 1-3?
For patients with chronic kidney disease (CKD) stages 1 to 3, the frequency of monitoring glomerular filtration rate (eGFRcreatinine) should be tailored base...
22 Aug 2025View Answer →
What are the referral criteria for a patient with a GFR below 30 mL/min in primary care?
Refer adults with CKD for specialist assessment if they have a sustained decrease in eGFR of 25% or more and a change in eGFR category within 12 months, or a...
22 Aug 2025View Answer →
How should I interpret a GFR result in the context of a patient with diabetes and hypertension?
In a patient with diabetes and hypertension, interpreting the estimated glomerular filtration rate (eGFR) requires careful consideration of both the eGFR val...
22 Aug 2025View Answer →
What is the most accurate method for estimating GFR in adults, and how does it compare to creatinine clearance?
The most accurate method for estimating glomerular filtration rate (GFR) in adults is to use the Chronic Kidney Disease Epidemiology Collaboration (C...
22 Aug 2025View Answer →
What supportive care measures should be considered for patients with glioblastoma multiforme to manage symptoms and improve quality of life?
Provide a named healthcare professional responsible for coordinating support, such as a key worker, to manage health and social care needs for patien...
22 Aug 2025View Answer →