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 approach the referral process for a patient suspected of having glioblastoma multiforme, and what information should I include?
When referring a patient suspected of having glioblastoma multiforme, offer a standard structural MRI (T2 weighted, FLAIR, DWI series, and T1 pre- and post-c...
What imaging modalities are recommended for the diagnosis and assessment of glioblastoma multiforme in primary care?
Recommended imaging modalities for diagnosis and assessment of glioblastoma multiforme (GBM) in primary care:Offer standard stru...
What are the key clinical features that suggest a diagnosis of glioblastoma multiforme in a patient presenting with neurological symptoms?
Key clinical features suggesting glioblastoma multiforme (GBM) in a patient presenting with neurological symptoms include:New on...
What lifestyle modifications should I advise to patients diagnosed with primary open-angle glaucoma?
Lifestyle modifications for patients diagnosed with primary open-angle glaucoma (POAG) should focus on supporting adherence to treatment and regular ...
When should I consider referring a patient with primary open-angle glaucoma to an ophthalmologist?
Consider referring a patient with primary open-angle glaucoma (POAG) to an ophthalmologist if any of the following are present:T...
What are the current NICE guidelines for the pharmacological management of primary open-angle glaucoma?
The NICE guidelines recommend offering 360° selective laser trabeculoplasty (SLT) as initial treatment for people with newly diagnosed chronic open-angle gla...
How should I monitor intraocular pressure in patients diagnosed with primary open-angle glaucoma?
Intraocular pressure (IOP) monitoring in patients diagnosed with primary open-angle glaucoma (POAG) should be performed using Goldmann applanation to...
What are the recommended initial diagnostic tests for a patient suspected of having primary open-angle glaucoma?
To diagnose primary open-angle glaucoma, offer all of the following tests: visual field assessment using standard automated perimetry (full threshold or supr...
What patient education should I provide regarding the risk factors and prevention of acute angle-closure glaucoma?
Patient education regarding risk factors and prevention strategies for acute angle-closure glaucoma should include the following key points:...
Which diagnostic tests are essential for confirming acute angle-closure glaucoma in a primary care setting?
In a primary care setting, the essential diagnostic tests to confirm acute angle-closure glaucoma include:Intraocular pressure (IOP) meas...
What are the criteria for urgent referral of a patient with suspected acute angle-closure glaucoma to an ophthalmologist?
Criteria for urgent referral of a patient with suspected acute angle-closure glaucoma to an ophthalmologist include:Presence of ...
How should I initiate treatment for a patient with acute angle-closure glaucoma before referral to secondary care?
Initiate treatment for acute angle-closure glaucoma urgently before referral to secondary care by:Administering immediate medica...
What are the key clinical features that suggest a diagnosis of acute angle-closure glaucoma in a patient presenting with eye pain?
Key clinical features suggesting acute angle-closure glaucoma in a patient presenting with eye pain include:Sudden onset...
What is the role of antimicrobial therapy in the management of periodontitis in primary care?
Antimicrobial therapy in the management of periodontitis in primary care has a limited and adjunctive role rather than being a primary treatment moda...
Which systemic conditions should I consider when evaluating a patient with severe periodontitis?
When evaluating a patient presenting with severe periodontitis, several systemic conditions should be considered due to their known associations with periodo...
What are the referral criteria for patients with periodontitis to a specialist periodontist?
Referral criteria for patients with periodontitis to a specialist periodontist are not explicitly detailed in the provided UK guidelines. Ho...
What are the key clinical features that differentiate gingivitis from periodontitis in adult patients?
The key clinical features that differentiate gingivitis from periodontitis in adult patients primarily relate to the extent of tissue involvement and...
What are the first-line treatment options for giardiasis in children?
First-line treatment options for giardiasis in children primarily include 5-nitroimidazole compounds such as metronidazole, which is widely ...
What are the recommended diagnostic tests for confirming a Giardia lamblia infection in adults?
The recommended diagnostic tests for confirming Giardia lamblia infection in adults primarily involve stool analysis. The first-line approac...