clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
What steps should I take to identify and manage delirium in an older adult presenting to my practice?
To identify delirium in an older adult presenting to your practice: Assess for recent (within hours or days) changes or fluctuations in cogn...
What are the best practices for diagnosing and managing urinary incontinence in elderly patients?
Best practices for diagnosing urinary incontinence in elderly patients include taking a detailed clinical history to categorise the type of ...
How can I effectively manage a patient with recurrent falls and what referral criteria should I consider?
To effectively manage a patient with recurrent falls, conduct a comprehensive falls risk assessment that includes evaluation of gait, balance, muscle strengt...
What assessment tools are recommended for evaluating frailty in older adults in primary care?
In primary care settings, the recommended approach to evaluating frailty in older adults involves using comprehensive, multidimensional assessment tools that...
What guidelines exist for integrating genomic information into the management of common chronic diseases?
Currently, UK guidelines for integrating genomic information into the management of common chronic diseases primarily focus on familial breast cancer as a mo...
How should I approach discussions about genomic testing with patients who have a family history of genetic disorders?
Approach to discussions about genomic testing with patients who have a family history of genetic disorders:Ensure pre-te...
How can I interpret genomic test results to inform treatment decisions for my patients?
To interpret genomic test results effectively for informing treatment decisions, it is essential to integrate molecular findings with clinical context, focus...
What are the key indications for referring a patient for genomic testing in primary care?
Key indications for referring a patient for genomic testing in primary care include:Having a family history suggestive of heredi...
What are the implications of a positive genetic test result for my patient's family members regarding their cancer risk?
A positive genetic test result indicating a pathogenic variant associated with cancer (such as BRCA1, BRCA2, or mismatch repair genes) implies that the patie...
When should I refer a patient to a genetic specialist for further evaluation of potential inherited cancer syndromes?
Refer a patient to a genetic specialist if they meet the following criteria: At least 2 first-degree or second-degree relatives diagnosed with br...
What are the recommended surveillance strategies for patients with a family history of hereditary breast and ovarian cancer syndrome?
For patients with a family history of hereditary breast and ovarian cancer syndrome, surveillance strategies depend on their age and estimated risk level....
How do I interpret the results of genetic tests for BRCA1 and BRCA2 mutations in my patients?
Interpreting the results of genetic tests for BRCA1 and BRCA2 mutations in patients requires careful consideration within a specialist genetics context. ...
What criteria should I use to identify patients who may benefit from genetic testing for inherited cancer syndromes?
Criteria to identify patients who may benefit from genetic testing for inherited cancer syndromes include:Having a first-degree ...
When should I consider referring a patient with suspected Gaucher disease to a specialist?
Consider referring a patient with suspected Gaucher disease to a specialist when clinical features suggestive of the disease are present, such as une...
How should I approach genetic counseling for families affected by Gaucher disease?
Approach to Genetic Counseling for Families Affected by Gaucher DiseaseGenetic counseling for families affected by Gaucher disease sh...
What pharmacological treatments are available for managing gastroparesis, and how effective are they?
Pharmacological management of gastroparesis primarily involves prokinetic agents and antiemetics to improve gastric emptying and alleviate symptoms. ...
When should I consider referring a patient with gastroparesis to a gastroenterologist for further management?
Consider referring a patient with gastroparesis to a gastroenterologist for specialist advice if initial interventions have not helped or are not app...
What lifestyle modifications and dietary changes should I advise for patients diagnosed with gastroparesis?
Patients diagnosed with gastroparesis should be advised to adopt specific lifestyle and dietary modifications to alleviate symptoms and improve gastric empty...
Which diagnostic tests are recommended for confirming gastroparesis in patients with symptoms of delayed gastric emptying?
Recommended diagnostic tests for confirming gastroparesis in patients with symptoms of delayed gastric emptying include gastric emptying scintigraphy...