What dietary advice should I provide to patients diagnosed with folate deficiency?
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 initial investigations for a patient suspected of having folate deficiency?
Recommended initial investigations for suspected folate deficiency:The UK guideline NG239 primarily focuses on vitamin B12 deficiency...
22 Aug 2025View Answer →
What initial investigations should be performed in primary care for a patient presenting with new-onset floaters and flashes?
In primary care, for a patient presenting with new-onset floaters and flashes, the initial investigations should focus on a thorough ocular examination inclu...
22 Aug 2025View Answer →
What clinical features in a patient with floaters and flashes should prompt immediate referral to ophthalmology for suspected retinal detachment?
Patients presenting with floaters and flashes should be referred immediately to ophthalmology if they exhibit clinical features suggestive of retinal tear or...
22 Aug 2025View Answer →
When should I consider referring a patient with lymphatic filariasis to a specialist for further management?
Consider referring a patient with lymphatic filariasis to a specialist for further management if they develop lymphoedema requiring assessment and ma...
22 Aug 2025View Answer →
What are the key clinical features to consider when diagnosing lymphatic filariasis in a patient presenting with lymphoedema?
When diagnosing lymphatic filariasis in a patient presenting with lymphoedema, the key clinical features to consider include the presence of chronic, progres...
22 Aug 2025View Answer →
What are the potential complications of Fibromuscular Dysplasia that I should be aware of in my practice?
Potential complications of fibromuscular dysplasia (FMD) to be aware of in clinical practice include:Arterial stenosis a...
22 Aug 2025View Answer →
What are the current guidelines for the management and follow-up of patients diagnosed with Fibromuscular Dysplasia?
Management and follow-up of fibromuscular dysplasia (FMD) require a multidisciplinary approach focused on controlling symptoms, preventing c...
22 Aug 2025View Answer →
Which imaging modalities are recommended for the diagnosis of Fibromuscular Dysplasia in primary care settings?
In primary care settings, the recommended imaging modalities for diagnosing fibromuscular dysplasia (FMD) primarily include duplex ultrasound and com...
22 Aug 2025View Answer →
What are the key clinical features that suggest a diagnosis of Fibromuscular Dysplasia (FMD) in a patient presenting with unexplained hypertension?
Key clinical features suggesting fibromuscular dysplasia (FMD) in a patient with unexplained hypertension include:Onset of hyper...
22 Aug 2025View Answer →
What are the recommended management strategies for a patient with PUO who has no clear diagnosis after initial investigations?
Recommended management strategies for a patient with pyrexia of unknown origin (PUO) after initial investigations show no clear diagnosis include:...
22 Aug 2025View Answer →
Which specific blood tests are most useful in the workup of PUO, and how should I interpret their results?
Specific blood tests useful in the workup of pyrexia of unknown origin (PUO) include:Full blood count (FBC) to assess for leukoc...
22 Aug 2025View Answer →
What criteria should I use to decide when to refer a patient with PUO to secondary care for further evaluation?
Criteria for referral of a patient with pyrexia of unknown origin to secondary care include:Presence of any 'red' features indic...
22 Aug 2025View Answer →
How do I differentiate between infectious and non-infectious causes of PUO in a primary care setting?
In a primary care setting, differentiating between infectious and non-infectious causes of pyrexia of unknown origin (PUO) involves a thorough clinical asses...
22 Aug 2025View Answer →
What initial investigations should I consider for a patient presenting with a fever of unknown origin (PUO) lasting more than one week?
For a patient presenting with a fever of unknown origin (FUO) lasting more than one week, initial investigations should include a thorough clinical assessmen...
22 Aug 2025View Answer →
What guidelines should I follow for the use of antipyretics in adults with fever?
Current guidelines for the use of antipyretics in adults presenting with fever are not explicitly detailed in the provided UK guideline exce...
22 Aug 2025View Answer →
How can I differentiate between a self-limiting fever and one that requires further investigation in adults?
To differentiate between a self-limiting fever and a fever requiring further investigation in adults, consider the following:...
22 Aug 2025View Answer →
What are the recommended management strategies for adults with fever due to suspected viral infections?
Adults presenting with fever suspected to be caused by viral infections should primarily be managed with supportive care, as most viral fevers are self-limit...
22 Aug 2025View Answer →
Which red flag symptoms in an adult with fever should prompt immediate referral to secondary care?
Red flag symptoms in an adult with fever that should prompt immediate referral to secondary care include:Fever accompanied by ne...
22 Aug 2025View Answer →
What initial assessments should I perform for an adult presenting with fever to determine the underlying cause?
Initial assessments for an adult presenting with fever to determine the underlying cause include:Measure vital signs: temperatur...
22 Aug 2025View Answer →