clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
How can I effectively use screening tools to evaluate the severity and impact of chronic fatigue on a patient's daily life?
To effectively utilize screening tools to assess the severity and impact of chronic fatigue on a patient's daily functioning, follow these steps:...
What are the recommended lifestyle modifications and management strategies for patients diagnosed with chronic fatigue syndrome?
Recommended lifestyle modifications and management strategies for patients diagnosed with chronic fatigue syndrome (ME/CFS) include:...
Which red flag symptoms in a patient with chronic fatigue should prompt immediate referral to secondary care?
In a patient with chronic fatigue, the following red flag symptoms should prompt immediate referral to secondary care:Fatigue unexplained...
What initial assessments should I perform for a patient presenting with chronic fatigue to rule out underlying medical conditions?
For a patient presenting with chronic fatigue, initial assessments should include:A thorough medical assessment covering symptoms, history, comor...
What initial management strategies should be implemented for a patient suspected of having fat embolism syndrome?
Initial management of a patient suspected of fat embolism syndrome (FES) focuses on supportive care aimed at stabilising respiratory and haemodynamic...
What are the key clinical features to consider when diagnosing fat embolism syndrome in a patient following trauma?
When diagnosing fat embolism syndrome (FES) in a patient following trauma, the key clinical features to consider include a classic triad of respiratory distr...
What are the referral criteria for genetic counselling in patients with a family history suggestive of FAP?
Referral to a specialist genetic clinic for familial adenomatous polyposis (FAP) should be considered if there is a family history indicating a high risk of ...
How should I manage a patient with FAP who has developed colorectal cancer?
Management of a patient with familial adenomatous polyposis (FAP) who has developed colorectal cancer requires a multidisciplinary approach integrating surgi...
What genetic testing options are available for patients suspected of having Familial Adenomatous Polyposis?
For patients suspected of having Familial Adenomatous Polyposis (FAP), genetic testing primarily involves analysis of the APC gene to identify pathogenic var...
At what age should surveillance colonoscopy begin for individuals with a family history of FAP?
Surveillance colonoscopy for individuals with a family history of familial adenomatous polyposis (FAP) should typically be initiated in early adolesc...
What are the key clinical features that suggest a diagnosis of Familial Adenomatous Polyposis (FAP) in a patient?
Key clinical features suggesting a diagnosis of Familial Adenomatous Polyposis (FAP) include the presence of hundreds to thousands of colorectal aden...
When should I consider referring a patient with facial pain to a specialist for further evaluation?
Consider referring a patient with facial pain to a specialist for further evaluation in the following situations:When the facial...
What are the recommended first-line treatments for trigeminal neuralgia in primary care?
First-line treatment for trigeminal neuralgia in primary care is carbamazepine. This is the recommended initial pharmacological therapy due ...
Which initial investigations should be considered for a patient presenting with unexplained facial pain?
For a patient presenting with unexplained facial pain, initial investigations should be guided by the clinical features. If the facial pain is associated wit...
What are the key clinical features that differentiate trigeminal neuralgia from other causes of facial pain?
Key clinical features that differentiate trigeminal neuralgia (TN) from other causes of facial pain include:Paroxysmal, ...
How can I provide appropriate emotional and psychological support to patients post-termination?
Provide clear information and reassurance: Explain to patients what aftercare and follow-up to expect after pregnancy termination, including...
What follow-up care is recommended for patients after a termination of pregnancy?
After a termination of pregnancy, follow-up care includes explaining to women what aftercare and follow-up to expect and advising them on what to do if they ...
What are the referral criteria for patients seeking termination of pregnancy in cases of fetal anomalies?
Referral criteria for patients seeking termination of pregnancy in cases of fetal anomalies:Patients should be referred for terminati...
How should I assess a patient's eligibility for a surgical termination of pregnancy?
To assess a patient's eligibility for a surgical termination of pregnancy, first confirm the gestational age, as surgical abortion is offered up to and inclu...