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 current guidelines for the medical management of early pregnancy termination in the UK?

In the UK, the current guidelines for the medical management of early pregnancy termination include offering the option of expulsion at home for medical abor...

22 Aug 2025View Answer

When should I consider referring a patient with suspected Fabry disease to a specialist for further evaluation and management?

Consider referring a patient with suspected Fabry disease to a specialist for further evaluation and management when clinical features suggestive of ...

22 Aug 2025View Answer

How can I differentiate between Fabry disease and other lysosomal storage disorders during initial assessment?

During the initial assessment, differentiating Fabry disease from other lysosomal storage disorders (LSDs) relies on recognising its unique multisystemic cli...

22 Aug 2025View Answer

What are the key clinical features that should raise suspicion for Fabry disease in a patient?

Key clinical features that should raise suspicion for Fabry disease include:Early onset of unexplained neuropathic pain, particu...

22 Aug 2025View Answer

How should I advise a patient on follow-up care after sustaining a minor eye injury?

Advise the patient to monitor for any worsening symptoms such as increased pain, vision changes, redness, or discharge, and to seek urgent medical at...

22 Aug 2025View Answer

How can I differentiate between a corneal abrasion and a foreign body in the eye during examination?

To differentiate between a corneal abrasion and a foreign body in the eye during clinical examination, start with a detailed history and symptom asse...

22 Aug 2025View Answer

What are the potential complications of extradural haematoma that I should be aware of when managing these patients?

Potential complications of extradural haematoma to be aware of when managing these patients include:Neurological deterioration d...

22 Aug 2025View Answer

What criteria should I use to determine whether to refer a patient with suspected extradural haematoma to secondary care?

Refer a patient with suspected extradural haematoma to secondary care (hospital emergency department) if any of the following criteria are present:...

22 Aug 2025View Answer

How should I manage a patient with a confirmed extradural haematoma who is stable but requires monitoring?

Management of a clinically stable patient with a confirmed extradural haematoma who requires monitoring:Admit the patient to hos...

22 Aug 2025View Answer

What imaging modalities are recommended for the diagnosis of extradural haematoma in primary care settings?

Imaging modalities recommended for diagnosing extradural haematoma in primary care settings:CT head scan is the primary and reco...

22 Aug 2025View Answer

What clinical signs and symptoms should prompt me to suspect an extradural haematoma in a patient following head trauma?

Clinical signs and symptoms that should prompt suspicion of an extradural haematoma (EDH) following head trauma include:An initi...

22 Aug 2025View Answer

When should I consider referring a patient with suspected exocrine pancreatic insufficiency to a specialist?

Consider referring a patient with suspected exocrine pancreatic insufficiency (EPI) to a specialist when:There is diagnostic unc...

22 Aug 2025View Answer

How should I initiate and monitor enzyme replacement therapy in patients with exocrine pancreatic insufficiency?

Initiation of Enzyme Replacement Therapy (ERT) in Exocrine Pancreatic Insufficiency:Offer oral pancreatic enzyme replacement the...

22 Aug 2025View Answer

What dietary modifications should I recommend to a patient diagnosed with exocrine pancreatic insufficiency?

Dietary modifications for a patient with exocrine pancreatic insufficiency (EPI) should focus on optimizing nutritional intake and managing malabsorp...

22 Aug 2025View Answer

Which diagnostic tests are most effective for confirming exocrine pancreatic insufficiency in primary care settings?

The most effective diagnostic test for confirming exocrine pancreatic insufficiency (EPI) in primary care settings is the non-invasive stool elastase...

22 Aug 2025View Answer

What are the key clinical features that suggest a diagnosis of exocrine pancreatic insufficiency in adults?

Key clinical features suggesting a diagnosis of exocrine pancreatic insufficiency (EPI) in adults include symptoms and signs related to malabsorption and pan...

22 Aug 2025View Answer

What multidisciplinary team members should be involved in the care of a patient with Ewing sarcoma?

Multidisciplinary team members involved in the care and management of a patient diagnosed with Ewing sarcoma should include:...

22 Aug 2025View Answer

How should I approach the management of pain in a patient diagnosed with Ewing sarcoma?

Management of pain in a patient diagnosed with Ewing sarcoma should begin with an individualised pain assessment to evaluate the severity, location, characte...

22 Aug 2025View Answer

What are the recommended referral pathways for a patient with suspected Ewing sarcoma in primary care?

For suspected Ewing sarcoma in primary care, consider a very urgent referral (for an appointment within 48 hours) if an X-ray suggests the p...

22 Aug 2025View Answer

Which imaging modalities are most effective for the initial assessment of suspected Ewing sarcoma?

For the initial assessment of suspected Ewing sarcoma, the most effective imaging modalities include plain X-ray and MRI. A plain X-ray is t...

22 Aug 2025View Answer
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