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 discussions with patients about treatment options when the evidence is conflicting or limited?
Approach discussions with patients about treatment options when evidence is conflicting or limited by:Engaging in shared...
How can I effectively integrate the latest clinical guidelines into my decision-making process for managing chronic diseases?
To effectively incorporate the latest clinical guidelines into your decision-making process for managing chronic diseases, use computerised clinical ...
What frameworks exist for addressing ethical dilemmas in end-of-life care within primary care settings?
Within primary care settings, ethical dilemmas in end-of-life care are addressed through structured frameworks centred on shared decision-making, advance car...
How can I ensure informed consent is adequately obtained from patients with cognitive impairments?
To ensure that informed consent is adequately obtained from patients with cognitive impairments, health professionals must first assume capacity and then car...
What ethical principles should guide my decision-making when managing a patient with conflicting treatment preferences?
When managing a patient with conflicting treatment preferences, your decision-making should be guided by the following ethical principles:...
What are the potential complications of erythroderma that I should monitor for in my patients?
Potential complications of erythroderma to monitor for include:Secondary bacterial infections, which may present with weeping, p...
When should I consider referring a patient with erythroderma to a dermatologist?
Consider referring a patient with erythroderma to a dermatologist urgently if the diagnosis is uncertain, if the condition is severe, or if it is not...
What are the potential side effects of antiepileptic drugs in children, and how should I monitor for them?
Antiepileptic drugs (AEDs) in children can cause a range of potential side effects including serious skin reactions (notably with phenytoin, carbamazepine, o...
When should I consider referring a child with epilepsy to a specialist for further evaluation or treatment?
Refer a child with epilepsy to a specialist for further evaluation or treatment in the following situations:Urgently (within 2 w...
What are the current guidelines for the management of newly diagnosed epilepsy in children, including medication options?
For newly diagnosed epilepsy in children, treatment should be initiated once the diagnosis is confirmed, considering individual factors such as seizure type ...
Which investigations are recommended for a child presenting with their first seizure to confirm a diagnosis of epilepsy?
For a child presenting with their first seizure, the recommended investigations to support a diagnosis of epilepsy include:Detailed clini...
What are the key features to differentiate between common childhood epilepsy syndromes during a clinical assessment?
During a clinical assessment to differentiate common childhood epilepsy syndromes, key features include:Detailed history taking:...
What are the recommended antibiotic regimens for treating epiglottitis in children and adults?
Recommended antibiotic regimens for treating epiglottitis in children and adults:Epiglottitis is most commonly caused by Hae...
What criteria should I use to determine whether a patient with epiglottitis requires urgent referral to secondary care?
Criteria for urgent referral of a patient with epiglottitis to secondary care include:Signs of respiratory distress such as seve...
What are the key clinical signs and symptoms that suggest a diagnosis of epiglottitis in adults and children?
Key clinical signs and symptoms suggesting epiglottitis in both adults and children include:Sudden onset of severe sore ...
What are the indications for referring a patient with Epidermolysis Bullosa to a specialist dermatology service?
Indications for referring a patient with Epidermolysis Bullosa (EB) to a specialist dermatology service include:Diagnostic uncer...
What genetic testing options are available for confirming a diagnosis of Epidermolysis Bullosa, and how should I refer patients for these tests?
Genetic testing options for confirming a diagnosis of Epidermolysis Bullosa (EB) typically involve mutation analysis of genes known to be as...
How should I approach the management of a child with Epidermolysis Bullosa, particularly regarding wound care and pain management?
Management of a child with Epidermolysis Bullosa (EB) should focus on careful wound care and effective pain management.For wound care...
How can I apply epidemiological principles to improve the management of chronic diseases in my patients?
Epidemiological principles can improve chronic disease management by enabling targeted, evidence-based interventions at both individual and populatio...