clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
When should a patient with salicylate poisoning be urgently referred to secondary care or an emergency department?
Patients with salicylate poisoning should be urgently referred to secondary care or an emergency department if they present with signs of severe toxi...
What are the key clinical features and symptoms that should raise suspicion of salicylate poisoning in a primary care setting?
Key clinical features and symptoms that should raise suspicion of salicylate poisoning in a primary care setting include:...
What are the recommended first-line management strategies for Osgood-Schlatter disease in a primary care setting?
First-line management strategies for Osgood-Schlatter disease in primary care focus on conservative measures aimed at symptom relief and functional i...
When should imaging, such as MRI, be requested for a patient with suspected meniscal tear in a general practice setting?
Magnetic resonance imaging (MRI) should be requested for a patient with suspected meniscal tear in general practice only when clinical assessment is ...
What are the key clinical features that help differentiate a meniscal tear from other causes of knee pain in primary care?
Key clinical features that help differentiate a meniscal tear from other causes of knee pain in primary care include:His...
What are the recommended criteria for screening patients for lead poisoning in primary care?
Recommended criteria for screening patients for lead poisoning in primary care focus primarily on identifying individuals at increased risk due to en...
What are the key clinical features that help differentiate between oral HSV-1 and genital HSV-2 infections in primary care?
Key clinical features differentiating primary oral HSV-1 infection from primary genital HSV-2 infection in primary care include the anatomical site o...
Which patients with frostbite require urgent referral to secondary care or specialist services?
Patients with frostbite require urgent referral to secondary care or specialist services if they have signs of limb-threatening or life-threatening c...
When should a patient with eyelid malposition be referred urgently to ophthalmology for specialist assessment?
A patient with eyelid malposition should be referred urgently to ophthalmology if there are signs of acute or severe complications such as corneal ex...
When should a patient with suspected cyanide poisoning be urgently referred to secondary care or an emergency department?
A patient with suspected cyanide poisoning should be urgently referred to secondary care or an emergency department immediately if there is any clini...
What is the role of screening for underlying causes such as hepatitis C in patients with cryoglobulinaemia?
Screening for underlying causes, particularly hepatitis C virus (HCV) infection, is essential in patients presenting with cryoglobulinaemia....
When should a patient with suspected cryoglobulin-associated vasculitis be referred urgently to a specialist?
Patients with suspected cryoglobulin-associated vasculitis should be referred urgently to a specialist if they present with systemic symptoms such as...
What is the recommended initial management for a patient presenting with a chalazion or stye in general practice?
Initial management of a chalazion or stye in general practice involves conservative measures focused on symptom relief and promoting drainage....
What are the recommended first-line treatments for chronic insomnia in primary care settings?
First-line treatment for chronic insomnia in primary care settings focuses primarily on non-pharmacological approaches, particularly sleep hygiene ed...
How can I effectively manage a patient with restless legs syndrome who is experiencing significant daytime impairment?
Effective management of a patient with restless legs syndrome (RLS) experiencing significant daytime impairment should begin with a thorough assessment to co...
What are the indications for referring a patient with suspected narcolepsy to a sleep specialist?
Indications for referring a patient with suspected narcolepsy to a sleep specialist include:Presence of excessive daytime sleepi...
What are the key diagnostic criteria for obstructive sleep apnoea in adults, and how should I assess its severity?
The key diagnostic criteria for obstructive sleep apnoea in adults include a history of symptoms such as snoring, witnessed apnoeas, unrefreshing sleep, waki...
What are the indications for referring a patient with sleep apnea for continuous positive airway pressure (CPAP) therapy?
Indications for referring a patient with sleep apnea for CPAP therapy include:Adults diagnosed with moderate or severe obstructi...
What lifestyle modifications can I recommend to patients with insomnia, and how effective are they compared to pharmacological treatments?
Lifestyle modifications recommended for patients with insomnia include:Establishing a consistent bedtime routine.Avoidi...