clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
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...
What are the current trends in the epidemiology of diabetes in the UK, and how should they influence my screening practices?
Current trends in the epidemiology of diabetes in the UK show an increasing prevalence of type 2 diabetes, driven by factors such as rising ...
How can I effectively use epidemiological data to inform vaccination strategies in my practice?
To effectively utilize epidemiological data to inform vaccination strategies in your clinical practice, use local and national vaccine uptake data to...
What are the key epidemiological factors to consider when assessing the risk of cardiovascular disease in my patient population?
When assessing the risk of cardiovascular disease (CVD) in your patient population, key epidemiological factors to consider include age, sex, ethnicity, soci...
What are the recommended treatment options for managing ABPA in patients with asthma or cystic fibrosis?
Management of allergic bronchopulmonary aspergillosis (ABPA) in patients with asthma or cystic fibrosis primarily involves the use of corticosteroids to cont...
When should I consider referring a patient with suspected ABPA to a specialist for further evaluation?
Consider referring a patient with suspected allergic bronchopulmonary aspergillosis (ABPA) to a respiratory specialist for further evaluation when th...
How should I approach the management of a patient with cystic fibrosis who develops symptoms suggestive of ABPA?
For a patient with cystic fibrosis who develops symptoms suggestive of allergic bronchopulmonary aspergillosis (ABPA), first assess for elevated aspergillus ...
What are the key diagnostic criteria for Allergic Bronchopulmonary Aspergillosis (ABPA) in patients with asthma?
Allergic Bronchopulmonary Aspergillosis (ABPA) in patients with asthma is diagnosed based on a combination of clinical, immunological, and radiological crite...
How can I differentiate between allergic and non-allergic causes of eosinophilia in my patients?
To differentiate between allergic and non-allergic causes of eosinophilia in patients, start with a detailed clinical history focusing on exposure to known a...
What initial tests should be conducted to determine the underlying cause of eosinophilia in adults?
Initial investigations for eosinophilia in adults should focus on identifying common and treatable causes, integrating clinical history and targeted ...
When is it appropriate to refer a patient with eosinophilia for further specialist evaluation?
Referral for specialist evaluation in patients with eosinophilia is appropriate when there is suspicion of an underlying serious condition such as ha...
What role do alarm therapy and pharmacological treatments play in the management of nocturnal enuresis?
Alarm therapy is considered the first-line treatment for children and young people whose bedwetting has not responded to advice on fluids, toileting,...
When should I consider referring a child with enuresis to a specialist for further evaluation?
Consider referring a child with enuresis to a specialist for further evaluation if any of the following apply:There are severe d...
What lifestyle modifications should I advise parents to implement for managing their child's enuresis?
Advise children and young people with bedwetting and their parents or carers that: adequate daily fluid intake is important in the managemen...