In which cases of upper GI bleeding should I consider urgent endoscopy for my patients?
22 Aug 2025View Answer →
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 recommended follow-up procedures after an OGD reveals esophagitis or gastric ulcers?
After an oesophagogastroduodenoscopy reveals oesophagitis, the recommended follow-up includes offering a full-dose proton pump inhibitor (PPI) for 8 weeks to...
22 Aug 2025View Answer →
How do I determine the appropriate timing for endoscopy in patients with dysphagia or odynophagia?
Determining the appropriate timing for endoscopy in patients presenting with dysphagia or odynophagia involves assessing the severity, duration, and ...
22 Aug 2025View Answer →
What are the key indications for referring a patient for an OGD in the context of upper GI symptoms?
Key indications for referring a patient for oesophagogastroduodenoscopy (OGD) in the context of upper gastrointestinal symptoms include:A...
22 Aug 2025View Answer →
What follow-up protocols should be implemented for patients treated for endometrial hyperplasia to monitor for progression or recurrence?
Follow-up protocols for patients treated for endometrial hyperplasia should include regular clinical assessment and endometrial sampling to monitor f...
22 Aug 2025View Answer →
Which imaging or diagnostic tests are recommended for evaluating thickened endometrial lining in postmenopausal women?
Recommended imaging and diagnostic tests for evaluating a thickened endometrial lining in postmenopausal women include:T...
22 Aug 2025View Answer →
What are the indications for referral to a specialist for patients with suspected endometrial hyperplasia?
Indications for referral to a specialist for patients with suspected endometrial hyperplasia include:Women with persistent inter...
22 Aug 2025View Answer →
How should I approach the management of a patient diagnosed with simple endometrial hyperplasia without atypia?
Management of simple endometrial hyperplasia without atypia primarily involves progestogen therapy to reverse the hyperplasia and reduce the risk of progress...
22 Aug 2025View Answer →
How can I effectively educate patients about the risks of alcohol withdrawal and the importance of seeking help?
Effectively educating patients about the risks of alcohol withdrawal and the importance of seeking medical help involves clear communication about th...
22 Aug 2025View Answer →
What monitoring protocols should be implemented for a patient at risk of developing delirium tremens during alcohol withdrawal?
Monitoring protocols for a patient at risk of developing delirium tremens during alcohol withdrawal should include:Admission to ...
22 Aug 2025View Answer →
What criteria should I use to determine whether a patient with alcohol withdrawal requires referral to secondary care?
Patients with alcohol withdrawal should be referred to secondary care if they have a history of withdrawal seizures or delirium tremens, or if they are asses...
22 Aug 2025View Answer →
How should I initiate pharmacological treatment for a patient experiencing mild to moderate alcohol withdrawal symptoms?
For mild to moderate alcohol withdrawal symptoms, consider offering pharmacotherapy with a benzodiazepine, such as diazepam or chlordiazepoxide, following a ...
22 Aug 2025View Answer →
What are the key clinical features to assess in a patient presenting with suspected alcohol withdrawal syndrome?
When assessing a patient with suspected alcohol withdrawal syndrome, key clinical features to evaluate include:Physical symptoms:...
22 Aug 2025View Answer →
What resources are available for supporting families during the bereavement process after a patient's death?
Resources available to support families during the bereavement process following a patient's death include:Professional bereavem...
22 Aug 2025View Answer →
How should I approach discussions about advance care planning with patients nearing the end of life?
Approach discussions about advance care planning (ACP) with sensitivity and respect for the patient's preferences. Recognise that some patie...
22 Aug 2025View Answer →
What are the indications for initiating a Do Not Attempt Resuscitation (DNAR) order in end of life care?
Indications for initiating a Do Not Attempt Resuscitation (DNAR) order in end-of-life care include recognition that a person is entering the...
22 Aug 2025View Answer →
How can I assess and manage pain effectively in patients during the last days of life?
Effective assessment and management of pain in patients during the last days of life involves several key steps. First, assess the patient's...
22 Aug 2025View Answer →
What are the key principles of end of life care that I should communicate to patients and their families?
Key principles of end-of-life care to communicate to patients and their families include:Involvement in decision-making:...
22 Aug 2025View Answer →
What follow-up care is necessary for patients treated for empyema to ensure resolution and prevent recurrence?
Follow-up care for patients treated for empyema should include clinical and radiological assessment to ensure resolution of infection and prevent rec...
22 Aug 2025View Answer →
When should I consider referring a patient with empyema to secondary care for further management?
Consider referring a patient with empyema to secondary care for further management if:There is clinical suspicion or confirmatio...
22 Aug 2025View Answer →