When should I refer a patient with a history of drug hypersensitivity to a specialist for further evaluation?
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 management strategies should I consider for a patient experiencing an anaphylactic reaction to a medication?
Management strategies for a patient experiencing an anaphylactic reaction to a medication include:Immediate emergency treatment ...
22 Aug 2025View Answer →
How can I differentiate between a true drug allergy and an adverse drug reaction in my patients?
To differentiate between a true drug allergy and an adverse drug reaction (ADR), take a detailed history and perform a clinical examination,...
22 Aug 2025View Answer →
What are the key steps in assessing a patient with a suspected drug allergy in primary care?
When assessing a patient with a suspected drug allergy in primary care, the key steps are:Take a detailed history and perform a clinical ...
22 Aug 2025View Answer →
How can I effectively educate parents about drowning prevention strategies in children?
To effectively educate parents about drowning prevention strategies for children, provide tailored, age-appropriate, and culturally sensitive informa...
22 Aug 2025View Answer →
What are the immediate steps I should take in the emergency management of a patient who has experienced a drowning incident?
Immediate steps in the emergency management of a drowning patient begin with ensuring the safety of the rescuer and removing the patient fro...
22 Aug 2025View Answer →
What are the guidelines for managing patients with diabetes in relation to their driving privileges?
Clinical guidelines for managing patients with diabetes in relation to their driving privileges focus on ensuring safe blood glucose control to preve...
22 Aug 2025View Answer →
How should I assess a patient with a history of seizures regarding their ability to drive safely?
When assessing a patient with a history of seizures regarding their ability to drive safely, you should first take a detailed history of their seizures, incl...
22 Aug 2025View Answer →
What criteria should I use to decide when to refer a patient with dizziness for specialist assessment?
Refer immediately adults with sudden-onset dizziness and a focal neurological deficit such as vertical or rotatory nystagmus, new-onset unsteadiness or new-o...
22 Aug 2025View Answer →
How should I manage a patient with recurrent episodes of benign paroxysmal positional vertigo (BPPV)?
Management of a patient with recurrent benign paroxysmal positional vertigo (BPPV) should primarily involve repeated canalith repositioning maneuvers, such a...
22 Aug 2025View Answer →
Which initial investigations should be considered for a patient presenting with acute vertigo?
For a patient presenting with acute vertigo, initial investigations should include a clinical assessment to identify any focal neurological deficits such as ...
22 Aug 2025View Answer →
What are the key clinical features to differentiate between peripheral and central causes of dizziness?
Key clinical features to differentiate peripheral from central causes of dizziness include the nature of nystagmus, associated neurological signs, sy...
22 Aug 2025View Answer →
What criteria should I use to determine whether a patient with decompression sickness requires hyperbaric oxygen therapy?
Criteria for determining the need for hyperbaric oxygen therapy (HBOT) in decompression sickness (DCS) include the presence of clinical symptoms cons...
22 Aug 2025View Answer →
What role does trauma history play in the management of dissociative disorders in primary care?
Role of Trauma History in Managing Dissociative Disorders in Primary CareIn primary care settings, taking a detailed trauma history i...
22 Aug 2025View Answer →
When should I consider referring a patient with dissociative symptoms to a specialist mental health service?
Consider referring a patient with dissociative symptoms to a specialist mental health service when:They present with clinically ...
22 Aug 2025View Answer →
What are the recommended first-line treatment options for patients diagnosed with depersonalisation disorder?
Recommended first-line treatment options for depersonalisation disorder:There are no specific UK NICE guidelines provided in the supp...
22 Aug 2025View Answer →
What are the key diagnostic criteria for dissociative identity disorder according to the DSM-5?
The key diagnostic criteria for Dissociative Identity Disorder (DID) according to the DSM-5 include:Presence of two or m...
22 Aug 2025View Answer →
What are the long-term management strategies for patients with Alagille Syndrome to monitor liver and cardiac complications?
Long-term management strategies for patients with Alagille syndrome to monitor liver and cardiac complications include:L...
22 Aug 2025View Answer →
What are the indications for referring a patient with Alagille Syndrome to a specialist for further management?
Indications for referring a patient with Alagille syndrome to a specialist for further management include:Presence of significan...
22 Aug 2025View Answer →
What genetic tests are recommended for confirming a diagnosis of Alagille Syndrome in a patient with suspected symptoms?
Genetic testing for confirming a diagnosis of Alagille syndrome primarily involves sequencing and deletion/duplication analysis of the JAG1 gene, whi...
22 Aug 2025View Answer →