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 refer a patient with diabetic neuropathy for specialist assessment?
Referral criteria for specialist assessment in patients with diabetic neuropathy include:Referral for chronic painful diabetic n...
How should I manage a patient with diabetic neuropathy who is experiencing significant pain despite standard treatment?
For a patient with diabetic neuropathy experiencing significant pain despite standard treatment, first ensure a comprehensive clinical review...
What are the recommended screening protocols for diabetic neuropathy in patients with type 1 and type 2 diabetes?
For patients with type 1 and type 2 diabetes, screening for diabetic neuropathy should begin at diagnosis for type 2 diabetes and from 5 years after ...
When should I consider referring a patient for advanced airway management in a primary care environment?
In a primary care setting, you should consider referring a patient for advanced airway management when they are unable to maintain their airway or ventilatio...
What guidelines should I follow for the safe use of oropharyngeal and nasopharyngeal airways?
Guidelines for the safe use of oropharyngeal and nasopharyngeal airways are not explicitly detailed in the provided UK guideline excerpts. H...
How can I assess the need for advanced airway support in a patient presenting with respiratory distress?
To assess the need for advanced airway support in a patient presenting with respiratory distress, begin with a thorough clinical evaluation focusing on sympt...
What are the recommended techniques for basic airway management in adults in a primary care setting?
Recommended techniques for basic airway management in adults within a primary care setting focus on ensuring airway patency and effective ve...
How often should patients with diabetes be screened for foot complications in primary care?
Patients with diabetes should be screened for foot complications at diagnosis and at least annually thereafter in primary care. This include...
What are the recommended treatment options for Charcot foot in diabetic patients?
Treatment options for Charcot foot in diabetic patients include:Immediate non-weight-bearing treatment until definitive manageme...
What are the indications for referring a patient with a diabetic foot ulcer to a specialist?
If a person has a limb-threatening or life-threatening diabetic foot problem, refer them immediately to acute services and inform the multidisciplinary foot ...
How can I effectively educate my diabetic patients on foot care to prevent ulcers?
Effective education for diabetic patients on foot care to prevent ulcers should include both oral and written information. This education mu...
What are the key components of a diabetic foot assessment in primary care?
Examine both feet by removing shoes, socks, bandages, and dressings. Look for evidence of neuropathy, limb ischaemia, ulceration, callus, in...
What are the current guidelines for the management and treatment options for patients diagnosed with diabetic amyotrophy?
Management and treatment of diabetic amyotrophy primarily focus on symptomatic relief, glycaemic control, and supportive care, as there are ...
What are the key clinical features to consider when diagnosing diabetic amyotrophy in a patient with diabetes?
Key clinical features to consider when diagnosing diabetic amyotrophy in a patient with diabetes include:Onset and patte...
Which psychological conditions are most prevalent in aviation personnel, and how should they be managed?
Prevalent Psychological Conditions Among Aviation PersonnelThe most common psychological conditions affecting aviation personnel incl...
How can I effectively educate parents about the management of common childhood skin infections, such as impetigo?
Educating parents about managing common childhood skin infections such as impetigo involves clear communication on recognising symptoms, infection co...
What are the common side effects of topical corticosteroids in children, and how can I mitigate them?
Common side effects of topical corticosteroids in children include irreversible skin atrophy and striae, particularly with continuous use of...
When should I consider referring a child with suspected psoriasis to a dermatologist?
Consider referring a child with suspected psoriasis to a dermatologist if:The diagnosis is uncertain or unclear after initial as...
What first-line treatments are recommended for managing eczema flare-ups in paediatric patients?
The recommended first-line treatments for managing eczema flare-ups in paediatric patients are:Emollients should always be used,...