What are the current guidelines for referring a patient with confirmed adrenocortical carcinoma to a specialist for surgical management?
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.
How can I differentiate between benign adrenal adenomas and adrenocortical carcinoma based on imaging findings?
To differentiate between benign adrenal adenomas and adrenocortical carcinoma (ACC) on imaging, key features on CT and MRI are used. Benign adrenal adenomas ...
22 Aug 2025View Answer →
What initial investigations should I perform for a patient with suspected adrenal cancer presenting with symptoms such as abdominal pain or weight los
For a patient with suspected adrenal cancer presenting with symptoms such as abdominal pain or weight loss, initial investigations should include urgent imag...
22 Aug 2025View Answer →
How can I integrate counselling into the management of chronic physical health conditions in my practice?
Integrating counselling into the management and care of patients with chronic physical health conditions involves adopting a stepped-care ap...
22 Aug 2025View Answer →
What are the recommended follow-up protocols for patients who have undergone counselling in primary care?
Patients who have undergone counselling in primary care should have their progress assessed through a process tailored on a case-by-case basis within the pra...
22 Aug 2025View Answer →
What evidence-based counselling approaches should I consider for managing anxiety and depression in adults?
Evidence-based counselling approaches for managing anxiety and depression in adults include:Cognitive Behavioural Therap...
22 Aug 2025View Answer →
How can I effectively assess a patient's suitability for counselling as part of their treatment plan?
To effectively assess a patient's suitability for counselling as part of their treatment plan, begin with a comprehensive mental health assessment that estab...
22 Aug 2025View Answer →
What are the key indications for referring a patient to psychological therapies in primary care?
Key indications for referring a patient to psychological therapies in primary care include:Persistent subthreshold depressive sy...
22 Aug 2025View Answer →
What lifestyle modifications should I advise to patients at risk of corticosteroid-induced osteoporosis?
Advise patients at risk of corticosteroid-induced osteoporosis to adopt the following lifestyle modifications:Maintain adequate calcium a...
22 Aug 2025View Answer →
Which patients on corticosteroids should be referred for specialist assessment regarding osteoporosis management?
Patients receiving corticosteroid therapy who should be referred for specialist assessment regarding osteoporosis management include those with a hig...
22 Aug 2025View Answer →
What pharmacological options are available for the management of corticosteroid-induced osteoporosis, and when should they be initiated?
Pharmacological options for managing corticosteroid-induced osteoporosis include bisphosphonates and denosumab. Bisphosphonates are commonly...
22 Aug 2025View Answer →
How often should I monitor bone mineral density in patients on chronic corticosteroid treatment?
In patients receiving chronic corticosteroid treatment, bone mineral density (BMD) monitoring should be considered based on fracture risk assessment and clin...
22 Aug 2025View Answer →
What are the recommended strategies for preventing corticosteroid-induced osteoporosis in patients starting long-term steroid therapy?
To prevent corticosteroid-induced osteoporosis in patients starting long-term corticosteroid therapy, initial assessment of fracture risk is...
22 Aug 2025View Answer →
What are the common complications associated with corneal transplantation that I should monitor for in follow-up care?
Common complications following corneal transplantation that require monitoring during follow-up care include graft rejection, infection, elevated intraocular...
22 Aug 2025View Answer →
What pre-operative assessments are necessary for patients undergoing keratoplasty?
Pre-operative assessments for patients undergoing keratoplasty should include detailed corneal evaluation such as keratometry to measure corneal curvature an...
22 Aug 2025View Answer →
How should I manage a patient post-corneal transplant who presents with signs of graft rejection?
Management of a patient presenting with signs of corneal graft rejection following a transplant requires urgent and aggressive treatment to preserve graft cl...
22 Aug 2025View Answer →
What are the indications for referring a patient for corneal transplant evaluation in primary care?
In primary care, patients should be referred for corneal transplant evaluation when they present with significant corneal pathology causing visual impairment...
22 Aug 2025View Answer →
When should I consider referring a patient with Functional Neurological Disorder to a specialist for further evaluation or treatment?
Consider referring a patient with Functional Neurological Disorder (FND) to a specialist for further evaluation or treatment if they present with new...
22 Aug 2025View Answer →
What are the recommended management strategies for patients with Functional Neurological Disorder in a primary care setting?
In a primary care setting, the recommended management strategies for patients with Functional Neurological Disorder (FND) include:Recogni...
22 Aug 2025View Answer →
How can I effectively communicate the diagnosis of Functional Neurological Disorder to patients and their families?
Effectively communicating the diagnosis of Functional Neurological Disorder (FND) to patients and their families involves clear, empathetic, and supp...
22 Aug 2025View Answer →