What initial investigations should I perform for a patient presenting with unexplained bleeding and suspected acquired coagulopathy?
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 latest recommendations for the management of type 2 diabetes with pharmacological agents in primary care?
For pharmacological management of type 2 diabetes in primary care, NICE recommends starting with standard-release metformin as first-line treatment for adult...
22 Aug 2025View Answer →
Which patients should be considered for anticoagulation therapy in the context of atrial fibrillation, and what factors influence this decision?
Patients with atrial fibrillation should be considered for anticoagulation therapy if they have one or more risk factors such as previous stroke, transient i...
22 Aug 2025View Answer →
What are the recommended guidelines for the use of antibiotics in the treatment of urinary tract infections in primary care?
Recommended guidelines for antibiotic use in urinary tract infections (UTIs) in primary care:Antibiotics should be prescribed fo...
22 Aug 2025View Answer →
How can I effectively manage polypharmacy in patients with multiple chronic conditions?
Effective management of polypharmacy in patients with multiple chronic conditions involves a personalised, structured approach that takes into account the in...
22 Aug 2025View Answer →
What are the key pharmacological considerations when prescribing antihypertensive medications in elderly patients?
When prescribing antihypertensive medications to elderly patients, key pharmacological considerations include careful drug selection, dose titration, monitor...
22 Aug 2025View Answer →
How do I engage my practice team in the clinical audit process to ensure comprehensive participation?
To effectively engage your practice team in the clinical audit process and ensure comprehensive participation, consider the following strategies:...
22 Aug 2025View Answer →
How can I effectively measure the outcomes of a clinical audit to ensure quality improvement?
To effectively measure the outcomes of a clinical audit and ensure quality improvement, it is essential to establish clear, measurable standards at t...
22 Aug 2025View Answer →
How can I support the nutritional needs of infants with cleft lip and palate during feeding?
Supporting the nutritional needs of infants with cleft lip and palate during feeding involves a multidisciplinary approach and tailored feeding suppo...
22 Aug 2025View Answer →
How can I identify the signs of associated syndromes in a newborn with cleft lip and palate?
To identify signs of associated syndromes in a newborn presenting with cleft lip and palate, a thorough physical assessment is essential, focusing on dysmorp...
22 Aug 2025View Answer →
What are the key components of a multidisciplinary approach to managing a child with cleft lip and palate?
Managing a child with cleft lip and palate requires a multidisciplinary team (MDT) approach that integrates surgical, medical, developmental...
22 Aug 2025View Answer →
What are the key dietary recommendations for patients with CKD-MBD to help manage their condition?
Key dietary recommendations for patients with CKD-MBD include:A specialist renal dietitian should perform a dietary assessment a...
22 Aug 2025View Answer →
How can I effectively monitor bone mineral density in patients with CKD-MBD, and what are the indications for treatment based on these results?
Monitoring bone mineral density (BMD) in patients with CKD-MBD: Routine measurement of calcium, phosphate, parathyroid hormone (PTH), and vi...
22 Aug 2025View Answer →
What role do vitamin D supplements play in the management of CKD-MBD, and what are the guidelines for their use in different stages of CKD?
Role of Vitamin D Supplements in CKD-MBD Management: Vitamin D supplements are used primarily to treat vitamin D deficiency in people with c...
22 Aug 2025View Answer →
How should I manage elevated phosphate levels in a patient with CKD-MBD, and when should I consider referral to a specialist?
Management of elevated phosphate levels in CKD-MBD:Start with dietary phosphate management tailored by a specialist renal dietit...
22 Aug 2025View Answer →
What are the recommended screening protocols for CKD-MBD in patients with stage 3 or higher chronic kidney disease?
Recommended screening protocols for CKD-MBD in patients with stage 3 or higher CKD:Do not routinely measure serum calcium, phosp...
22 Aug 2025View Answer →
How can I effectively support a patient in recovery from substance use disorder during their follow-up appointments?
To effectively support a patient in recovery from substance use disorder during follow-up appointments, it is essential to establish and maintain a respectfu...
22 Aug 2025View Answer →
What are the key components of a brief intervention for patients with risky alcohol consumption?
Key components of a brief intervention for patients with risky alcohol consumption include:Use of a recognised, evidence-based r...
22 Aug 2025View Answer →
What criteria should I use to determine when to refer a patient with alcohol use disorder to specialist addiction services?
Consider referring a patient with alcohol use disorder to specialist addiction services if they show signs of moderate or severe alcohol dependence 1...
22 Aug 2025View Answer →
How should I approach the management of a patient presenting with opioid dependence in a primary care environment?
Approach to managing opioid dependence in primary care:Engage the patient in informed decision-making: Provide ...
22 Aug 2025View Answer →