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 determine when to refer a patient with ARDS to secondary care?
Criteria for referral of a patient with acute respiratory distress syndrome (ARDS) to secondary care include:Presence of severe ...
How should I approach the initial management of a patient with suspected ARDS in a primary care setting?
Initial management of a patient with suspected acute respiratory distress syndrome (ARDS) in a primary care setting involves urgent recognition and p...
Which imaging modalities are recommended for confirming a diagnosis of Chiari malformation in primary care?
Magnetic Resonance Imaging (MRI) is the recommended imaging modality for confirming a diagnosis of Chiari malformation in primary care due t...
What are the key clinical features that suggest a diagnosis of Chiari malformation in a patient presenting with headache?
Key clinical features suggesting Chiari malformation in a patient presenting with headache include:Headache that is typically oc...
What is the role of thyroid function tests in the assessment of patients with unexplained symptoms?
Thyroid function tests play a key role in the assessment of patients presenting with unexplained symptoms by helping to identify or exclude thyroid d...
When should I refer a patient for specialist evaluation based on their biochemical results?
Refer patients for specialist evaluation based on biochemical results in the following scenarios:If serum CA125 is 35 IU/ml or g...
What are the key biochemical markers for diagnosing diabetes mellitus in primary care?
Key biochemical markers used for diagnosing diabetes mellitus in primary care include:Glycated haemoglobin (HbA1c) level of 48 m...
How can I interpret abnormal liver function tests in the context of potential liver disease?
Interpreting abnormal liver function tests (LFTs) in the context of potential liver disease requires a systematic approach that considers the pattern of enzy...
What biochemical tests should I consider for a patient presenting with unexplained fatigue and weight loss?
For a patient presenting with unexplained fatigue and weight loss, the following biochemical tests should be considered in primary care:Full bloo...
What are the long-term management strategies to prevent recurrence of Charcot foot in diabetic patients?
Long-term management strategies to prevent recurrence of Charcot foot in patients with diabetes include:Regular care by ...
When should I refer a patient with Charcot foot to a specialist for further management?
Refer a patient with suspected acute Charcot arthropathy to a specialist multidisciplinary foot care service within 1 working day for triage within 1...
What investigations are recommended to confirm the diagnosis of Charcot foot in diabetic patients?
Recommended investigations to confirm the diagnosis of Charcot foot in diabetic patients include:Arrange a weight-bearing X-ray ...
How should I approach the management of a patient with Charcot foot, including offloading strategies?
Management of a patient with Charcot foot involves prompt recognition, diagnosis, and offloading to prevent progression and deformity....
What are the key clinical features to consider when diagnosing Charcot foot in a patient with diabetes?
When diagnosing Charcot foot in a patient with diabetes, the key clinical features to consider include redness, warmth, swelling, and deformity of the foot, ...
Which serological tests are recommended for confirming a diagnosis of Chagas disease in primary care settings?
In primary care settings, the confirmation of a diagnosis of Chagas disease relies primarily on serological testing using at least two different assays based...
What are the potential complications of CVST that I should monitor for in my patients during follow-up?
Cerebral venous sinus thrombosis (CVST) can lead to several potential complications that require careful monitoring during follow-up. Key complications inclu...
When should I refer a patient with suspected CVST to secondary care, and what information should I provide to facilitate their assessment?
When to refer: Refer a patient with suspected cerebral venous sinus thrombosis (CVST) urgently to secondary care for specialist assessment a...
What initial management steps should I take for a patient diagnosed with CVST, including anticoagulation considerations?
Initial management of a patient diagnosed with cerebral venous sinus thrombosis (CVST) involves prompt initiation of full-dose anticoagulation therapy, even ...
Which imaging modalities are recommended for the diagnosis of CVST, and how should I interpret the results?
Recommended imaging modalities for diagnosing cerebral venous sinus thrombosis (CVST) include magnetic resonance imaging (MRI) combined with magnetic...