clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
When should I refer a patient with sexual dysfunction to a specialist for further evaluation?
Refer a patient with sexual dysfunction to a specialist for further evaluation if:There are persistent or unexplained symptoms t...
What are the recommended pharmacological treatments for female sexual arousal disorder?
Recommended pharmacological treatments for female sexual arousal disorder (FSAD) primarily focus on addressing underlying physiological and hormonal ...
What initial assessments should I perform for a female patient presenting with sexual dysfunction?
For a female patient presenting with sexual dysfunction, the initial assessment should begin with a comprehensive history taking that includes current and pa...
What are the potential drug interactions that could lead to serotonin syndrome that I should be aware of in my prescribing practices?
When prescribing medications, be vigilant about drug interactions that increase the risk of serotonin syndrome, a potentially life-threatening condition caus...
When should I consider referring a patient with serotonin syndrome to secondary care?
Consider referring a patient with serotonin syndrome to secondary care if they present with moderate to severe symptoms, including marked autonomic i...
How should I differentiate between serotonin syndrome and other similar conditions, such as neuroleptic malignant syndrome?
To differentiate serotonin syndrome (SS) from neuroleptic malignant syndrome (NMS) and other similar conditions, focus on the clinical features, onse...
What lifestyle modifications can I suggest to patients to help alleviate symptoms of SAD?
Lifestyle modifications to suggest for patients with seasonal affective disorder (SAD) include:Encouraging regular physical acti...
When should I consider referring a patient with SAD to a mental health specialist?
Consider referring a patient with seasonal affective disorder (SAD) to a mental health specialist if:They have more severe depre...
What are the recommended follow-up protocols for patients diagnosed with SAD after initial treatment?
For patients diagnosed with seasonal affective disorder (SAD) after initial treatment, the recommended follow-up protocols include active monitoring...
How effective is light therapy compared to pharmacological treatments for managing SAD?
Light therapy's effectiveness for managing seasonal affective disorder (SAD) is considered uncertain according to UK clinical guidelines, which advis...
What are the key diagnostic criteria for Seasonal Affective Disorder (SAD) in adults?
The key diagnostic criteria for Seasonal Affective Disorder (SAD) in adults include the presence of a recurrent major depressive episode that occurs ...
What is the recommended dietary intake of vitamin C for different age groups and populations at risk of deficiency?
Recommended dietary intake of vitamin C varies by age and risk factors:Infants and young children: For infants ...
What are the key clinical features to consider when diagnosing scurvy in adults?
Key clinical features to consider when diagnosing scurvy in adults include:General symptoms such as fatigue, malaise, and irrita...
What initial investigations should be performed for a patient presenting with a painless scrotal lump?
Initial investigations for a patient presenting with a painless scrotal lump should include a direct access ultrasound scan of the scrotum. ...
What are the referral criteria for a patient with a scrotal mass that has changed in size or character over the past month?
Referral criteria for a patient presenting with a scrotal mass that has changed in size or character over the past month:Conside...
Which imaging modalities are recommended for further evaluation of a scrotal lump when malignancy is suspected?
Recommended imaging modality for further evaluation of a scrotal lump when malignancy is suspected is a direct access ultrasound scan. Ultra...
What follow-up actions are required if a patient receives an abnormal result from a screening test?
Follow-up actions for abnormal screening test results include:Ensure the results are reviewed and acted upon appropriately by th...
How should I manage a patient who declines participation in a national cancer screening programme?
If a patient declines to participate in a national cancer screening programme, respect their right to make an informed decision about their ...
What are the key components of antenatal screening that I should discuss with expectant mothers during their first visit?
During the first antenatal (booking) visit, you should discuss and offer the following key antenatal screening components with expectant mothers:...