What lifestyle modifications or preventive strategies should I advise to patients with recurrent episodes of CPPD?
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 investigations should be performed to confirm a diagnosis of CPPD in a patient with suspected pseudogout?
Investigations to confirm calcium pyrophosphate deposition disease (CPPD) in suspected pseudogout include:Synovial fluid...
22 Aug 2025View Answer →
How can I differentiate between CPPD and other forms of arthritis in a patient presenting with joint pain and swelling?
To differentiate calcium pyrophosphate deposition disease (CPPD) from other forms of arthritis in a patient presenting with joint pain and swelling, ...
22 Aug 2025View Answer →
What are the recommended first-line treatments for managing acute attacks of calcium pyrophosphate deposition disease (CPPD)?
First-line treatments for managing acute attacks of calcium pyrophosphate deposition disease (CPPD) include non-steroidal anti-inflammatory ...
22 Aug 2025View Answer →
What are the current guidelines for the management of Budd-Chiari syndrome, including anticoagulation therapy?
Management of Budd-Chiari Syndrome (BCS) involves anticoagulation therapy as a key component to prevent thrombotic progression and manage venous outf...
22 Aug 2025View Answer →
When should I consider referring a patient with Budd-Chiari syndrome to a specialist for further management?
Consider referring a patient with Budd-Chiari syndrome to a specialist immediately if they present with signs of decompensated liver disease, such as...
22 Aug 2025View Answer →
Which imaging modalities are recommended for the diagnosis of hepatic vein obstruction in suspected Budd-Chiari syndrome?
Imaging modalities recommended for diagnosing hepatic vein obstruction in suspected Budd-Chiari syndrome primarily include Doppler ultrasound as the ...
22 Aug 2025View Answer →
What are the key clinical features that suggest a diagnosis of Budd-Chiari syndrome in a patient presenting with abdominal pain and ascites?
Key clinical features suggesting Budd-Chiari syndrome in a patient with abdominal pain and ascites include:Sudden onset or progr...
22 Aug 2025View Answer →
What pre-procedural assessments are necessary for patients undergoing bronchoscopy?
Before bronchoscopy, patients should undergo a thorough clinical assessment including a detailed history and physical examination to evaluate respiratory and...
22 Aug 2025View Answer →
In what scenarios should I consider bronchoscopy for patients with suspected lung cancer?
Bronchoscopy should be considered in patients with suspected lung cancer primarily when there is a central lesion identified on CT imaging, especially if nod...
22 Aug 2025View Answer →
How can I differentiate between patients who require bronchoscopy and those who can be managed with non-invasive investigations?
To differentiate between patients who require bronchoscopy and those who can be managed with non-invasive investigations, consider the following approach:...
22 Aug 2025View Answer →
What are the key indications for referring a patient for bronchoscopy in primary care?
Key indications for referring a patient for bronchoscopy in primary care include:Persistent or recurrent chest infection...
22 Aug 2025View Answer →
What follow-up care is recommended for a patient who has undergone ECV for a breech presentation?
After a patient undergoes external cephalic version (ECV) for a breech presentation, follow-up care should include continued antenatal monitoring to assess f...
22 Aug 2025View Answer →
What criteria should I use to determine whether to refer a patient with a breech presentation to a specialist obstetrician?
Refer a patient with a breech presentation to a specialist obstetrician if the breech presentation is confirmed after 36+0 weeks of a singleton pregnancy to ...
22 Aug 2025View Answer →
How should I counsel a patient with a breech presentation regarding the risks and benefits of vaginal delivery versus cesarean section?
When counselling a patient with a breech presentation about the risks and benefits of vaginal delivery compared to cesarean section, first discuss al...
22 Aug 2025View Answer →
What are the recommended delivery options for a term breech presentation, and how do they differ based on maternal and fetal factors?
For a term singleton pregnancy with breech presentation confirmed after 36+0 weeks, the recommended delivery options include external cephalic version (ECV),...
22 Aug 2025View Answer →
What are the current guidelines for external cephalic version (ECV) in term breech presentations?
For women with an uncomplicated singleton pregnancy and a confirmed breech presentation after 36+0 weeks, current UK clinical guidelines recommend offering e...
22 Aug 2025View Answer →
When should I consider referring a patient with a breast cyst for further evaluation?
Consider referring a patient with a breast cyst for further evaluation if the breast lump is unexplained and the patient is aged 30 or over....
22 Aug 2025View Answer →
What is the recommended follow-up protocol for patients diagnosed with a fibroadenoma?
Recommended follow-up protocol for patients diagnosed with a fibroadenoma:Fibroadenomas are benign breast lesions, and the usual mana...
22 Aug 2025View Answer →
How should I approach the investigation of a palpable breast lump in a premenopausal woman?
Approach to investigation of a palpable breast lump in a premenopausal woman:For women under 30 years presenting with an unexpla...
22 Aug 2025View Answer →