How should I manage symptoms such as headache or seizures in a patient diagnosed with metastatic brain cancer?
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 current guidelines for referring patients with suspected metastatic brain tumours to secondary care?
Refer patients with suspected brain metastases for initial diagnostic imaging with a standard structural MRI, unless contraindicated, to confirm the diagnosi...
22 Aug 2025View Answer →
Which imaging modalities are recommended for the initial assessment of suspected metastatic brain tumours in primary care?
Offer standard structural MRI (defined as T2 weighted, FLAIR, DWI series and T1 pre- and post-contrast volume) as the initial diagnostic test for suspected b...
22 Aug 2025View Answer →
What are the key clinical features that suggest a diagnosis of metastatic brain tumours in a patient with a known primary cancer?
Key clinical features suggesting metastatic brain tumours in a patient with known primary cancer include new or changing neurological symptoms or sig...
22 Aug 2025View Answer →
What are the common complications of traumatic brain injury that I should monitor for in my patients?
Common complications of traumatic brain injury (TBI) to monitor in patients include:Neurological deterioration: Watch for a decr...
22 Aug 2025View Answer →
When should I consider referring a patient with TBI to a specialist for further evaluation or management?
Consider referring a patient with traumatic brain injury to a specialist for further evaluation or management if any of the following are present:...
22 Aug 2025View Answer →
What are the recommended guidelines for the follow-up and rehabilitation of patients after a mild traumatic brain injury?
Follow-up and rehabilitation after mild traumatic brain injury (mTBI) should include:Providing age-appropriate printed and verba...
22 Aug 2025View Answer →
How should I assess the severity of a traumatic brain injury in a primary care setting?
In a primary care setting, the severity of a traumatic brain injury (TBI) should be assessed initially using the Glasgow Coma Scale (GCS), which evaluates ey...
22 Aug 2025View Answer →
What are the key clinical signs that indicate a need for immediate imaging in a patient with suspected traumatic brain injury?
Key clinical signs indicating the need for immediate CT imaging in a patient with suspected traumatic brain injury include:A Gla...
22 Aug 2025View Answer →
What follow-up care is necessary for patients treated for a brain abscess to monitor for complications?
Follow-up care for patients treated for a brain abscess should include a comprehensive plan to monitor for potential neurological and cognitive complications...
22 Aug 2025View Answer →
When should I consider referring a patient with a suspected brain abscess to a specialist?
Consider referring a patient with a suspected brain abscess to a specialist urgently if there are signs of raised intracranial pressure or neurologic...
22 Aug 2025View Answer →
What are the recommended antibiotic regimens for managing a brain abscess in adults?
Recommended antibiotic regimens for managing a brain abscess in adult patients:Initial empirical treatment typically involves hi...
22 Aug 2025View Answer →
Which imaging modalities are most effective for diagnosing a brain abscess in primary care settings?
In primary care settings, the most effective initial imaging modality for suspected brain abscess is a contrast-enhanced computed tomography (CT) sca...
22 Aug 2025View Answer →
What are the current guidelines for the rehabilitation of patients with brachial plexus injuries in primary care?
Rehabilitation management of patients with brachial plexus injuries in primary care should follow these key principles:Be vigila...
22 Aug 2025View Answer →
When should I consider referring a patient with obstetric brachial plexus injury to a specialist for further management?
Consider referring a patient with obstetric brachial plexus injury to a specialist for further management if:There are no signs ...
22 Aug 2025View Answer →
What imaging modalities are recommended for evaluating brachial plexus injuries in adults and children?
For evaluating brachial plexus injuries in both adults and children, MRI is the recommended imaging modality due to its superior ability to ...
22 Aug 2025View Answer →
What are the key clinical features to assess in a patient with suspected traumatic brachial plexus injury?
In a patient with suspected traumatic brachial plexus injury, the key clinical features to assess include:Peripheral nerve function:...
22 Aug 2025View Answer →
Are there any specific risk factors I should consider when assessing a patient for Bowen's disease?
When assessing a patient for Bowen's disease, key risk factors to consider include chronic ultraviolet (UV) radiation exposure, immunosuppression, an...
22 Aug 2025View Answer →
What follow-up protocols should I implement for patients treated for Bowen's disease?
Follow-up protocols for patients treated for Bowen's disease should include regular clinical skin examinations to monitor for recurrence or ...
22 Aug 2025View Answer →
What criteria should I use to decide whether to refer a patient with Bowen's disease to a dermatologist?
Criteria for referral of a patient with Bowen's disease to a dermatologist:Consider referral if the lesion raises suspicion of s...
22 Aug 2025View Answer →