clinical q&a library
Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.
What is the role of genetic testing in the management of inherited metabolic disorders in primary care?
Role of Genetic Testing in Inherited Metabolic Disorders within Primary CareGenetic testing plays a crucial role in the diagnosis and...
What are the key biochemical markers for diagnosing diabetes mellitus, and how should they be monitored in primary care?
Key biochemical markers for diagnosing diabetes mellitus include glycated haemoglobin (HbA1c), fasting plasma glucose, and oral glucose tole...
What biochemical tests should be prioritized in the evaluation of a patient with suspected thyroid dysfunction?
Prioritized biochemical tests for suspected thyroid dysfunction:Measure thyroid-stimulating hormone (TSH) alone initially in adu...
What role do psychological therapies play in the management of binge eating disorder, and which should I recommend?
Psychological therapies play a central role in the management of binge eating disorder, focusing on addressing psychological factors rather than weight loss ...
When should I consider referring a patient with binge eating disorder to a specialist for further management?
Consider referring a patient with binge eating disorder to a specialist for further management if:Initial guided self-help treat...
What first-line treatment options are recommended for adults with binge eating disorder in primary care?
Offer a binge-eating-disorder-focused guided self-help programme to adults with binge eating disorder, which uses cognitive behavioural self-help materials a...
How can I effectively assess the severity of binge eating disorder in my patients?
To effectively assess the severity of binge eating disorder (BED) in your patients, begin with a comprehensive clinical evaluation that includes both physica...
What are the key diagnostic criteria for binge eating disorder according to the DSM-5?
The key diagnostic criteria for binge eating disorder (BED) according to the DSM-5 include:Recurrent episodes of binge e...
How can I effectively monitor and manage the nutritional needs of an infant with biliary atresia post-surgery?
Effective monitoring and management of the nutritional needs of an infant with biliary atresia following surgery involves a multidisciplinary approach tailor...
What are the recommended management strategies for a neonate diagnosed with biliary atresia?
Recommended management strategies for a neonate diagnosed with biliary atresia focus on early diagnosis and prompt surgical intervention to ...
At what age should a neonate with suspected biliary atresia be referred to a specialist for further evaluation and potential surgical intervention?
Neonates with suspected biliary atresia should be referred to a specialist urgently, ideally within the first 2 weeks of life, for further evaluation...
Which initial investigations should be performed to differentiate biliary atresia from other causes of neonatal cholestasis?
To differentiate biliary atresia from other causes of neonatal cholestasis, initial investigations should include:Measurement of conjugated (dire...
What are the key clinical signs and symptoms that suggest biliary atresia in a neonate with cholestasis?
Key clinical signs and symptoms suggesting biliary atresia in a neonate presenting with cholestasis include:Persistent c...
How should I manage recurrent Bartholin's cysts in a patient who has already undergone incision and drainage?
Appropriate management for recurrent Bartholin's cysts after prior incision and drainage involves marsupialization as the preferred next step....
What are the common complications associated with untreated scaphoid fractures, and how can they be prevented?
Common complications of untreated scaphoid fractures include non-union, avascular necrosis, chronic pain, decreased wrist function, and pote...
What are the indications for referring a patient with a wrist fracture to secondary care for surgical intervention?
Refer a patient with a wrist fracture to secondary care for surgical intervention if the fracture is dorsally displaced and surgical fixation is indicated. S...
How should I manage a patient with a confirmed distal radius fracture in terms of immobilization and follow-up care?
For a patient with a confirmed distal radius fracture, immobilization typically involves manipulation and application of a plaster cast, esp...
What role do comorbidities play in the management of chronic wounds in primary care?
Comorbidities play a critical role in the management of chronic wounds in primary care by influencing both the assessment and treatment strategies. Chronic w...
How should I manage pain and infection in patients with chronic wounds?
Management of pain and infection in patients with chronic wounds involves a multifaceted approach tailored to the wound type and clinical si...