What are the indications for referral to a specialist for chronic wound management?
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.
How can I determine the appropriate dressing for a chronic wound based on its characteristics?
To determine the appropriate dressing for a chronic wound, first assess the wound's characteristics including exudate level, presence of infection, tissue ty...
22 Aug 2025View Answer →
What are the key principles of assessing a chronic wound in primary care?
Key principles of assessing a chronic wound in primary care include:Comprehensive wound assessment: Document th...
22 Aug 2025View Answer →
What are the best practices for wound dressing selection and application in acute wound management?
Best practices for selecting and applying wound dressings in the management of acute wounds focus on promoting a warm, moist healing environment while avoidi...
22 Aug 2025View Answer →
What criteria should I use to determine whether a patient with an acute wound requires referral to secondary care?
Patients with acute wounds should be referred to secondary care if they exhibit any of the following criteria:Presence of wound complicat...
22 Aug 2025View Answer →
How should I manage a clean, minor abrasion in a child to prevent infection and promote healing?
Management of a minor, clean abrasion in a child to prevent infection and promote healing involves the following steps:C...
22 Aug 2025View Answer →
What are the key clinical features to consider when diagnosing West Nile Virus in a patient presenting with febrile illness?
When diagnosing West Nile Virus (WNV) in a patient presenting with a febrile illness, key clinical features to consider include an acute onset of fever accom...
22 Aug 2025View Answer →
In which clinical scenarios should I consider referring a patient with suspected Wernicke's encephalopathy to a specialist?
Consider referring a patient with suspected Wernicke's encephalopathy to a specialist in the following clinical scenarios:If the...
22 Aug 2025View Answer →
What investigations are recommended to confirm thiamine deficiency in a patient with neurological symptoms?
Recommended investigations to confirm thiamine deficiency in a patient presenting with neurological symptoms:There are no specific bl...
22 Aug 2025View Answer →
How should I initiate thiamine replacement therapy in a patient suspected of having Wernicke's encephalopathy?
Initiate thiamine replacement therapy in suspected Wernicke's encephalopathy by offering parenteral thiamine immediately. This should be giv...
22 Aug 2025View Answer →
How can I address psychological factors that may impact a patient's ability to maintain a healthy weight?
Addressing psychological factors impacting a patient's ability to maintain a healthy weight involves a holistic, sensitive, and individualized approa...
22 Aug 2025View Answer →
Which pharmacological options are available for weight management in adults, and what are their indications?
Pharmacological options for weight management in adults primarily include orlistat, which is licensed for use in adults with a BMI of 28 or higher when used ...
22 Aug 2025View Answer →
What are the referral criteria for patients who may benefit from specialist weight management services?
Offer a higher level of intervention, such as referral to specialist overweight and obesity management services, for example, complications from excess weigh...
22 Aug 2025View Answer →
How can I effectively assess and monitor the progress of patients enrolled in a weight management program?
Effective assessment and monitoring of patients in a weight management program involves several key steps:Initial assess...
22 Aug 2025View Answer →
What evidence-based lifestyle interventions should I recommend for patients struggling with weight maintenance?
Recommended evidence-based lifestyle interventions for patients struggling with weight maintenance include:Encourage a balanced,...
22 Aug 2025View Answer →
How can I differentiate Waldenström's Macroglobulinaemia from other causes of elevated IgM levels in a patient?
To differentiate Waldenström's macroglobulinaemia (WM) from other causes of elevated immunoglobulin M (IgM) levels, a combination of clinical, labora...
22 Aug 2025View Answer →
What are the recommended monitoring protocols for patients diagnosed with Waldenström's Macroglobulinaemia after initial treatment?
Recommended monitoring protocols for patients diagnosed with Waldenström's macroglobulinaemia following initial treatment:There are n...
22 Aug 2025View Answer →
What criteria should I use to determine when to refer a patient with suspected Waldenström's Macroglobulinaemia to a haematologist?
Refer a patient with suspected Waldenström's macroglobulinaemia to a haematologist if they present with unexplained lymphadenopathy or splenomegaly a...
22 Aug 2025View Answer →
What are the key clinical features and laboratory findings that suggest a diagnosis of Waldenström's Macroglobulinaemia?
Key clinical features suggesting Waldenström's macroglobulinaemia (WM) include symptoms related to bone marrow infiltration such as fatigue,...
22 Aug 2025View Answer →
What lifestyle modifications or non-pharmacological approaches can I suggest to patients suffering from vulvodynia?
Patients suffering from vulvodynia can benefit from several lifestyle modifications and non-pharmacological approaches aimed at symptom relief and improving ...
22 Aug 2025View Answer →