When should I refer a patient with vulvodynia to a specialist for further evaluation or 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.
What investigations should be considered for a patient with chronic vulval pain before initiating treatment?
Before initiating treatment for a patient with chronic vulval pain, a thorough assessment including targeted investigations should be considered to identify ...
22 Aug 2025View Answer →
What are the recommended first-line treatments for managing vulvodynia in primary care?
First-line treatments for managing vulvodynia in primary care focus on non-pharmacological approaches and cautious use of pharmacological options....
22 Aug 2025View Answer →
What follow-up care is recommended for patients treated for vulval cancer in primary care?
Follow-up care for patients treated for vulval cancer in primary care is not explicitly detailed in the provided UK guidelines context. Howe...
22 Aug 2025View Answer →
What are the referral criteria for suspected vulval cancer to a specialist?
Referral criteria for suspected vulval cancer to a specialist:Refer women with an unexplained vulval lump or ulceration...
22 Aug 2025View Answer →
Which investigations are recommended for confirming a diagnosis of vulval cancer in primary care?
Investigations for confirming vulval cancer diagnosis in primary care:In primary care, there are no specific diagnostic investigation...
22 Aug 2025View Answer →
What are the key clinical features to consider when assessing a patient for vulval cancer?
When assessing a patient for vulval cancer, the key clinical features to consider include:Unexplained vulval lump – any new or p...
22 Aug 2025View Answer →
How can I effectively educate patients about the importance of vitamin supplementation in preventing deficiencies?
Effectively educating patients about the importance of vitamin supplementation in preventing nutritional deficiencies involves several key strategies...
22 Aug 2025View Answer →
What dietary recommendations should I provide to patients at risk of vitamin C deficiency?
Dietary recommendations for patients at risk of vitamin C deficiency:Advise increasing intake of foods rich in vitamin C, such a...
22 Aug 2025View Answer →
How should I manage a patient with iron deficiency anemia, and when should I consider referral to a specialist?
Management of iron deficiency anemia (IDA) involves confirming iron deficiency, initiating appropriate iron therapy, monitoring response, and conside...
22 Aug 2025View Answer →
Which laboratory tests are recommended for diagnosing vitamin B12 deficiency in primary care?
Recommended laboratory tests for diagnosing vitamin B12 deficiency in primary care:Use either total vitamin B12 (serum cobalamin...
22 Aug 2025View Answer →
What are the key clinical signs and symptoms to consider when assessing a patient for vitamin D deficiency?
When assessing a patient for vitamin D deficiency, key clinical signs and symptoms to consider include musculoskeletal complaints such as bone pain and muscl...
22 Aug 2025View Answer →
How can I effectively screen for visual impairment in elderly patients during routine health checks?
Effective screening for visual impairment in elderly patients during routine health checks involves a combination of simple vision tests and targeted...
22 Aug 2025View Answer →
What support services are available for patients experiencing sight loss, and how can I facilitate their access to these services?
Patients experiencing sight loss have access to several support services designed to help them manage their condition and maintain quality of life. These inc...
22 Aug 2025View Answer →
What criteria should I use to determine when to refer a patient with visual impairment to an ophthalmologist?
Refer a patient with visual impairment to an ophthalmologist if any of the following criteria are met:There is optic nerve head damage detected o...
22 Aug 2025View Answer →
How should I approach the management of a patient with newly diagnosed age-related macular degeneration?
For a patient with newly diagnosed age-related macular degeneration (AMD), first classify the AMD using the appropriate criteria, such as early or late AMD, ...
22 Aug 2025View Answer →
What are the recommended assessment tools for evaluating visual impairment in adults in primary care?
In primary care settings, the recommended assessment tools for evaluating visual impairment in adults focus on a combination of clinical examinations and fun...
22 Aug 2025View Answer →
What are the current guidelines for post-exposure prophylaxis in healthcare workers who may have been exposed to VHF?
Post-exposure prophylaxis (PEP) for healthcare workers potentially exposed to viral hemorrhagic fever (VHF) primarily involves immediate risk assessm...
22 Aug 2025View Answer →
How should I approach the investigation of a patient with a first episode of ventricular tachycardia in the context of underlying heart disease?
Approach to investigating a first episode of ventricular tachycardia (VT) in a patient with underlying heart disease:Urg...
22 Aug 2025View Answer →
What role do antiarrhythmic medications play in the long-term management and prevention of recurrent ventricular tachycardia?
Antiarrhythmic medications play a nuanced role in the long-term management and prevention of recurrent ventricular tachycardia (VT). Their use is generally c...
22 Aug 2025View Answer →