clinical q&a library

Explore a database of clinical questions answered by iatroX, referencing established clinical guidelines, SmPCs, and peer-reviewed literature.

What criteria should I use to decide whether to refer a patient with ventricular tachycardia to a cardiologist?

Refer a patient with ventricular tachycardia to a cardiologist urgently if they have any of the following criteria: evidence of ventricular arrhythmia on ECG...

22 Aug 2025View Answer

What are the immediate management steps for a patient presenting with sustained ventricular tachycardia in primary care?

Immediate management of sustained ventricular tachycardia (VT) in primary care requires urgent assessment and intervention to stabilise the ...

22 Aug 2025View Answer

What is the role of echocardiography in the diagnosis and management of VSD in both children and adults?

Echocardiography plays a central role in both the diagnosis and management of ventricular septal defects (VSD) in children and adults. It is...

22 Aug 2025View Answer

What criteria should I use to determine when to refer an adult with a suspected VSD for specialist evaluation?

Referral criteria for an adult with suspected ventricular septal defect (VSD) for specialist evaluation:Refer adults with suspec...

22 Aug 2025View Answer

What are the key clinical signs and symptoms of Ventricular Septal Defect (VSD) in children that should prompt further investigation?

Key clinical signs and symptoms of ventricular septal defect (VSD) in children that should prompt further investigation include:...

22 Aug 2025View Answer

What are the current UK guidelines for post-resuscitation care following successful defibrillation of ventricular fibrillation?

Following successful defibrillation of ventricular fibrillation, UK guidelines recommend immediate post-resuscitation care focused on rapid assessment and ma...

22 Aug 2025View Answer

How can I differentiate between ventricular fibrillation and other arrhythmias during a cardiac arrest scenario?

During a cardiac arrest scenario, ventricular fibrillation (VF) can be differentiated from other arrhythmias primarily by its characteristic chaotic, irregul...

22 Aug 2025View Answer

What are the immediate steps I should take in the emergency management of a patient in ventricular fibrillation?

Immediate steps in the emergency management of a patient presenting with ventricular fibrillation (VF) include:Call for ...

22 Aug 2025View Answer

When should I consider referring a patient to a specialist for advanced management of mechanical ventilation?

Consider referring a patient to a specialist for advanced management of mechanical ventilation when:They require invasive ventil...

22 Aug 2025View Answer

What are the common complications associated with invasive mechanical ventilation that I should monitor for in my patients?

Common complications associated with invasive mechanical ventilation that require monitoring include ventilator-associated pneumonia, barotrauma (such as pne...

22 Aug 2025View Answer

What criteria should I use to assess the readiness for extubation in a patient who has been on mechanical ventilation?

To assess readiness for extubation in a patient who has been on mechanical ventilation, a comprehensive evaluation of clinical, respiratory, and physiologica...

22 Aug 2025View Answer

How do I determine the appropriate mode of mechanical ventilation for a patient with COPD exacerbation?

To determine the appropriate mode of mechanical ventilation for a patient experiencing a chronic obstructive pulmonary disease (COPD) exacerbation, first ass...

22 Aug 2025View Answer

What are the key principles of initiating invasive mechanical ventilation in a patient with acute respiratory failure?

Key principles of initiating invasive mechanical ventilation in a patient with acute respiratory failure include:Use vol...

22 Aug 2025View Answer

What are the recommended follow-up procedures to confirm the success of a vasectomy?

To confirm the success of a vasectomy, the recommended follow-up procedure is to perform a post-vasectomy semen analysis (PVSA) to ensure azoospermia or the ...

22 Aug 2025View Answer

What are the current guidelines for counselling patients considering a vasectomy regarding its permanence and reversibility?

Patients considering a vasectomy should be counselled clearly about the permanence of the procedure and the limited likelihood of successful reversal...

22 Aug 2025View Answer

When should I refer a patient with suspected vasa praevia to a specialist obstetric team?

Refer a patient with suspected vasa praevia to a specialist obstetric team as soon as the diagnosis is suspected or confirmed by ultrasound....

22 Aug 2025View Answer

What immediate management steps should be taken if vasa praevia is suspected during labour?

If vasa praevia is suspected during labour, the immediate management steps include:Transfer the woman to obstetric-led care immediately...

22 Aug 2025View Answer

What imaging techniques are recommended for the diagnosis of vasa praevia during routine antenatal care?

Imaging techniques recommended for diagnosing vasa praevia during routine antenatal care primarily involve detailed ultrasound assessment with colour...

22 Aug 2025View Answer

What are the key clinical signs and symptoms that may indicate vasa praevia in a pregnant patient?

Key clinical signs and symptoms that may indicate vasa praevia in a pregnant patient include painless vaginal bleeding in the second or third trimest...

22 Aug 2025View Answer

What lifestyle modifications should I advise for patients diagnosed with valvular heart disease?

Patients diagnosed with valvular heart disease should be advised on several lifestyle modifications aimed at managing symptoms, preventing complications, and...

22 Aug 2025View Answer
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