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 eligibility criteria for patients to participate in the national bowel cancer screening programme?
Eligibility criteria for patients to participate in the national bowel cancer screening programme primarily include adults aged 50 and over,...
When should I refer a patient with a suspected scaphoid fracture to secondary care for further evaluation?
Refer a patient with a suspected scaphoid fracture to secondary care for further evaluation if clinical examination suggests a scaphoid injury despit...
What is the appropriate management protocol for a confirmed scaphoid fracture in an adult patient?
Appropriate management protocol for a confirmed scaphoid fracture in an adult patient:Perform a thorough clinical examination an...
What follow-up protocols should be considered for patients treated for sarcoma to monitor for recurrence?
Follow-up protocols for patients treated for sarcoma to monitor for recurrence should include regular clinical review and imaging tailored to the sar...
How should I approach the management of a patient with a confirmed diagnosis of soft tissue sarcoma?
Management of a patient with a confirmed diagnosis of soft tissue sarcoma should begin with a multidisciplinary team (MDT) approach involving oncologists, su...
What are the referral criteria for suspected sarcomas to specialist services in the UK?
For suspected soft tissue sarcomas in children and young people, consider a very urgent, direct access ultrasound scan to be done within 48 hours if ultrasou...
Which imaging modalities are recommended for the initial assessment of suspected sarcomas in primary care?
For the initial assessment of suspected sarcomas in primary care, ultrasound scanning is the recommended first-line imaging modality, especi...
What are the key clinical features that should raise suspicion for a bone or soft tissue sarcoma in a patient?
Key clinical features raising suspicion for bone or soft tissue sarcoma include:An unexplained lump that is increasing in size, ...
How should I manage a patient with nasal polyps who is experiencing obstructive symptoms?
Management of a patient with nasal polyps experiencing obstructive symptoms should begin with a thorough clinical assessment to confirm the ...
What investigations are indicated for a patient presenting with recurrent epistaxis?
For a patient presenting with recurrent epistaxis, initial investigations should focus on identifying underlying causes such as coagulopathies, local nasal p...
What criteria should I use to refer a patient with chronic rhinosinusitis for specialist evaluation?
Referral criteria for chronic rhinosinusitis to specialist evaluation:Patients with chronic rhinosinusitis should be referred for spe...
What are the recommended first-line treatments for acute rhinosinusitis in adults?
First-line treatment for acute rhinosinusitis in adults primarily involves symptomatic management rather than immediate antibiotic therapy. ...
What are the current guidelines for the management of pulmonary complications in patients with rheumatoid arthritis?
Management of pulmonary complications in patients with rheumatoid arthritis (RA) primarily focuses on early identification, multidisciplinary care, and tailo...
When should I consider referring a patient with rheumatoid lung disease to a respiratory specialist?
Consider referring a patient with rheumatoid lung disease to a respiratory specialist when they present with persistent respiratory symptoms such as ...
What investigations are recommended for assessing lung involvement in patients with rheumatoid arthritis?
For assessing lung involvement in patients with rheumatoid arthritis (RA), a combination of clinical evaluation and targeted investigations is recommended to...
How can I differentiate between rheumatoid lung disease and other causes of interstitial lung disease in a patient with RA?
In a patient with rheumatoid arthritis (RA), differentiating rheumatoid lung disease (specifically RA-associated interstitial lung disease, RA-ILD) from othe...
What are the key pulmonary manifestations of rheumatoid arthritis that I should be aware of in my patients?
Key pulmonary manifestations of rheumatoid arthritis (RA) include interstitial lung disease (ILD), pleural disease, airway disease, and pulmonary nod...
What are the current guidelines for follow-up care and surveillance in children treated for retinoblastoma?
Follow-up care and surveillance in children treated for retinoblastoma should focus on monitoring for late effects of treatment, secondary t...
What imaging modalities are recommended for the diagnosis and staging of retinoblastoma in a primary care setting?
In a primary care setting, the initial diagnosis of retinoblastoma is primarily clinical, based on ophthalmic examination and referral rather than di...