Red flags for acute back pain include cauda equina symptoms (saddle anaesthesia, bilateral leg weakness, bladder or bowel dysfunction), history of malignancy, unexplained weight loss, fever, immunosuppression, trauma in…
Dr Thomas Kelly
For mild community-acquired pneumonia in adults, oral amoxicillin 1g three times daily for 5 days is the recommended first-line treatment per most guidelines including NICE and Therapeutic Guidelines. For…
Dr Sarah Chen
Yes, iron deficiency without anaemia still warrants investigation, particularly in adults over 50 or those with GI symptoms. Low ferritin with normal haemoglobin may indicate early-stage depletion before anaemia…
Dr Thomas Kelly
Yes, the combination of ibuprofen and paracetamol provides superior analgesia compared to either agent alone for acute pain. A 2019 Cochrane review found that the combination achieves a number needed to treat of 1.5 for…
Dr Sarah Chen
Metformin is the first-line pharmacotherapy for type 2 diabetes in most clinical guidelines combined with lifestyle modification as a co-intervention. According to the 2024 ADA Standards of Care patients with…
Dr Thomas Kelly