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It is not recommended to routinely use CT scans or MRIs of the head in the diagnosis of psychosis, except when there are signs or symptoms suggestive of neurological problems.
Choosing Wisely UK
Royal College of Psychiatrists
Don’t routinely order brain neuroimaging (CT or MRI) in first episode psychoses in the absence of signs or symptoms suggestive of intracranial pathology. Signs and symptoms suggestive of intracranial pathology include headaches, nausea and vomiting, seizure-like activity, and later-age of onset of symptoms. Multiple studies have found that routine neuroimaging in first episode psychoses does not yield findings which alter clinical management in a meaningful way. The risks of radiation ...
ver más ... 2016When managing patients with fleeting sensory symptoms, investigations should not be performed unless clinically indicated
Choosing Wisely UK
Royal College of Physicians
It is not recommended to perform investigations when managing patients with fleeting sensory symptoms unless clinically indicated. These are directed by taking a neurological history, examining the patient and having a differential diagnosis. Transient sensory symptoms are extremely common and often have a benign cause, so patients should be referred or investigated onlyn where there is clinical uncertainty of the diagnosis.
ver más ... 2016It is recommended that the benefits and harms of taking oral versus injection medications in long-term antipsychotic treatment be discussed with all relevant parties in the process.
Choosing Wisely UK
Royal College of Psychiatrists
Psychosis and the specific diagnosis of schizophrenia represent a major psychiatric disorder (or cluster of disorders) in which a person's perception, thoughts, mood and behaviour are significantly altered. Each person will have a unique combination of symptoms and experiences. Does not address the specific treatment of young people under the age of 18 years, except those who are receiving treatment and support from early intervention in psychosis services. There has been a new emphasis on ...
ver más ... 2016Helmet therapy is not recommended in the treatment of positional plagiocephaly in children.
Choosing Wisely UK
Royal College of Paediatrics and Child Health
The recommendation was not based on any studies, or does not have strong evidence to support it.
ver más ... 2016Platelet transfusion is not recommended for patients with chemotherapy-induced thrombocytopenia where the platelet count is < 10 x 109/L except when the patient has clinical significant bleeding or ...
Choosing Wisely UK
Royal College of Pathologists
No link is available as a source of evidence for this recommendation.
ver más ... 2016