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It is not recommended using a vaginal swab if a women at low risk of having a sexually transmitted infection has abnormal vaginal discharge that is likely to be caused by thrush (also known as ...
Choosing Wisely UK
Faculty of Sexual and Reproductive Health
If a woman has abnormal vaginal discharge that is likely to be caused by thrush (also known as candida) or Bacterial vaginosis (BV) and she is at low risk of having a sexually transmitted infection, a vaginal swab is not usually necessary. The recommendation does not have more information, evidence, or additional references available.
ver más ... 2016It is recommended an examination of the skin around the vagina to rule out other conditions, such as a lack of vaginal estrogen, allergies, or other skin conditions, rather than receiving another ...
Choosing Wisely UK
Faculty of Sexual and Reproductive Health
The recommendation does not have more information, evidence, or additional references.
ver más ... 2016Testing ANA and ENAs is not recommended for patients suspected to have a diagnosis of a connective tissue disease, such as lupus.
Choosing Wisely UK
British Society of Rheumatology
Testing ANA and ENAs should be avoided in the investigation of widespread pain or fatigue alone. Repeat testing is not normally indicated unless the clinical picture changes significantly. Because of the high sensitivity of the ANA for Systemic Lupus Erythematosus (SLE), almost all patients with SLE will have a positive ANA test. However due to its low prevalence in the general population, most people with positive ANAs do not have SLE.
ver más ... 2016It is not recommended to use C3, C4 and double stranded DNA as screening test for Lupus.
Choosing Wisely UK
British Society of Rheumatology
C3, C4, and double-stranded DNA are important tests to aid in the diagnosis and assessment of disease activity in lupus. They should be reserved for specialized monitoring of disease activity and should be avoided as screening tests. In specialist management, if patients have a strong clinical probability of having lupus, a test for anti-double-stranded DNA antibodies should be performed because they are much more specific for lupus, being very rare in other conditions. C3 generally has a ...
ver más ... 2016It is recommended that the use of intra-articular and soft-tissue steroid injections for non-inflammatory musculoskeletal conditions should be preceded by consideration of non-invasive alternatives ...
Choosing Wisely UK
British Society of Rheumatology
The use of intra-articular and soft tissue steroid injections for noninflammatory musculoskeletal conditions should be preceded by consideration of noninvasive alternatives, such as exercise and physical therapy. Consent for any invasive procedure such as this must arise from a shared decision-making conversation with each patient, which includes an assessment of the risks and benefits. Advise people with osteoarthritis that joint pain may increase when they start therapeutic exercise but will ...
ver más ... 2016