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It is recommended to use postural blood pressures in the initial evaluation of syncope as an inexpensive and high‐value component of the physical examination.
Choosing Wisely ® : Things we do for no reason
Dittmar P. J. Hosp. Med. 2016 February;11(2):117-119
For further information please visit the website of the initiative (link below)
ver más ... 2016Carotid artery ultrasound should not be included in the diagnostic evaluation of patients suspected of syncope in the absence of other neurologic symptoms.
Choosing Wisely ® : Things we do for no reason
Dittmar P. J. Hosp. Med. 2016 February;11(2):117-119
For further information please visit the website of the initiative (link below)
ver más ... 2016In pre‐renal azotemia, therapeutic intervention is guided by etiology of the disorder (e.g., intravenous crystalloid support based on a history of hypovolemia and ongoing hypoperfusion, diuresis ...
Choosing Wisely ® : Things we do for no reason
Pahwa. A. J. Hosp. Med. 2016 January;11(1):77-80
For further information please visit the website of the initiative (link below)
ver más ... 2016The measurement of fractional excretion of sodium (FeNa) can aid in the diagnosis of hepatorenal syndrome. Otherwise, the routine use of FeNa and fractional excretion of urea (FeUr) in the diagnosis ...
Choosing Wisely ® : Things we do for no reason
Pahwa. A. J. Hosp. Med. 2016 January;11(1):77-80
For further information please visit the website of the initiative (link below)
ver más ... 2016Children under 6 years of age with primary monosymptomatic enuresis do not need to be seen by a specialist, undergo laboratory (with the exception of urinary dipstick) or instrumental testing or ...
Choosing Wisely Italy. Doing more does not mean doing better (Fare di più non significa fare meglio)
Italian Society of Pediatric Nephrology – SINePe
Primary monosymptomatic enuresis in children under 6 years of age does not require specialist treatment or specific diagnostic testing, with the exception of a simple urine dipstick test. When analysing a urine dipstick test, the possible presence of glycosuria and proteinuria should be evaluated and the specific gravity should be checked. No pharmacological treatment is necessary. What is required, however, is a detailed anamnesis of bladder function. After 6 years of age, before any eventual ...
ver más ... 2016