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Smarter medicine

Sociedad Suiza de Otorrinolaringología y Cirugía Cervicofacial

Acute rhinosinusitis is a clinical diagnosis defined (according to the literature) by at least two of the following acute symptoms: purulent nasal secretions, nasal obstruction, facial pain and/or alteration of smell (up to 12 weeks) with confirmation by nasal endoscopy. If a complication of rhinosinusitis or another underlying diagnosis is suspected, CT or cone-beam CT is recommended.

Smarter medicine

Sociedad Suiza de Otorrinolaringología y Cirugía Cervicofacial

Photographic documentation (face/profile) is recommended. Computed tomography (CT) or cone-beam CT should only be done if an additional facial bone or basilar skull fracture is suspected.

Smarter medicine

Sociedad Suiza de Otorrinolaringología y Cirugía Cervicofacial

The usefulness of imaging for the clarification of idiopathic tinnitus has not been proven. Radiological examinations for diagnostic purposes do not modify the management of tinnitus

Choosing Wisely ® : Things we do for no reason

Choosing Wisely ®: Things we do for no reason

Clinicians frequently encounter patients with coronary artery disease and atrial fibrillation, and the literature reports a prevalence of coronary artery disease in patients with atrial fibrillation from 17% to 47%. Patients with atrial fibrillation and an elevated ischemic stroke risk should receive long‐term anticoagulation with a direct oral anticoagulant or vitamin K antagonist to prevent thromboembolic events. Additionally, patients with coronary artery disease treated with percutaneous ...

Choosing Wisely ® : Things we do for no reason

It is not recommended since it does not improve clinical results and also delays vital diagnosis or therapeutic measures. The indication for hemodialysis is independent of iodinated contrast exposure in patients on chronic hemodialysis. The evidence is based on four studies, three of them prospective and one of them retrospective.