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Periodic in-depth medical check-ups are not recommended for asymptomatic people.
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Sociedad Suiza de Medicina Interna General
For asymptomatic people, there is no scientific evidence of the benefit of periodic health check-ups in terms of cardiovascular events as well as mortality, either due to cancer or general mortality. On the other hand, these tests carry a risk of overdiagnosis and, in particular, further investigation after false-positive results from blood tests, imaging, or ECGs. The exception is screening tests based on scientific evidence (for example, screening for specific cancers based on age and sex, ...
ver más ... 2021Systemic antifungal therapy for suspected nail fungus is recommended only if fungus is detected in the general population.
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La Sociedad Suiza de Dermatología y Venerología
Onychomycosis is usually caused by dermatophytes (often Trichophyton rubrum and Trichophyton interdigital). They are generally sensitive to standard treatments with azole and terbinafine derivatives, but resistance to terbinafine has already been described. In addition, nail fungus can also be caused by non-dermatophytes such as yeast (Candida spp.) And mold (for example, Fusarium spp. And Aspergillus spp.). While yeast mycoses respond only to azole derivatives, molds are not accessible to ...
ver más ... 2021Routine measurement of vitamin D 25 (OH) is not recommended in people without risk factors for vitamin D deficiency.
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Sociedad Suiza de Medicina Interna General
It is seldom useful to measure vitamin D 25(OH), because the result has little bearing on the recommended procedure.
ver más ... 2021Performing a Borrelia serology to detect disease activity without presenting specific symptoms is not recommended.
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Sociedad Suiza de Enfermedades Infecciosas
Borrelia serology does not allow confirming a possible activity of the disease. Patients should understand the risk of overdiagnosis and overtreatment before undergoing any tests.
ver más ... 2021It is not recommended to use an acid inhibitor for the treatment of gastroesophageal reflux disease in babies.
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Sociedad Suiza de Pediatría
Medications that reduce stomach acid do not improve crying or spitting up in babies. These symptoms, so common in pediatrics, usually disappear on their own as the child grows. In the face of a physiological process, acid-inhibiting drugs are not necessary. Inappropriate use of proton pump inhibitors or H2 receptor antagonists can cause adverse effects, such as lower respiratory tract infections, changes in the intestinal microbiota, delayed gastric emptying; it is also associated with reduced ...
ver más ... 2021