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Smarter medicine

Sociedad Suiza de Medicina Interna General

Decreased performance and fatigue are not necessarily caused by a lack of iron. When hemoglobin is present in sufficient quantity and the body's iron stores (in the liver, spleen, and bone marrow) are full, fatigue often has other causes. So far, no clear indication has been found that iron intake reduces fatigue in this situation. For asymptomatic patients without anemia whose iron stores are sufficiently replenished (ferritin ≥ 15 μg/L), there is no clear scientific evidence of the ...

Smarter medicine

La Sociedad Científica para el Cuidado Gerontológico

Primarily use non-pharmacological approaches to prevent and treat delirium. The main step in treating delirium is identifying, eliminating, or treating the underlying causes. Delirium is often a direct physiological consequence of another illness, intoxication, withdrawal, exposure to a toxin, or multiple causes. This would require a detailed history, physical examination, ordering laboratory tests and issuing specific diagnoses as well as thoroughly checking whether certain medications ...

Smarter medicine

Sociedad Suiza de Medicina Interna General

The few studies available for patients with anterior knee pain do not show differences in the evolution of pain and mobility depending on whether or not an MRI was performed. On the other hand, MRIs often lead to false-positive results, which can subsequently trigger costly, risky, and unnecessary interventions.

Smarter medicine

Sociedad Profesional Suiza de Geriatría

Dilated pelvic veins on computed tomography or magnetic resonance imaging sections may be an incidental finding of no clinical relevance. Ovarian vein reflux, ovarian vein dilatation, and parauterine vein dilatation can occur in asymptomatic patients. In order to diagnose pelvic congestion syndrome, the clinical symptoms must be taken into account when interpreting the images.

Smarter medicine

Sociedad Suiza de Pediatría

Current research shows no clinically relevant and lasting impact of systemic or inhaled glucocorticoids on admissions or length of hospitalization for infants with bronchiolitis. Scientific evidence shows that bronchodilators like salbutamol do not improve oxygen saturation, reduce hospital admissions, or shorten length of stay and time to resolution of symptoms in infants with bronchiolitis. Salbutamol is associated with side effects such as tachycardia, oxygen desaturation and tremors.