Don’t diagnose asthma without having performed lung function tests (including bronchodilating test and/or bronchial challenge).
Asthma-like symptoms (dyspnoea, chest tightness, cough, wheezing) are not enough to put a correct diagnosis of asthma.The international guidelines stress the need to perform lung function assessment in order to identify the presence of airway hyperreactivity or...
Do not recommend PEG (Percutaneous Endoscopic Gastrostomy) in advanced dementia; instead, prefer assisted oral feeding.
PEG or Nasogastric Tube placement should be limited to probable reversible conditions or for a short time period (e.g. post stroke, acute infections). The use of PEG is not recommended in patients affected by advanced dementia since it does not increase survival, does...
Do not prescribe “gastroprotection” for stress ulcer prophylaxis in medical patients unless there is a high risk of bleeding.
According to international guidelines, the prophylaxis of peptic stress ulcers with antisecretive drugs, represented by H2 receptor antagonists and proton pump inhibitors, is not routinely indicated for the “medical” patient, unless it is related to patients admitted...
Do not request a standard radiograph for diagnostic purposes in the clinical suspicion of an early-stage arthritis.
In this phase of the pathological process, this examination, especially in the “very early” forms (within 12 weeks from the onset), does not provide significant information, often dealing with conditions in the pre-radiographic stage and for which early...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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