Do not measure serum cortisol and plasma corticotropin (ACTH) at random times during the day as first-line tests in suspected Cushing’s syndrome.
For screening of Cushing’s syndrome it is recommended to use one of the following three tests: urinary cortisol (at least two 24-hour collections), nocturnal salivary cortisol (two samples on two different days), serum cortisol after overnight dexamethasone 1 mg...
Do not screen asymptomatic subjects. Do not request an extended panel of thyroid function tests in suspected thyroid function impairment; limit to TSH or TSH Reflex in all cases where it is not contraindicated. Do not require FT3 determination for monitoring levothyroxine therapy in patients with hypothyroidism.
There is currently insufficient evidence to assess the benefit-harm ratio of screening for thyroid dysfunction in asymptomatic adults. Extensive panels of thyroid function tests used in hospital and, in particular, outpatient settings have been found to be less...
Don’t let learners perform procedures directly on patients, without having practiced them in an appropriate simulated model, and without proper tutorial supervision.
Teaching based on “see one, do one, teach one” is still widely adopted, despite that several studies have shown its limits in validity and most of all in patient safety, when compared with available metods of simulation. The ethical imperative is therefore “never for...
Asthma should not be diagnosed without performing spirometry.
Spirometry is the best tool for assessing lung function in asthmatic children, and allows to define the disease severity, monitor the response to pharmacological treatment and achieve symptoms control. Patient’s history and physical examination alone, not combined...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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