Don’t perform routine chest X-ray in patients entering rehabilitation programme after cardiac surgery
Patients always receive chest X-Ray before discharge from cardiac surgery. Further X-ray should be warranted only on clinical basis. Pleuric effusion monitoring should be performed by mean of thoracic echography
Don’t perform PET/CT for cancer screening in healthy subjects.
The probability to detect a tumor with such method in asymptomatic subjects is lower than 1%. In many cases, the diagnoses deal with indolent tumors (i.e., low grade lymphomas) which do not benefit from early therapy, or far advanced and untreatable (although silent)...
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...
Do not request a Duplex scan of the carotid arteries for vertigo, tinnitus, headache, neck pain, unless there are neurologic signs.
Symptoms of cerebrovascular insufficiency are often confused with those of other diseases. Furthermore, the term Transient Ischemic Attack (TIA) is often used inappropriately. It should be reserved only for a sudden, focal neurologic attack lasting less than 24 hours,...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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