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Don’t perform Computed Tomography  for coronary  calcium score in patients at high cardioascular risk

Don’t perform Computed Tomography for coronary calcium score in patients at high cardioascular risk

by cristiano | Oct 17, 2018

“Coronary calcium score” is not predictive of CV events in subjects already at high risk using traditional score systems
Don’t perform Computed Tomography  for coronary  calcium score in patients at high cardioascular risk

Don’t perform routine chest X-ray in patients entering rehabilitation programme after cardiac surgery

by cristiano | Oct 17, 2018

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
Do not perform PET/CT for cancer screening in healthy subjects.

Do not perform PET/CT for cancer screening in healthy subjects.

by cristiano | Oct 17, 2018

The probability of diagnosing a malignant neoplasm with PET/CT in asymptomatic patients is less than 1%. Many of these cases are indolent neoplasms, which do not benefit from early therapy, or advanced stage tumors (for example tumors starting from the pancreas). The...
Do not request a standard radiograph for diagnostic purposes in the clinical suspicion of an early-stage arthritis.

Do not request a standard radiograph for diagnostic purposes in the clinical suspicion of an early-stage arthritis.

by cristiano | Oct 17, 2018

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.

Do not request a Duplex scan of the carotid arteries for vertigo, tinnitus, headache, neck pain, unless there are neurologic signs.

by cristiano | Oct 17, 2018

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,...
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