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  • Medical Genetics - Recommendations

    Medical Genetics Recommendations Twelve Tests and Treatments to Question Canadian College of Medical Geneticists Don’t use non-invasive prenatal detection of fetal aneuploidies by cell-free DNA as a diagnostic test. Non-invasive…

  • Rheumatology - Recommendations

    …difficulty making a fist and positive MCP squeeze test on physical exam. Even in CSA with positive RF and ACPA, more than 30%-60% of patients will not develop RA over…

  • Clinical Biochemistry - Recommendations

    …be the initial screening test with follow-up immunofixation electrophoresis (IFE) if indicated. If SPE is negative, serum free light chain (SFLC) testing may be ordered since SPE/IFE + SFLC offers…

  • Nursing - Recommendations

    …A positive test in the absence of diarrhea likely represents C. difficile colonization. Repeated C. difficile testing within seven days of a negative test generally adds little diagnostic value. A…

  • Medical Laboratory Science - Recommendations

    …Panteghini M. The role of the laboratory in ensuring appropriate test requests. Clin Bioch 2017;50(10-11):555-61. PMID: 28284827. Jackups R, Szymanski J, Persaud S. Clinical decision support for hematology laboratory test…

  • Family Medicine - Recommendations

    …test annually when previous test results were normal. Those who have had a full hysterectomy for benign disorders no longer require this screening. Screening should stop at age 70 if…

  • Medical Microbiology - Recommendations

    …a negative test. Repeat C. difficile toxin testing by enzyme immunoassay within 7 days of a prior negative test is also of little incremental diagnostic yield but may be warranted…

  • Hospital Pharmacy - Recommendations

    …change, new evidence is discovered, and other factors can tip the balance, such that the benefits no longer outweigh the risks or burdens of continued treatment. Few, if any, medications…

  • Respiratory Medicine - Recommendations

    …adults with a short duration of cough from an acute respiratory tract infection have a viral rather than a bacterial infection. Patients often underestimate the typical cough duration from an…

  • Emergency Medicine - Recommendations

    …indicated in patients with a new focal seizure, new focal neurologic findings, or high-risk medical history (such as neoplasm, stroke, coagulopathy, sickle cell disease, age <6 months). Do not obtain…

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