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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

    and 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…

  • Clinical Biochemistry - Recommendations

    …protein electrophoresis (SPE) should 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…

  • 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

    …R, Chorba J, Jadhav A, Kerry V, et al. An educational and administrative intervention to promote rational laboratory test ordering on an academic general medicine service. Am J Med 2017:130(10);47-53….

  • Family Medicine - Recommendations

    …is little evidence to suggest the necessity of conducting this test annually when previous test results were normal. Those who have had a full hysterectomy for benign disorders no longer…

  • Medical Microbiology - Recommendations

    …within 7 days of 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…

  • 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

    duration from an infectious illness, and when cough does not resolve within their expected time frame, may request antibiotics. The average duration of cough (not treated with antibiotics) is around…

  • Emergency Medicine - Recommendations

    …increased cost of care, and added risk if sedation is required to complete the scan. A head CT scan may be indicated in patients with a new focal seizure, new

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