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Choosing Wisely: Avoid lumbar spine imaging in the emergency department for adults with...

Avoid lumbar spine imaging in the emergency department for adults with non-traumatic back pain unless the patient has severe or progressive neurologic deficits or is suspected of having a serious underlying condition (such as vertebral infection, cauda equina syndrome, or cancer with ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=224

Choosing Wisely: Avoid prescribing antibiotics in the emergency department for ...

Avoid prescribing antibiotics in the emergency department for uncomplicated sinusitis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=225

Choosing Wisely: Avoid ordering CT of the abdomen and pelvis in young otherwise healthy...

Avoid ordering CT of the abdomen and pelvis in young otherwise healthy emergency department patients (age <50) with known histories of kidney stones, or ureterolithiasis, presenting with symptoms consistent with uncomplicated renal colic.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=226

Choosing Wisely: Don’t treat with an anticoagulant for more than three months in a ...

Don’t treat with an anticoagulant for more than three months in a patient with a first VTE occurring in the setting of a major transient risk factor.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=227

Choosing Wisely: Don’t routinely transfuse patients with sickle cell disease for ...

Don’t routinely transfuse patients with sickle cell disease for chronic anemia or uncomplicated pain crisis without an appropriate clinical indication.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=228

Choosing Wisely: Don’t test or treat for suspected heparin-induced thrombocytopenia in ...

Don’t test or treat for suspected heparin-induced thrombocytopenia in patients with a low pretest probability of heparin-induced thrombocytopenia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=229

Choosing Wisely: Don’t recommend percutaneous feeding tubes in patients with advanced ...

Don’t recommend percutaneous feeding tubes in patients with advanced dementia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=23

Choosing Wisely: Don’t treat patients with immune thrombocytopenic purpura in the ...

Don’t treat patients with immune thrombocytopenic purpura in the absence of bleeding or a very low platelet count.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=230

Choosing Wisely: Avoid polysomnography in chronic insomnia patients unless symptoms ...

Avoid polysomnography in chronic insomnia patients unless symptoms suggest a comorbid sleep disorder.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=231

Choosing Wisely: Avoid use of hypnotics as primary therapy for chronic insomnia in ...

Avoid use of hypnotics as primary therapy for chronic insomnia in adults; instead offer cognitive behavioral therapy, and reserve medication for adjunctive treatment when necessary.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=232

Choosing Wisely: Don’t prescribe medication to treat childhood insomnia, which usually ...

Don’t prescribe medication to treat childhood insomnia, which usually arises from parent-child interactions and responds to behavioral intervention.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=233

Choosing Wisely: Don’t use polysomnography to diagnose restless legs syndrome, except ...

Don’t use polysomnography to diagnose restless legs syndrome, except rarely when the clinical history is ambiguous and documentation of periodic leg movements is necessary.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=234

Choosing Wisely: Don’t prescribe medications for stress ulcer prophylaxis to medical ...

Don’t prescribe medications for stress ulcer prophylaxis to medical inpatients unless at high risk for gastrointestinal complications.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=22

Choosing Wisely: Don’t perform positive airway pressure retitration studies in ...

Don’t perform positive airway pressure retitration studies in asymptomatic, adherent patients with sleep apnea and stable weight.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=235

Choosing Wisely: Don’t use interventions (including surgical bypass, angiogram, ...

Don’t use interventions (including surgical bypass, angiogram, angioplasty or stent) as a first line of treatment for most patients with intermittent claudication.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=236

Choosing Wisely: Avoid use of ultrasound for routine surveillance of carotid arteries ...

Avoid use of ultrasound for routine surveillance of carotid arteries in the asymptomatic healthy population at any time.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=237

Choosing Wisely: Don’t do nerve conduction studies without also doing a needle EMG for ...

Don’t do nerve conduction studies without also doing a needle EMG for testing for radiculopathy, a pinched nerve in the neck or back.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=238

Choosing Wisely: Don’t do an MRI scan of the spine or brain for patients with only ...

Don’t do an MRI scan of the spine or brain for patients with only peripheral neuropathy (without signs or symptoms suggesting a brain or spine disorder).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=239

Choosing Wisely: Don’t use topical lorazepam (Ativan), diphenhydramine (Benadryl), and ...

Don’t use topical lorazepam (Ativan), diphenhydramine (Benadryl), and haloperidol (Haldol) (ABH) gel for nausea.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=24

Choosing Wisely: Don’t order imaging studies in patients with non-pulsatile bilateral ...

Don’t order imaging studies in patients with non-pulsatile bilateral tinnitus, symmetric hearing loss, and an otherwise normal history and physical examination.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=240

Choosing Wisely: Don’t order more than one CT scan of the paranasal sinuses within 90 ...

Don’t order more than one CT scan of the paranasal sinuses within 90 days to evaluate uncomplicated chronic rhinosinusitis patients when the paranasal sinus CT obtained is of adequate quality and resolution to be interpreted by the clinician and used for clinical decision-making and/or ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=241

Choosing Wisely: Don’t routinely perform sinonasal imaging in patients with symptoms ...

Don’t routinely perform sinonasal imaging in patients with symptoms limited to a primary diagnosis of allergic rhinitis alone.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=242

Choosing Wisely: Don’t order an erythrocyte sedimentation rate to look for inflammation...

Don’t order an erythrocyte sedimentation rate to look for inflammation in patients with undiagnosed conditions. Order a C-reactive protein to detect acute phase inflammation.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=243

Choosing Wisely: Don’t test vitamin K levels unless the patient has an abnormal ...

Don’t test vitamin K levels unless the patient has an abnormal international normalized ratio and does not respond to vitamin K therapy.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=244

Choosing Wisely: Don’t prescribe testosterone therapy unless there is laboratory ...

Don’t prescribe testosterone therapy unless there is laboratory evidence of testosterone deficiency.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=245

Choosing Wisely: Don’t test for myoglobin or creatine kinase MB in the diagnosis of ...

Don’t test for myoglobin or creatine kinase MB in the diagnosis of acute myocardial infarction. Instead, use troponin I or T.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=246

Choosing Wisely: Don’t order multiple tests in the initial evaluation of a patient with...

Don’t order multiple tests in the initial evaluation of a patient with suspected thyroid disease. Order TSH, and if abnormal, follow up with additional evaluation or treatment depending on the findings.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=247

Choosing Wisely: Don’t take a multi-vitamin, vitamin E, or beta-carotene to prevent ...

Don’t take a multi-vitamin, vitamin E, or beta-carotene to prevent cardiovascular disease or cancer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=248

Choosing Wisely: Don’t routinely perform PSA-based screening for prostate cancer. - ...

Don’t routinely perform PSA-based screening for prostate cancer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=249

Choosing Wisely: Don’t use benzodiazepines or other sedative-hypnotics in older adults ...

Don’t use benzodiazepines or other sedative-hypnotics in older adults as first choice for insomnia, agitation, or delirium.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=25

Choosing Wisely: Don’t use whole-body scans for early tumor detection in asymptomatic ...

Don’t use whole-body scans for early tumor detection in asymptomatic patients.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=250

Choosing Wisely: Don’t use expensive medications when an equally effective and ...

Don’t use expensive medications when an equally effective and lower-cost medication is available.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=251

Choosing Wisely: Don’t perform screening for cervical cancer in low-risk women aged 65 ...

Don’t perform screening for cervical cancer in low-risk women aged 65 years or older and in women who have had a total hysterectomy for benign disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=252

Choosing Wisely: Avoid testing for a Clostridium difficile infection in the absence of ...

Avoid testing for a Clostridium difficile infection in the absence of diarrhea.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=256

Choosing Wisely: Avoid prophylactic antibiotics for the treatment of mitral valve ...

Avoid prophylactic antibiotics for the treatment of mitral valve prolapse.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=257

Choosing Wisely: Don’t obtain a karyotype as part of the initial evaluation for ...

Don’t obtain a karyotype as part of the initial evaluation for amenorrhea.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=258

Choosing Wisely: Don’t prescribe testosterone or testosterone products to men ...

Don’t prescribe testosterone or testosterone products to men contemplating/ attempting to initiate pregnancy.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=259

Choosing Wisely: Don’t use antipsychotics as first choice to treat behavioral and ...

Don’t use antipsychotics as first choice to treat behavioral and psychological symptoms of dementia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=26

Choosing Wisely: Don’t obtain follicle-stimulating hormone levels in women in their 40s...

Don’t obtain follicle-stimulating hormone levels in women in their 40s to identify the menopausal transition as a cause of irregular or abnormal menstrual bleeding.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=260

Choosing Wisely: Don’t perform endometrial biopsy in the routine evaluation of ...

Don’t perform endometrial biopsy in the routine evaluation of infertility.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=261

Choosing Wisely: Don’t perform prolactin testing as part of the routine infertility ...

Don’t perform prolactin testing as part of the routine infertility evaluation in women with regular menses.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=262

Choosing Wisely: Don’t recommend screening for breast, colorectal or prostate cancer if...

Don’t recommend screening for breast, colorectal or prostate cancer if life expectancy is estimated to be less than 10 years.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=264

Choosing Wisely: Don’t obtain a Clostridium difficile toxin test to confirm cure if ...

Don’t obtain a Clostridium difficile toxin test to confirm cure if symptoms have resolved.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=265

Choosing Wisely: Don’t recommend aggressive or hospital-level care for a frail elder ...

Don’t recommend aggressive or hospital-level care for a frail elder without a clear understanding of the individual’s goals of care and the possible benefits and burdens.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=266

Choosing Wisely: Don’t initiate antihypertensive treatment in individuals ≥ 60 years of...

Don’t initiate antihypertensive treatment in individuals ≥ 60 years of age for systolic blood pressure < 150 mm Hg or diastolic blood pressure < 90 mm Hg.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=267

Choosing Wisely: Don’t use phenytoin or fosphenytoin to treat seizures caused by drug ...

Don’t use phenytoin or fosphenytoin to treat seizures caused by drug toxicity or drug withdrawal.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=268

Choosing Wisely: Avoid using a fluoroquinolone antibiotic for the first-line treatment ...

Avoid using a fluoroquinolone antibiotic for the first-line treatment of uncomplicated UTIs in women.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=269

Choosing Wisely: Don’t delay palliative care for patients with a serious illness who ...

Don’t delay palliative care for patients with a serious illness who have physical, psychological, social, or spiritual distress because they are pursuing disease-directed treatment.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=27

Choosing Wisely: Don’t perform cystoscopy, urodynamics or diagnostic renal and bladder ...

Don’t perform cystoscopy, urodynamics or diagnostic renal and bladder ultrasound in the initial work-up of an uncomplicated overactive bladder patient.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=270

Choosing Wisely: Don’t exclude pessaries as a treatment option for pelvic organ ...

Don’t exclude pessaries as a treatment option for pelvic organ prolapse.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=271

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