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Choosing Wisely: Don’t routinely prescribe antibiotics for acute, mild to moderate ...

Don’t routinely prescribe antibiotics for acute, mild to moderate sinusitis unless symptoms (which must include purulent nasal secretions and maxillary pain or facial or dental tenderness to percussion) last at least seven days or symptoms worsen after initial clinical improvement.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=50

Choosing Wisely: Don’t routinely obtain radiographic imaging for patients who meet ...

Don’t routinely obtain radiographic imaging for patients who meet diagnostic criteria for uncomplicated acute rhinosinusitis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=51

Choosing Wisely: Don’t prescribe oral antibiotics for uncomplicated external otitis. - ...

Don’t prescribe oral antibiotics for uncomplicated external otitis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=52

Choosing Wisely: Don’t prescribe oral antibiotics for uncomplicated tympanostomy tube ...

Don’t prescribe oral antibiotics for uncomplicated tympanostomy tube otorrhea.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=53

Choosing Wisely: Don’t order CT scan of the head/brain for sudden hearing loss. - ...

Don’t order CT scan of the head/brain for sudden hearing loss.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=54

Choosing Wisely: Don’t obtain CT or MRI in patients with a primary complaint of ...

Don’t obtain CT or MRI in patients with a primary complaint of hoarseness prior to examining the larynx.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=55

Choosing Wisely: Cough and cold medicines should not be prescribed or recommended for ...

Cough and cold medicines should not be prescribed or recommended for respiratory illnesses in children younger than four years.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=56

Choosing Wisely: Don’t perform routine annual cervical cytology screening (Pap tests) ...

Don’t perform routine annual cervical cytology screening (Pap tests) in women 30 to 65 years of age.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=57

Choosing Wisely: Don’t screen women younger than 30 years for cervical cancer with ...

Don’t screen women younger than 30 years for cervical cancer with human papillomavirus (HPV) testing, alone or in combination with cytology.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=58

Choosing Wisely: Don’t screen women older than 65 years for cervical cancer who have ...

Don’t screen women older than 65 years for cervical cancer who have had adequate prior screening and are not otherwise at high risk for cervical cancer.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=59

Choosing Wisely: Don’t use coronary artery calcium scoring for patients with known ...

Don’t use coronary artery calcium scoring for patients with known coronary artery disease (CAD) (including stents and bypass grafts).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=6

Choosing Wisely: Don’t perform Pap tests in patients younger than 21 years or in women ...

Don’t perform Pap tests in patients younger than 21 years or in women after hysterectomy for benign disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=60

Choosing Wisely: Don’t screen for ovarian cancer in asymptomatic women at average risk....

Don’t screen for ovarian cancer in asymptomatic women at average risk.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=61

Choosing Wisely: Don’t use positron emission tomography/CT for cancer screening in ...

Don’t use positron emission tomography/CT for cancer screening in healthy individuals.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=62

Choosing Wisely: Don’t perform routine cancer screening for dialysis patients with ...

Don’t perform routine cancer screening for dialysis patients with limited life expectancies without signs or symptoms.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=63

Choosing Wisely: Don’t repeat colorectal cancer screening (by any method) for 10 years ...

Don’t repeat colorectal cancer screening (by any method) for 10 years after a high-quality colonoscopy is negative in average-risk individuals.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=64

Choosing Wisely: Don’t use dual energy x-ray absorptiometry (DEXA) to screen for ...

Don’t use dual energy x-ray absorptiometry (DEXA) to screen for osteoporosis in women younger than 65 years or in men younger than 70 years with no risk factors. note: Risk factors include, but are not limited to, fractures after 50 years of age, prolonged exposure to corticosteroids, ...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=65

Choosing Wisely: Don’t routinely repeat dual energy x-ray absorptiometry (DEXA) scans ...

Don’t routinely repeat dual energy x-ray absorptiometry (DEXA) scans more often than once every two years.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=66

Choosing Wisely: Don’t screen for carotid artery stenosis in asymptomatic adult ...

Don’t screen for carotid artery stenosis in asymptomatic adult patients.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=68

Choosing Wisely: Don’t order chest radiographs in children with uncomplicated asthma or...

Don’t order chest radiographs in children with uncomplicated asthma or bronchiolitis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=69

Choosing Wisely: Avoid using stress echocardiograms on asymptomatic patients who meet ...

Avoid using stress echocardiograms on asymptomatic patients who meet

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=7

Choosing Wisely: Don’t routinely use bronchodilators in children with bronchiolitis. - ...

Don’t routinely use bronchodilators in children with bronchiolitis.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=70

Choosing Wisely: Don’t use systemic corticosteroids in children younger than two years ...

Don’t use systemic corticosteroids in children younger than two years with an uncomplicated lower respiratory tract infection

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=71

Choosing Wisely: Don’t use continuous pulse oximetry routinely in children with acute ...

Don’t use continuous pulse oximetry routinely in children with acute respiratory illness unless they are on supplemental oxygen.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=72

Choosing Wisely: In patients with a low pretest probability of venous thrombo-embolism,...

In patients with a low pretest probability of venous thrombo-embolism, obtain a high-sensitive D-dimer measurement as the initial diagnostic test; don’t obtain imaging studies as the initial diagnostic test.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=74

Choosing Wisely: Don’t image for suspected pulmonary embolism (PE) without moderate or ...

Don’t image for suspected pulmonary embolism (PE) without moderate or high pretest probability.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=75

Choosing Wisely: Avoid using a CT angiogram to diagnose pulmonary embolism (PE) in ...

Avoid using a CT angiogram to diagnose pulmonary embolism (PE) in young women with a normal chest radiograph; consider a radionuclide lung study (V/Q study) instead.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=76

Choosing Wisely: Don’t test for Lyme disease as a cause of musculoskeletal symptoms ...

Don’t test for Lyme disease as a cause of musculoskeletal symptoms without an exposure history and appropriate exam findings

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=77

Choosing Wisely: Don’t test antinuclear antibodies (ANA) subserologies without a ...

Don’t test antinuclear antibodies (ANA) subserologies without a positive ANA and clinical suspicion of immune-mediated disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=78

Choosing Wisely: Don’t prescribe biologics for rheumatoid arthritis before a trial of ...

Don’t prescribe biologics for rheumatoid arthritis before a trial of methotrexate (or other conventional nonbiologic disease-modifying antirheumatic drugs [DMARDs]).

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=79

Choosing Wisely: Don’t repeat echocardiograms in stable, asymptomatic patients with a ...

Don’t repeat echocardiograms in stable, asymptomatic patients with a murmur/click, where a previous exam revealed no significant pathology.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=8

Choosing Wisely: Avoid routine preoperative testing for low-risk surgeries without a ...

Avoid routine preoperative testing for low-risk surgeries without a clinical indication.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=80

Choosing Wisely: Avoid admission or preoperative chest x-rays for ambulatory patients ...

Avoid admission or preoperative chest x-rays for ambulatory patients with unremarkable history and physical exam.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=81

Choosing Wisely: Patients who have no cardiac history and good functional status do not...

Patients who have no cardiac history and good functional status do not require preoperative stress testing prior to noncardiac thoracic surgery.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=82

Choosing Wisely: Avoid cardiovascular stress testing for patients undergoing low-risk ...

Avoid cardiovascular stress testing for patients undergoing low-risk surgery.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=83

Choosing Wisely: Avoid echocardiograms for preoperative/perioperative assessment of ...

Avoid echocardiograms for preoperative/perioperative assessment of patients with no history or symptoms of heart disease.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=84

Choosing Wisely: Don’t order coronary artery calcium scoring for preoperative ...

Don’t order coronary artery calcium scoring for preoperative evaluation for any surgery, irrespective of patient risk.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=85

Choosing Wisely: Don’t initiate routine evaluation of carotid artery disease prior to ...

Don’t initiate routine evaluation of carotid artery disease prior to cardiac surgery in the absence of symptoms or other high-risk criteria.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=86

Choosing Wisely: Prior to cardiac surgery, there is no need for pulmonary function ...

Prior to cardiac surgery, there is no need for pulmonary function testing in the absence of respiratory symptoms.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=87

Choosing Wisely: Don’t prescribe testosterone to men with erectile dysfunction who have...

Don’t prescribe testosterone to men with erectile dysfunction who have normal testosterone levels.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=89

Choosing Wisely: Don’t order follow-up or serial echocardiograms for surveillance after...

Don’t order follow-up or serial echocardiograms for surveillance after a finding of trace valvular regurgitation on an initial echocardiogram.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=9

Choosing Wisely: Don’t order creatinine or upper-tract imaging for patients with benign...

Don’t order creatinine or upper-tract imaging for patients with benign prostatic hyper-plasia.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=90

Choosing Wisely: Don’t treat an elevated prostate-specific antigen (PSA) with ...

Don’t treat an elevated prostate-specific antigen (PSA) with antibiotics for patients not experiencing other symptoms.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=91

Choosing Wisely: Don’t insert percutaneous feeding tubes in individuals with advanced ...

Don’t insert percutaneous feeding tubes in individuals with advanced dementia. Instead, offer oral assisted feedings.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=94

Choosing Wisely: Don’t use sliding scale insulin (SSI) for long-term diabetes ...

Don’t use sliding scale insulin (SSI) for long-term diabetes management for individuals residing in the nursing home.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=95

Choosing Wisely: Don't obtain a urine culture unless there are clear signs and symptoms...

Don't obtain a urine culture unless there are clear signs and symptoms that localize to the urinary tract.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=96

Choosing Wisely: Don’t prescribe antipsychotic medications for behavioral and ...

Don’t prescribe antipsychotic medications for behavioral and psychological symptoms of dementia (BPSD) in individuals with dementia without an assessment for an underlying cause of the behavior.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=97

Choosing Wisely: Don't routinely prescribe lipid-lowering medications in individuals ...

Don't routinely prescribe lipid-lowering medications in individuals with a limited life expectancy.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=98

Choosing Wisely: Avoid the routine use of whole-body diagnostic CT scanning in patients...

Avoid the routine use of whole-body diagnostic CT scanning in patients with minor or single system trauma.

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=99

Choosing Wisely: Don’t place, or leave in place, urinary catheters for incontinence or ...

Don’t place, or leave in place, urinary catheters for incontinence or convenience or monitoring of output for non–critically ill patients (acceptable indications: critical illness, obstruction, hospice, perioperatively for < 2 days for urologic procedures; use weights instead to monitor...

American Family Physician : Choosing Wisely Recommendations

https://www.aafp.org/afp/recommendations/viewRecommendation.htm?recommendationId=92

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