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Diagnostic Imaging Prep Guidelines

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Diagnostic Imaging Prep Guidelines Table of Contents Next Page Diagnostic Imaging Prep Guidelines Previous Page Table of Contents Next Page IV Contrast Requirements All patients requiring IV contrast must be screened prior to receiving contrast! For patients that are diabetic, or have kidney disease, or have lupus and/or other collagen vascular diseases, a BUN and Creatininte must be available, performed within the 30 dyas prior to the exam date. These results are needed before the patient is injected with contrast media. Any patient 70 or older must have a BUN and creatinine done within the last 30 days. NOTE: If the patient is taking Glucaphage, Glucovance, Avandament, Metaglip or any form of Metformin for diabetes, these medications MUST be discontinued for 48 hours after being given the IV contrast. It is recommended by the manufacturers that the medication also be stopped for 48 hours PRIOR to the exam. Weare ONLY able to access MMHS lab results. If the labs were performed elsewhere, a written report must be sent with patient or faxed to the Imaging Department prior to the CT exam date. Contraindications for IV Contrast: • Elevated BUN/Creatinine, ie Cr >=1.7 • Severe allergy to iodine (history of anaphylactic reaction) • Sickle cell crisis • Multiple Myeloma • Pheochromocytoma If the patient is allergic to Iodine, they must follow the premedication protocol per MMHS Radiology Department Contrast for MRI Patients with end-stage renal failure MUST be evaluated PRIOR to administration of contrast and may require dialysis if contrast is administered. Radiology Department Protocol for Premedication for IV Contrast • 50 mg Prednisone PO 13 hours prior to exam • 50 mg Prednisone PO 7 hours prior to exam IVCONTRASTREQUIREMENTS• 50 mg Prednisone PO 1 hours prior to exam • 50 mg Benadryl PO 1 hours prior to exam Diagnostic Imaging Prep Guidelines 1 Previous Page Table of Contents Next Page This page intentionally left blank 2 Diagnostic Imaging Prep Guidelines Previous Page Table of Contents Next Page Diagnostic Scheduling (772) 288-5817 Active Fax Scheduling (772) 223-4514 MRI Scheduling (772) 221-7226 Interventional Procedure Scheduling (772) 223-5945 ext. 3137 Diagnostic Scheduling Martin Memorial Diagnostic Center 2396 S.E. Ocean Blvd., Stuart, FL 34996 Main Phone: 223-4959 • Fax: 223-2876 St. Lucie West 1095 St. Lucie West Blvd., Port St. Lucie, FL 34986 Main Phone: 223-5945, ext. 5502 • Fax: 785-5543 Martin Memorial Medical Center 200 S.E. Hospital Ave., Stuart, FL 34994 Main Phone: 223-5945, ext. 3120 • Fax: 223-5908 Martin Memorial Medical Center Cardio and Neurodiagnostics Main Phone: 285-5882 • Fax: 223-5948 Martin Memorial Hospital South 2100 S.E. Salerno Road, Stuart, FL 34997 Main Phone: 223-5714 • Fax: 223-5702 MRI Scheduling Martin Memorial Medical Center MRI 625 Riverside Dr., Stuart, FL 34994 Main Phone: 221-7226 • Fax: 223-5933 St. Lucie West MRI 1095 St. Lucie West Blvd., Suite 224, Port St. Lucie, FL 34986 Main Phone: 785-5567 • Fax: 785-5568 South MRI IMPORTANTPHONENUMBERS2150 S.E. Salerno Road, Suite 104, Stuart, FL 34997 Main Phone: 223-5767 • Fax: 223-5787 Diagnostic Imaging Prep Guidelines 3 Previous Page Table of Contents Next Page This page intentionally left blank 4 Diagnostic Imaging Prep Guidelines Previous Page Next Page TABLE OF CONTENTS Diagnostic Imaging Prep Guidelines 5 Previous Page Table of Contents Next Page This page intentionally left blank 6 Diagnostic Imaging Prep Guidelines Previous Page Next Page IV CONTRAST REQUIREMENTS . .1 SCHEDULING INFORMATION . 3 MANAGED CARE LIST . 11 FLUOROSCOPY . 13 Call (772) 288-5817 to schedule Esophagram (Barium Swallow) . 15 Swallowing Evaluation Study (cookie swallow) . 15 UpperGISeries ..........................................16 SmallBowelSeries.......................................16 ContrastEnema..........................................17 Fistulagram..............................................18 Sniff Test - Chest Fluoroscopy . 18 Cystogram / Voiding Cystourethrogram (VCUG) . 19 Retrograde Urethrogram (Male) . 20 Hysterosalpingogram (HSG). 20 Intravenous Pyelogram – IVP. 21 INVASIVE FLUOROSCOPY PROCEDURES . 22 Call (772) 223-5945, ext. 3137 to schedule Arthrogram..............................................22 Extremity Venogram – Unilateral or Bilateral. 23 Catheter Placement Check . 23 Myelogram..............................................24 Cisternogram............................................25 Lumbar Puncture under Fluoroscopy . 25 T-TubeCholangiogram...................................26 MAMMOGRAPHY . 27 Call (772) 288-5817 to schedule Mammography – unilateral or Bilateral . 29 TABLEOFCONTENTSCOMPUTED TOMOGRAPHY CT . 31 Call (772) 288-5817 to schedule CT of the Head (without contrast or with and without) . 33 CToftheOrbits..........................................34 CT of the Paranasal Sinuses . 34 CToftheTemporalBones................................35 CToftheNeckSoftTissues...............................36 CToftheCervicalSpine..................................36 Diagnostic Imaging Prep Guidelines 7 Previous Page Next Page CToftheThoracicSpine .................................37 CToftheLumbarSpine..................................38 CToftheChest ..........................................38 CToftheAbdomen......................................40 CTofthePelvis...........................................41 CToftheExtremities.....................................42 INTERVENTIONAL CT . 42 Call (772) 223-5945, ext. 3137 to schedule CT Guided Biopsy of Drainage. 42 CTGuidedFacetBlock ...................................44 CT Guided Bone Marrow Biopsy. 44 ULTRASOUND . 45 Call (772) 288-5817 to schedule Ultrasound of the Abdomen . 47 Ultrasound of the Neonatal Brain. 48 Ultrasound of the Baby Hips . 48 Ultrasound of the Baby Spine . 49 Ultrasound of the Breast—Unilateral or Bilateral. 49 Ultrasound of the Pregnancy. 50 Ultrasound of the Pregnancy Limited . 50 UltrasoundofthePelvis..................................51 Ultrasound of the Prostate . 51 Ultrasound of the Thyroid . 52 Ultrasound of the Renal Artery Doppler . 52 Ultrasound of the Evaluation of“TIPS”—Liver Doppler. 53 Ultrasound of the Testicular (Scrotal) . 53 UltrasoundoftheChest..................................54 INTERVENTIONAL ULTRASOUND . 55 Call (772) 223-5945, ext. 3137 to schedule Ultrasound of the Chest with Thoracentesis . 55 Ultrasound Guided Paracentesis . 56 Ultrasound Guided Biopsy . 56 TABLEOFCONTENTS NUCLEAR MEDICINE . 57 Call (772) 288-5817 to schedule Nuclear Medicine Whole Body Bone Scan . 59 Nuclear Medicine Triple Phase Bone Scan . 60 Nuclear Medicine GI Bleeding Study . 60 Nuclear Medicine Gallium Scan . 61 Nuclear Medicine Gastric Emptying . 61 Nuclear Medicine Hepatobiliary/Pipida Scan . 62 8 Diagnostic Imaging Prep Guidelines Previous Page Next Page Nuclear Medicine Liver/Spleen Scan. 63 Nuclear Medicine Tumor Localization— SentinelNodeStudy...................................63 Nuclear Medicine Ventilation and Perfusion Lung Scan . 64 Nuclear Medicine Split Perfusion Lung Scan. 64 Nuclear Medicine Muga Scan . 65 Nuclear Medicine Renal Scan. 66 Nuclear Medicine Thyroid Scan. 66 Nuclear Medicine Thyroid Uptake and Scan . 67 Nuclear Medicine Parathyroid Scan. 68 Nuclear Medicine Cisternogram. 68 Nuclear Medicine Octreotide Scan . 69 Nuclear Medicine Prostascint Scan . 69 ANGIOGRAPHY . 71 Call (722) 223-5945, ext. 3137 to schedule Arteriograms or Angiograms. 73 CARDIOVASCULAR PROCEDURES . 75 Call (772) 288-5817 to schedule Transesophageal Echocardiogram (TEE). 77 2-D Echocardiogram with Doppler and Color Flow . 78 Carotid Duplex Color Flow Imaging . 78 Arterial Evaluation of Lower and Upper Extremities (Pulse Volume Recordings“PVR”) . 79 VenousB-Scan...........................................80 A-VAccessGraftImaging ................................80 Arterial Graft Assessment . 81 Electrocardiogram (EKG) . 82 HolterMonitoring........................................82 Patient Initiated Event Monitor (PIM) . 84 Telephonic Pacemaker Checks . 85 NEURODIAGNOSTIC PROCEDURES . 87 Call (772) 288-5817 to schedule TABLEOFCONTENTSElectroencephlogram (EEG) . 89 Ambulatory Electroencephlogram (EEG) . 90 Sleep Deprived Electroencephlogram (EEG) . 91 Visual Evoked Potential (VEP). 92 Brainstem Auditory Evoked Potential (BAEP) . 93 Electromyography (EMG) . 94 Diagnostic Imaging Prep Guidelines 9 Previous Page Next Page STRESS TEXT (GXT) . 94 Call (772) 288-5817 to schedule StressTestListing ........................................94 Regular Stress Test (Exercise only, without nuclear imaging) . 95 Cardiolite Stress Test (Exercise with nuclear imaging) . 96 Persantine Cardiolite Stress Test (Pharmacological Stress test, pt. is laying down, with nuclear imaging.) . 97 Adenosine Cardiolite Stress Test (Pharmacological Stress test, pt. is laying down, with nuclear imaging.) . 98 Dobutamine Cardiolite Stress Test (Pharmacological Stress test, pt. is laying down, with nuclear imaging.) . 99 Dobutamine Stress Echo Test (Pharmacological Stress test with 2-D Echo. Pt is lying down, without nuclear imaging.) . 100 Stress Echo Test (Exercise with 2-D Echo-Imaging, without nuclear imaging.) . 101 PET/CT . 103 Call (772) 288-5893 to schedule PET/CT .................................................105 MAGNETIC RESONANCE IMAGING . 107 Call (772) 221-7226 to schedule MRI/MRA/MRCP........................................109 CATHETERIZATION LAB . 111 Call (772) 223-5919 to schedule CathLab................................................113 TABLEOFCONTENTS 10 Diagnostic Imaging Prep Guidelines Previous Page Back to Table of Contents
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