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Wyoming County Community Health System ~Please bring your script and insurance card to your appointment. ~Please register at Outpatient Exam Prep Sheet-opt registration prior to coming to the radiology department. They are now located in the new Main Lobby on the ground floor. ~Please call (585)786-1251 Monday-Friday, 7am-5pm to schedule an Appointment Day______appointment. After hours please call (585)786-8940 ext. 4450 ~For any exam other than , Women who think they may be pregnant should notify your Appointment Time ______health care provider prior to the exam. ALL TEST TIMES ARE APPROXIMATE. Nuclear CT SCAN Table weight limit is 400 pounds Table Weight Limit is 456 pounds

Bone Scan- No Prep. This exam should be done prior to any and/or with IV and Oral contrast- Clear liquids studies; patient is injected and waits 2- 3 hours to be scanned. encouraged. NO solid food 3 hours prior to the exam. CT will call with : This is a 1 or 2 Day test, depending on what instructions with the time the patient should begin drinking the oral Doctor will be doing the stress test. contrast. Length of test is 1 hour Day 1: Prep is given by Cardiac Rehab Department. With contrast refers to IV contrast. Oral contrast given at the Day 2: Appointment for day 2 is set up by nuclear technologist and prep discretion of the ordering MD for Abdomen/Pelvis studies only. is given at that time. Chest with contrast, CTA for PE, Head with contrast, and Neck Gastric Emptying- Nothing to eat or drink 6 hours prior to scan. Should with contrast- Clear liquids encouraged. NO solid food 3 hours prior to be done prior to any barium studies. the exam. Length of test is 45 minutes. GI Bleed Scan- No Prep. Should be done prior to any barium studies. If patient is taking , hold medication for 48 hours after the IV Hepatolite Scan (HIDA, GB Scan with Ejection Fraction) – Nothing to Contrast is given. eat or drink after midnight. Head without contrast, Abdomen and /or Pelvis without contrast, /Spleen- No Prep. Should be done prior to any barium studies. Chest without contrast, Neck without contrast, Sinus, Facial , Scan Perfusion and/or Ventilation Scan (VQ Scan) - Must have Spines, Renal Stone Protocol & Extremities- No prep. Length of test a chest x-ray within 24 hours of this exam. No Prep. is 30 min. Meckels Scan- Nothing to eat or drink 4 hours prior. This exam should be done prior to GI Scan and Barium Studies. MUGA Cardiac Scan- No prep. Parathyroid Imaging- No prep. You will receive an injection, wait Barium Swallow, Upper GI & Upper GI with Small Bowel Follow 15 min for 1st scan then wait 2 hours to have 2nd scan. through– NPO after midnight. No oral Medications. Length of test is 30 Renal scan with Flow- No prep. This exam should be done prior to any min, however ** Small Bowel Follow Through could take up to 3 hours** barium studies; Barium and IVP* - IVP requires and injection of IV Contrast. Renal Scan with Lasix- No prep. This exam should be done prior to Day before exam: any barium studies. Noon: Clear liquid lunch Renal Scan w/ Captopril- ACE inhibitors should be withheld 48 hours 1:00pm drink one bottle of Citrate of Magnesia prior to exam. Hypertensive medication should be withheld starting the 2:00pm drink one 8 ounce glass of water every hour for the next 6 hrs. night before. Patient monitoring is required for this examination. This 5:00pm Take 3 or 4 Dulcolax Tablets exam should be done prior to any barium studies; Have a liquid supper with no milk products. Thyroid Uptake & Scan (I123) - Patient is given a capsule the morning Morning of exam: Drink one 8 ounce glass of water. Perform of the test and returns 6 hours later for a 45 minutes scan and uptake. until clear. May use Fleets enema. Length of test 1 hour. Patient then returns 24 hours later for a 10 minute uptake. The nuclear Gastrografin Enema. Often done as an emergent exam with no specific technologist will contact the patient’s floor before this exam to inform prep. them of the preparation. Select medications must be held prior to the Arthrograms & Myelograms- No prep, Have someone to drive you. test. Length of test is 1 hour

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