::EXAM/PREPARATION::
_____________________________________________________________________________________________

Nuclear Medicine Procedures
and Patient Preparations

1. Bone Scan
  No preparations required. The patient should know that there will be a three-hour
  interval between the first and second phase of the test, during which time they
  may leave the premises or stay on site. They will be required to drink five 8oz
  glasses of liquid during the 3-hour wait.
  NOTE: Do not schedule the bone scan on the same day as a
  CT study with contrast.

2. Hepatobiliary Scan (Gallbladder)
  Nothing by mouth four hours prior to testing (fasting).
  The patient will be given an injection in the arm while lying beneath a gamma
  camera. A series of images will be taken as the medicine travels through the
  hepatobiliary system.

3. Liver/ Spleen Scan
  No preparation required. The patient will be given an injection in the arm.
  Approximately 30 minutes after the injection, a series of images will be obtained.
  NOTE: Do not schedule this test the same day as any other nuclear studies. If the
  patient has had another nuclear test wait 48 hours before scheduling the
  liver/spleen scan.

4. Parathyroid Scan
  No preparation required. The patient should know that this procedure take
  between one to one and one half-hours to complete.

5. Renal Scan
  Patient should be well hydrated!

6. Renogram
  Patient should be well hydrated!

7. Testicular
  No preparation required

8. Thyroid Uptake and Scan
  Discontinue taking thyroid medications for seven days prior to the exam.
  NOTE: The patient should note that this is a 2-day test. The first day, the patient
  is dosed (given a pill). The patient returns the second day when the scan and
  uptake will be preformed.

EXAM PREPARATIONS

ABDOMINAL SONOGRAM - Nothing to eat or drink after midnight. Medication can be
taken with a minimal amount of water.

BREAST STUDIES - Do not use any powder, deodorant or lotion around the breast or
underarm area, the day of the exam. PLEASE bring all previous mammography films
done at outside facilities to your appointment.

RENAL/ BLADDER/ PELVIC/ OBSTETRIC SONOGRAM - Drink no less then 24 oz. of
water one hour prior to the exam and hold your bladder. An internal sonogram
(transvaginal) may be performed as part of the exam. You will be allowed to empty
your bladder upon completion of the exam. If patient is more then 20 weeks pregnant, NO preparation is necessary.

DEXA SCAN - Avoid wearing clothing with metal snaps, zippers or metal
buttons. Do not take calcium supplements, slimfast, antacids or multi-vitamins
containing calcium the day before and the day of the exam. NO x-ray contrast studies 5 days before scan.

HSG - This exam must be scheduled and completed between day 6 and day 11 after
the start of your menstrual cycle. One-hour prior to the procedure take 400 to 800
Mg of ibuprofen (if allowed by your Doctor) or any other type of anti-inflammatory
medication with food. If there is a possibility of the patient being pregnant this exam
can not be preformed.

SONOHYSTEROGRAM - Drink no less then 24 oz. of water one hour prior to the exam
and hold your bladder. You will be allowed to empty your bladder upon completion
of the exam. An internal sonogram (transvaginal) will be performed as part of the
exam. One-hour prior to the procedure take 400 to 800 mg of ibuprofen (if allowed
by your Doctor) or any other type of anti-inflammatory medication with food. If there
is possibility of the patient being pregnant this exam can not be performed.

CT/IVP Exams With Contrast - If you are 65 years of age or older and/or a diabetic
you must have blood work completed with Bun and Creatinine Levels (within the
past three months) prior to the exam. (Consult with your Doctor prior to scheduling
the exam)

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