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Patient Prep

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Mammography

  • Please do not wear any powder, perfume, lotion, or deodorant under the arms or near the breast area.
  • Please bring previous films with you to the exam. If not available, please give the facility name and phone number.

Biopsies/Aspirations/Needle Localizations

  • Stop all blood thinners 5 days prior to your appointment. This includes ALL prescription blood thinners, as well as over-the-counter blood thinners such as Aspirin, Aleve, Ibuprofen, Advil, Naproxen, etc.
  • Need previous breast studies (mammograms, ultrasounds) for comparison.

CT/CTA

  • IV-CONTRAST CT/CTA’s (all body parts) – Recent (within last 8 weeks) lab work is required.
  • IV-CONTRAST CT/CTA’s (all body parts) – Nothing to eat or drink 1 hour prior to your appointment.
  • NON-CONTRAST CT’s – No prep.
  • CT Abdomen and/or Pelvis
    • Prep supplies are available for you to pick up at the location where your exam is scheduled. If you are unable to pick up the prep beforehand, please arrive 2 hours prior to your scheduled appointment.
    • Nothing to eat 6 hours prior to your appointment.
    • Nothing to drink 1 hour prior to your appointment.
    • Recent (within last 8 weeks) lab work is required.
  • CT Enterography
    • You will prep in our office.
    • Plan to be at the center for approximately 3 hours.
    • Nothing to eat 6 hours prior to your appointment.
    • Nothing to drink 1 hour prior to your appointment.
    • Recent (within last 8 weeks) lab work is required.
  • CT/IVP Combo
    • Prep instructions are available for you to pick up at the location where your exam is scheduled.
      • The night before your appointment, eat a light dinner of clear soup and crackers, followed by four tablespoons of Milk of Magnesia.
      • You may have clear liquids up until midnight before your appointment. These include water, Jell-O (no red coloring), popsicles (no red coloring), unsweetened tea, broth/bouillon (chicken, beef, vegetable), black coffee (no cream or sweetener).
      • Nothing to eat or drink after midnight the night before your appointment, EXCEPT WATER. You may have WATER ONLY up until 1 hour prior to your appointment.
      • You may take any medications as needed with WATER ONLY, preferably 3 hours prior to your appointment.
    • Recent (within last 8 weeks) lab work is required.

DEXA/Bone Densitometry

  • No oral or IV contrast exams 7 days prior to your exam. This includes barium (CT, Fluoroscopy), MRI contrast, CT contrast, and nuclear medicine contrast.
  • Avoid wearing any metal zippers, buttons, or snaps in the waist area. Athletic wear with elastic waistbands are a good choice.

Hysterosalpingogram (HSG)

  • Stop all blood thinners 5 days prior to your appointment. This includes ALL prescription blood thinners, as well as over-the-counter blood thinners such as Aspirin, Aleve, Ibuprofen, Advil, Naproxen, etc.
  • You must be scheduled between day 7 and day 10 of your menstrual cycle.
  • You must contact the referring provider for an in-office blood or urine pregnancy test 3 days prior to your appointment. Please have the negative results faxed (844) 212-9295 or bring them with you to the appointment.

Injections/Arthrograms

  • Stop all blood thinners 5 days prior to your appointment. This includes ALL prescription blood thinners, as well as over-the-counter blood thinners such as Aspirin, Aleve, Ibuprofen, Advil, Naproxen, etc.
  • We recommend you have a driver to take you home after your appointment.

MRI/MRA

  • No prep EXCEPT for MRI ABDOMEN. MRI Abdomen – Do not eat or drink 4 hours prior.
  • CONTRAST MRI’s – Recent (within last 8 weeks) lab work is required.
  • Do not wear jewelry, metal (zippers, buckles, snaps, etc.). Athletic wear with elastic waistbands are a good choice.
  • MRI Head/Neck – Do not wear make-up.
  • Check with your physician regarding claustrophobic medication if needed.
  • If on pain medication, please take it 30 minutes prior to your appointment.
  • Patients with a history of metal in the eyes, pacemaker, defibrillator, programmable shunt, Neurostimulator, spinal cord stimulators may need to have an additional exam (i.e. x-ray) for MRI clearance.
  • MR Enterography
    • You will prep in our office.
    • Plan to be at the center for approximately 3 hours.
    • Nothing to eat/drink 4 hours prior to your appointment.
    • Recent (within last 8 weeks) lab work is required.

PET/CT

  • Plan to be at the center for approximately 2 hours. Your scan will take approximately 40 minutes.
  • No strenuous activity or exercise 24 hours prior to your appointment.
  • Nothing to eat or drink except water 4 hours prior to your appointment. We recommend you drink 4 glasses of water during these 4 hours.
  • Check with your physician regarding claustrophobic medication if needed.
  • If you have been diagnosed with diabetes, please call us at 352-854-2020 for special instructions.
  • Please limit your contact with women who are pregnant and children under 16 years of age for 24 hours after your study.
  • For NaF and Amyloid Plaque Imaging Studies (ONLY): There are no restrictions.

Bone Scan (Nuclear Medicine)

  • Hydrate with 24 ounces of water 1 hour prior to your exam.
  • You may take all medications as needed.
  • Need previous x-ray films for comparison.
  • No Stress Test Studies 3 days prior to your exam.

Gastric Emptying Study (Nuclear Medicine)

  • Nothing by mouth (including smoking or chewing gum) after midnight the night before or 8 hours prior to your exam.
  • Plan to be at the center for approximately 2 hours.
  • No Stress Test Studies 3 days prior to your exam.

Hepatobiliary (Nuclear Medicine)

  • Nothing by mouth (including smoking or chewing gum) after midnight the night before or 8 hours prior to your exam.
  • No Stress Test Studies 3 days prior to your exam.

Liver/Spleen Scan (Nuclear Medicine)

  • No prep.
  • No Stress Test Studies 3 days prior to your exam.

Parathyroid/Sestamibi Scan (Nuclear Medicine)

  • No prep.
  • You MAY take thyroid medications as needed.
  • No Stress Test Studies 3 days prior to your exam.

Renal Scan with or without LASIX

  • Hydrate with 24 ounces of water 1 hour prior to your exam. You MAY eat and drink as well.
  • No Stress Test Studies 3 days prior to your exam.

Thyroid Scans (Nuclear Medicine)

  • Hydrate with 24 ounces of water 1 hour prior to your exam.
  • No IV-contrast exams 8 weeks prior to your appointment.
  • No thyroid medications 4 weeks prior to your appointment.
  • No anti-histamines 1 week prior.
  • No seafood containing iodine (i.e. shellfish) 1 week prior.

Ultrasound

  • Gallbladder, Liver, Pancreas, Abdomen, Aorta – Nothing by mouth (including smoking or chewing gum) after midnight the night before or 8 hours prior to your exam.
  • Pelvic (Non-OB), Renal, Bladder – Drink 32 ounces of water one hour prior to your exam. DO NOT USE THE RESTROOM. You must have a full bladder for this test.
  • OB 22 weeks pregnant or less – Drink 32 ounces of water one hour prior to your exam. DO NOT USE THE RESTROOM. You must have a full bladder for this test.
  • OB over 22 weeks pregnant – No prep.
  • All other ultrasound exams not specified above – No prep.

Upper GI and/or Small Bowel

  • Nothing by mouth (including smoking or chewing gum) after midnight the night before or 8 hours prior to your exam.

Barium Swallow/Esophagram

  • Nothing by mouth (including smoking or chewing gum) after midnight the night before or 8 hours prior to your exam.

Barium Enema

  • Prep supplies you will need to purchase from your local pharmacy (no prescription required):
    • One 10-oz. bottle of magnesium citrate
    • Three laxative tablets (Dulcolax, Bisacodyl, store equivalent)
  • Clear liquid diet starting the day before your appointment. This includes water, Jell-O (no red coloring), popsicles (no red coloring), unsweetened tea, broth/bouillon (chicken, beef, vegetable), black coffee (no cream or sweetener).
  • At 12pm the day before your appointment, drink the 10-oz bottle of magnesium citrate.
  • At 8pm the night before your appointment, take the three laxative tablets with plenty of water.
  • Nothing by mouth (including smoking or chewing gum) after midnight the night before or 8 hours prior to your exam.
  • You may take any medications as needed with WATER ONLY, preferably 3 hours prior to your appointment.
  • If we are performing the exam via ostomy, please bring a clean bag.