These preparations must be followed completely to ensure accurate test results

1. BARIUM ENEMA (BE)*:  Bowel preparation kits Evac-Q-Kwik or Tridrate Bowel Evacuant Kit may be purchased over the counter from a pharmacy.  These kits include the following: Magnesium Citrate Oral Solution,  Bisacodyl tablets,  and a Bisacodyl suppository . (The contents can all be purchased individually if the kits are not available at your pharmacy. ) Please refer to the separate "Colon Preparation Instructions "sheet from us for specific instructions.  Beginning at noon the day before your exam have a clear liquid lunch and dinner.  At 7 p. m.  drink entire 10 oz.  bottle of Magnesium Citrate,  followed by 10 oz. of clear fluids.  At 9 p. m.  take the 3 Bisacodyl tablets.  On the day of your exam,  insert the suppository three hours before the exam. 
 
2. BARIUM ENEMA WITH INTRAVENOUS PYELOGRAM (IVP):  Same as above. 

3. CT SCAN :  Please inform the scheduler if you are taking Glucophage,  Glucovance, Metformin, Avandamet, or Metaglip . 
Nothing to eat or drink for 3 hours prior to exam time, (except for CT sinus). We will be calling you to ask you important questions regarding your medical history. We must confirm your appointment by 3 p. m. the day before your examination.  IF WE ARE UNABLE TO REACH YOU THE DAY BEFORE YOUR EXAMINATION TO CONFIRM YOUR APPOINTMENT TIME, PLEASE CALL OUR CONFIRMATIONS DEPARTMENT AT (214)345-7035 OR YOUR APPOINTMENT WILL BE
RESCHEDULED. Patients receiving oral contrast may experience diarrhea. 

3a. CT SCAN (abdomen): See above #3. Please arrive 45 min. early to receive the contrast agents for your exam. 
3b. CT SCAN (abdomen and pelvis): See above #3. Please arrive 1 1 /4 hour early to receive the contrast agents for your exam. 
3c. CT SCAN (head, neck, chest, spine): See above #3. Please arrive 15 minutes prior to exam time. 

4. ESOPHAGRAM (barium swallow): No preparation necessary if not being done with another procedure. 

5. INTRAVENOUS PYELOGRAM (IVP)(kidneys): 4 p. m. day prior to exam take 10 oz. of Magnesium Citrate , followed by 10 oz. of
clear liquids (bouillon, broth, apple juice, grape juice)or 4 oz. of plain flavored gelatin (no cream or fruit). You may have water or liquids as desired during the evening. On the day of the exam you may have 8 oz. of clear liquids (bouillon, broth, apple juice, grape juice). Avoid carbonated beverages. Do not eat, drink, chew gum, or smoke four hours prior to your exam time. Please inform Scheduling if allergic to iodine or if taking the medications Glucophage, Glucovance, Metformin, Avandamet, or Metaglip.

6. MAGNETIC RESONANCE IMAGING (MRI/MRA): We will be calling you to ask you important questions regarding your medical history. We must confirm your appointment by 3 p. m. the day before your examination. IF WE ARE UNABLE TO REACH YOU THE DAY BEFORE YOUR EXAMINATION TO CONFIRM YOUR APPOINTMENT TIME, PLEASE CALL OUR CONFIRMATIONS DEPARTMENT AT (214)345-7035 OR YOUR APPOINTMENT WILL BE RESCHEDULED. *Do not wear jewelry, hairpins, and barrettes for this exam. If you are claustrophobic, please inform the person taking your medical
history so the radiologist can prescribe a mild sedative. If you will require sedation, please arrive 1 1 /4 hour early. For your safety, 
someone needs to stay with you and drive you home following your exam. 

7. MAMMOGRAM : Do not wear deodorant or powder. If you wear a blouse (rather than a dress), you will not need to undress completely. 
It would be preferable to schedule a mammogram when breasts are less tender (5-10 days after the start of menstrual cycle). 

8. MYELOGRAM : Nothing to eat three hours prior to exam time. You may have water or liquids as desired. Please wear loose fitting garments that do not contain metal objects, such as clasps, zippers, etc. For your safety and comfort, a driver is required for your transportation following this exam. 

9. PLAIN FILMS OF REQUESTED MRI AREA : As deemed necessary by the radiologist. This examination is frequently requested in coordination with the MRI. 

10. SMALL BOWEL : Do not eat or drink after midnight prior to the day of a morning exam. Please do not schedule this exam after 10: 30am. 

11. ULTRASOUND - ABDOMEN (liver, gallbladder, pancreas, kidneys, aorta, spleen, or abdominal Doppler study): Nothing to eat or drink (except water)for eight hours prior to exam. You may take medications. Note: Please schedule renal sonograms with Doppler in the mornings. 

12. ULTRASOUND -ABDOMEN WITH PELVIS : Nothing to eat or drink (except water)for eight hours prior to exam. You may take medications. One hour prior to the first ultrasound exam, begin drinking 32 oz. of water. Finish drinking all water in 15 minutes. (Water must be finished 45 minutes prior to time of exam. )DO NOT VOID after drinking the 32 oz. of water. The bladder must be full for the exam. 

13. ULTRASOUND - ABDOMEN WITH UPPER GI : Same instructions as Upper GI (#20). 

14. ULTRASOUND -PELVIS, HYSTEROSONOGRAM, OB LIMITED (under 14 weeks), or OB COMPLETE (over 14 weeks): One hour prior to exam time, begin drinking 32 oz. of water. Finish drinking all water in 15 minutes. (Water must be finished 45 minutes prior to time of exam. )DO NOT VOID after drinking the 32 oz. of water. The bladder must be full for the exam. 

15. ULTRASOUND -RENAL (or Kidney): No preparation necessary. For RENAL ULTRASOUND WITH DOPPLER -See Ultrasound -Abdomen prep (#13). 

16. ULTRASOUND -RENAL/BLADDER : 1 hour prior to appointment time, begin drinking 24 oz. of water. Finish in 15 minutes. DO NOT VOID. Bladder must be full for exam. 

17. ULTRASOUND -THYROID, NECK, BREAST, SCROTUM, APPENDIX, HERNIA or EXTREMITY : No preparation necessary. 

18. UPPER GI (UGI): The night before your exam, eat a light supper. Limit meal to items such as a small sandwich, flavored gelatin, soup, or broth. After midnight, do not have anything else to drink or eat until after your exam. This includes no smoking, chewing gum, or eating hard candy. 

19. UPPER GI AND SMALL BOWEL (combined): Same as Upper GI (#20)above. 

20. VIRTUAL COLONOSCOPY : Please call scheduling department for instructions. 

ATTENTION: FOR CHILDREN AND EXTREMELY ELDERLY OR DEBILITATED PATIENTS, YOU MAY WISH TO
CONSULT A RADIOLOGIST OR YOUR PHYSICIAN REGARDING PREPARATIONS. 

Thank You!

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