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Patient Testing Procedures: Radiology (Imaging Services)



Arteriogram/Angiogram

How To Prepare For Your Exam

Please inform your physician if you are allergic to IODINE or x-ray dye, if there is a possibility of pregnancy, if you are nursing, or on chemotherapy so this information can be relayed to Radiology prior to you coming in for the exam.

  1. Stop taking blood thinner medication 48 hours before your scheduled exam (this includes aspirin).
  2. Have nothing to eat or drink after midnight the day prior to exam.
  3. Please take your morning medication with a small amount of water especially your blood pressure pills. Do not take your water pill, bring them along to take when test is completed.
  4. Please arrive at Medical Outpatient, 6th floor, at least one hour before your scheduled time. Please bring with you the day of the test a written Physician's Order, your physician may fax us one prior to the day of your scheduled exam, insurance cards/information and Social Security Card. You should be pre-registered unless you were just put on the schedule.
  5. You will have blood work drawn.
  6. You will need to make arrangements for someone to drive you home and spend the night.
  7. You will be required to sign a consent form prior to exam in the Radiology Department.
  8. If you are on Glucophage for diabetes, you must stop taking it for 48 hours after your arteriogram.
How The Procedure is Done

Your physician feels you would benefit from having an arteriogram/angiogram, which is a radiographic examination of a portion of your blood circulation.

The area in which the catheter will be inserted will be numbed using a local anesthetic called Xylocaine.

A very small catheter will be inserted into an artery. Using flouroscopy, the radiologist will guide the catheter to the area needed to do the exam. Contrast (IODINE) will be injected through the catheter, and films will be taken. You will feel a warm sensation from the contrast when films are being done. The warm sensation will last only a few seconds. Depending on the type of exam, several injections may be required.

The procedure takes approximately 90 minutes, occasionally longer, depending on the exam.

When the exam is completed, the catheter will be removed, and pressure will be applied by trained personnel to stop the bleeding. A bandage will then be applied; you may remove it the next morning.

When the Procedure is Complete

If you are scheduled as an outpatient, you will be sent to a recovery area for six to eight hours. You must keep the extremity used for the exam straight; do not bend or push using that extremity. The nurses will be checking the area frequently.

You may now eat and drink, unless otherwise ordered by your physician. You may resume normal activities in 24 hours. You will receive written instructions before you are discharged to home.

Remember, someone must spend the night with you. The results of the exam will be available to your physician the same day.

Report the following to the nurse immediately:
  1. Bleeding or sudden swelling at the site used for the exam.
  2. Blueness, numbness or coldness of the extremity.
  3. Redness or drainage from the puncture site.
  4. Fever or chills.
Possible Complications

  1. A drug reaction may occur; this is rare and treatable. Trained personnel remain with you.
  2. A very small risk, including injury to a nerve, artery or vein (or infection), may occur.
  3. Other very rare complications, such as a risk of stroke from a plaque breaking off, can occur.
  4. Very uncommonly (one in 40,000), death has occurred relating to contrast administration. The risk of such a severe consequence is similar to that of the administration of penicillin.
  5. Patients at higher risk for an adverse reaction include:
    a. History of an allergic-like reaction to contrast (IODINE).
    b. History of severe allergies or asthma.
    c. Severe or incapacitating heart disease.
    d. History of severe kidney disease, particularly caused by diabetes.

For Questions or More Information Call (814) 889-6623

Imaging Services
Altoona Regional Health System
620 Howard Avenue
Altoona, PA 16601-4899




Myelography

Prior To Your Exam

  1. Please notify your ordering physician if you are allergic to IODINE or x-ray dye.
  2. Please give a complete list of all your medications to your ordering physician, and bring the list with you to the Hospital.
  3. Make arrangements for someone to drive you home.
  4. Please tell your physician if there is a possibility of pregnancy, or if you are nursing.
How To Prepare For Your Exam

Please bring with you the day of the test:
You must have a written Physician's Order, your physician may fax us one prior to the day of your scheduled exam, insurance cards/information, Social Security Card. Take the elevator near the gift shop to the 7th floor. Go to the Same Day Surgery on the right side. If you are unsure of where to report, ask a Greeter for directions.

1. You will need to discontinue the following classification of drugs 48 hours prior to the myelogram and 24 hours after the exam. PLEASE get permission from your physician before stopping these medications:
  • Phenothiazines
  • Antipsychotics
  • Tricyclic antidepressants
  • CNS stimulants
  • Monoamine Axidase Inhibitors (MAO)
  • Anticholinergies and antihistamines
  • Anticoagulants, including aspirin, and any of the following:

    Please get permission form your physician before stopping these medications:

  • Reglan
  • Gynergen
  • Choledyl
  • Hydrazin
  • Paudixin
  • Serpasil
  • Eskalith
  • Lidocaine (or other anesthetics)
  • Dilor
  • Theodur
  • Benemid
  • Niconyl
  • Tigan
  • Serapes
  • Somophylline
  • 2. Drink additional fluids the day prior to your exam especially caffeine containing drinks.

    About Your Myelogram
    Your doctor feels that you would benefit from a Myelogram. A Myelogram is an x-ray of your spinal cord.

    Once on the nursing unit, an IV will be started. You will also receive a sedative, after signing a consent form, to help you relax (usually Valium).

    You will be taken to the Radiology Department for the exam. The Radiologist will numb the area with Xylocaine, a small needle will be inserted into your back and dye will be injected. X-rays will be taken at this time.

    Occasionally spinal fluid samples will be taken if requested by your physician.

    You will then be taken for a CT (Computerized Tomagraphy) Scan for further films. Special note: Occasionally delays occur; please accept our apologies. You may have to wait in our holding area for a short length of time.

    Pain medication is routinely ordered; please ask if you need something for pain.

    After Your Procedure is Completed
    1. Upon completion of your Myelogram and CT Scan, you will return to the nursing unit. If it has been two hours since the completion of the Myelogram, you will be discharged home. Remember, someone must drive you home.

    2. You may resume normal activities once at home.

    Possible Complications
    1. Ten to 30 percent will have a post-lumbar puncture headache (spinal headache). Pain medication is ordered and can be given to you immediately.

    2. Other complications can rarely occur such as nausea, vomiting, dizziness and tinnitus (ringing in your ears).

    3. Very rarely seizure activity has been reported, especially if patients have not stopped taking the medications listed above under "How to prepare for your exam."

    Please discuss any concerns you may have with your physician before you are scheduled for your Myelogram.

    For Questions or More Information Call (814)889-6623

    Imaging Services
    Altoona Regional Health System
    620 Howard Avenue
    Altoona, PA 16601-4899




    Ultrasounds: Gall Bladder, Pancreas, Liver or Abdominal Aorta
    *Note: The following testing procedure is the same for all four ultrasounds listed above.

    About Your Exam
    Your doctor has ordered a sonogram for you. It is a painless procedure which utilizes high frequency sound waves to identify your internal organs. Gel is applied to your abdomen and a probe called a transducer is moved over the skin of your abdomen, sending sound waves into your body. The transducer then listens for returning echoes which reflect off the internal organs. These echoes are then electrically converted by the ultrasound machine into an image on a television. Films are taken and kept with your medical records.

    How to Prepare for Your Test
    Please note: Your doctor may modify these instructions.
  • Do not eat or drink anything after midnight.
  • No smoking after midnight
  • Please report to Outpatient Registration 15 minutes before your exam.
  • Please bring with you the day of the test:
    You must have a written Physician's Order, your physician may fax us one prior to the day of your scheduled exam, insurance cards/information, Social Security Card. Upon entering the Hospital, go to the first floor lobby and register at the Outpatient Registration Desk. If you are unsure of where to report for testing, ask for a Greeter to escort you to the testing area.
  • For Questions or More Information Call (814)889-6623





    Pelvic Ultrasound

    About Your Exam
    Your doctor has ordered a sonogram for you. It is a painless procedure which utilizes high frequency sound waves to identify your internal organs. Gel is applied to your abdomen and a probe called a transducer is moved over the skin of your abdomen, sending sound waves into your body. The transducer then listens for returning echoes which reflect off the internal organs. These echoes are then electrically converted by the ultrasound machine into an image on a television. Films are taken and kept with your medical records.

    How To Prepare For Your Pelvic Ultrasound
    Please note: Your doctor may modify these instructions.
  • Void (urinate) 2 hours before your scheduled exam, then start drinking liquids immediately.
  • Drink 4 to 5 large glasses of water. You must drink a minimum of 32 ounces. You can eat during this time. Do not void (urinate) until after the exam is completed.
  • Please report to Outpatient Registration 15 minutes before you exam.
  • Please bring with you the day of the test:
    You must have a written Physician's Order, your physician may fax us one prior to the day of your scheduled exam, insurance cards/information, Social Security Card. Upon entering the Hospital, go to the first floor lobby and register at the Outpatient Registration Desk. If you are unsure of where to report for testing, ask for a Greeter to escort you to the testing area.
  • For Questions or More Information Call (814)889-6623

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