CT Scheduling Guidelines
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- Beverly Henderson
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1 March S. Cedar Crest Blvd., Suite 100, Allentown, PA Phone: ; Fax: NPI: Cetronia Road, Suite 101, Allentown, PA Phone: ; Fax: TAX ID: Key: CT Scheduling Guidelines CHEST CT CHEST CT (x-ray is almost always required) Signs/Symptoms IV ORAL Nodules Abnormal cxr, ancillary finding, f/u study WO No HRCT: Interstitial lung disease, i.e. asbestosis, sarcoidosis, TB SOBOE, dry cough, Abnormal PFT WO No Suspected pulmonary embolus Chest pain, cough, HR, SOB, dyspnea, Hemoptysis W No Persistent unresolved cough of at least 2 weeks w normal x ray Cough W No Unresolved pneumonia documented after antibiotics (4 weeks) Chest pain, cough W No Suspected/known tumor/mass evaluation, staging, restaging, Abn. chest xray Weight loss, abnormal tumor marker, pain, f/u W No Unexplained abnormalities on chest x ray Abnormal cxr, ancillary finding, f/u study W No Aortic Root Dilation SOB, fatigue, weakness, fainting, Abn chest xray, FU eval W No Pulmonary Vein Stenosis-Pre/Post Ablation SOB, fatigue, rapid heartbeat, fainting, A-fib WO&W No ABDOMEN CT (Superior to diaphragm to the level of the iliac bifurcation) Signs/Symptoms IV ORAL Adrenal mass High blood pressure, low potassium, palpitations WO No Cirrhosis Vomiting blood, jaundice, confusion, incr. LFTs WO&W Yes Renal Mass; Abn ancillary findings; Abn U/S Blood in urine, LBP, unexplained weight loss WO&W Yes Hemangioma; ONLY if MRI cannot be performed Abnormal LFTs, F/U liver mass WO&W Yes Patient has history of partial Nephrectomy-evaluating kidneys Renal CA, polycistic kidney disease WO&W yes
2 PELVIS CT (Iliac crests to sympysis pubis) Trauma Pain WO No F/U Fracture Pain WO No Abnormal xray Pain WO No ABDOMEN / PELVIS CT (Superior to diaphragm through the symphysis-pubis) Suspected retroperitoneal hematoma/hemorrhage Abdominal pain; hypotension, anemia WO No Suspected stone in kidneys, bladder and ureters Abdominal pain; flank pain, hematuria WO No Clinical signs suggestive of diverticulitis, colitis, Crohn's, IBD Abdominal pain, diarrhea W Yes Clinical signs suggestive of appendicitis Abdominal pain, nausea, vomiting, fever W Yes Lymphadenopathy, assessment of lymphomas Swollen enlarged lymph nodes W Yes F/U of complication/medical treatment of abdominal/pelvic (bowel obstruction) Abdominal pain, distension, vomiting, nausea W Yes Pancreatitis, suspected necrosis or pseudocyst Severe abdominal pain, nausea, vomiting WO&W Yes Hematuria Blood in urine WO&W Yes Hydronephrosis Raised creatinine,electrolyte imbalance WO&W Yes Abdominal Aortic Aneurysm (Stent Graph protocol) Abdominal pain, rapid HR, abdominal rigidity WO&W No UROGRAM-NO oral-please indicate on the script WO&W No EXTREMITIES CT Upper: Position of known fracture Pain and swelling around area, loss of function WO No Joint Arthritis, pain WO No Arthrogram Pain, decreasing ROM W No Lower: Position of known fracture Pain and swelling around area, loss of function WO No Joint Pain WO No Arthrogram Pain, "clicking" W No Leg Length Studies: Leg length Discrepancy Scoliosis, One leg is shorter, gait problems, pain in back/legs WO No
3 SPINE CT Due to radiation exposure, levels must be indicated Cervical C 1 - C Fractures Pain, bruising and swelling WO No Scoliosis Curving spine, shoulders/hips are uneven, LBP WO No Tumor: if MRI is contraindicated Pain, weight loss, fatigue W No Tumor: if MRI was recently completed eval for bone Pain, weight loss, fatigue WO No Post-op Studies Pain, f/u surgical eval WO No Thoracic T 1 - T Fractures Pain, bruising and swelling WO No Scoliosis Curving spine, shoulders/hips are uneven, LBP WO No Tumor: if MRI is contraindicated Pain, weight loss, fatigue W No Tumor: if MRI was recently completed eval for bone Pain, weight loss, fatigue WO No Post-op Studies Pain, f/u surgical eval WO No Lumbar L 1 - S Fractures Pain, bruising and swelling WO No Scoliosis Curving spine, shoulders/hips are uneven, LBP WO No Tumor: if MRI is contraindicated Pain, weight loss, fatigue W No Tumor: if MRI was recently completed eval for bone Pain, weight loss, fatigue WO No Post-op Studies Pain, f/u surgical eval WO No BRAIN CT Headache; new, sudden, severe Headache WO No Stroke or TIA, ORDER MRI for ACUTE SYMPTOMS Numbness, weakness, dizziness, trouble speaking WO No Visual Disturbance As stated WO No Hydrocephalus i.e. shunt revision Headache, vomiting, blurred vision WO No Trauma for depressed fracture Pain at site WO No Primary or metastatic tumor, new or follow up, ONLY if MRI is contraindicated!!!!!!!! Blurred vision, chronic headaches, R/O mets WO&W No ORBITS CT Trauma Facial/eye pain WO No No Trauma; specific localized facial pain Localized orbital pain, swelling, inflamation W No
4 SINUS CT When scheduling, please provide your image guided protocol: InstaTrak, Landmark, Stryker Preoperative Congestion, poplyps, CBS WO No Sinusitis; chronic, failed several courses of antibiotic therapy Facial pain, congestion WO No Osteomyelitis Pain in infected bone, fever, chills W No Sinus-nasal tumor Nasal congestion, pain above or below eyes W No NECK CT (Soft tissue) Imaging does NOT include vetebral structures - see Cervical Spine R/O Calculi Pain, dry mouth, bad taste in mouth, swelling WO No Lymphadenopathy Swelling of lymph nodes W No Parotids Dysphagia, vocal changes, aspiration W No Vocal cord lesion, hoarseness, paralysis Hoarseness, breathy sounding W No HEAD CTA Aneurysm Double or loss of vision, headache, eye pain WO&W No NECK CTA Suspected Carotid Stenosis Weakness, numbness, Confusion, dizziness WO&W No CORONARY CTA (CCTA) Evaluation of thoracic aortic aneurysm Most have no symptoms until the aneurysm leaks WO&W No Equivocal stress test;abnormal imaging Chest pain, cough, SOB, dyspnea WO&W No CHEST CTA (ABDOMEN / PELVIS) Dissection Stabbing or sharp chest pain WO&W No ABDOMEN CTA Renal hypertension Blood in urine, hypertension, renal insufficiency WO&W No Renal Artery Stenosis Hypertension WO&W No
5 PELVIS CTA DIEP Trans Flap WO&W ABDOMEN / PELVIS CTA Abdominal Aortic Aneurysm Constant chest/abd & back pain; pulsatile mass WO&W No Iliac Aneurysm Lower abdominal pain, low back pain or groin pain WO&W No Mesenteric Ischemia Abdominal pain WO&W No ABDOMINAL AORTA with RUNOFFS CTA Lower extremity ischemia, Claudication, Foot ulcer Absent pulse in foot, cramping pain, rest pain WO&W No
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