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Pamela Johnson @PamelaJohnsonMD
, 5 tweets, 2 min read Read on Twitter
More high value radiology! Topic: PO contrast for abdominal & pelvic CT in adult patients. Invite comments on the debate about positive PO contrast, PO water and no PO at the end, but arm tweets with evidence! #tweetorial #highvaluehealthcare
Quick poll to gauge your understanding. Which of the following is used for oral contrast with adult CT abdomen & pelvis (CT AP)?
Background: Positive (+) PO contrast is either iodine-based or barium-based. Ordering providers need to know when to order PO & when to avoid, particularly for ED & inpatients. For some indications, radiologists now use PO water & rads should be involved in decision-making.
Why are we using PO water for CT AP?
1⃣ Enables visualization of bowel mucosa, which is obscured by (+) PO
2⃣ Better tolerated by pts than (+) PO
3⃣ No risks. Allergic pts can react to iodine-based PO, including anaphylaxis
4⃣ Lower cost
Nice resource:…
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