GP & Specialist - Referral Guidelines

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GENERAL POINTS
• The more clinical information provided, the better both for justification of the procedure and for the subsequent reading of the images.
• Is a Radiation exposure the best way forward?
• Are additional views really necessary?
• Are there any contraindications?
PLAIN FILM
• No prep, If you want additional view these must be clearly justified
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CT
• Is there another imaging modality that doesn’t involve a Radiation exposure, is this really necessary?
• Prep is often needed, Abdominal, prehydration, etc Contrast is often needed, renal function assessment is mandatory.
• Any history of allergy, atopy, etc
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MRI
• Consider absolute contraindications: pacemaker, defibrillators, some valves and clips but not most joint prosthesis. If in doubt ask.
• Consider Claustrophobia, is Sedation needed?
• If contrast is needed, Renal function assessment is mandatory.
• Prep may be needed
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ULTRASOUND
• Prep is often needed, drinking water or fasting.