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Sunday, April 5, 2015

Cardiac #pacing device and #MRI ? #np #pa #ms #choosingwisely


Is there a way to get an MRI for your patient with a cardiac pacing device?

Possibly.

The exact manufacturing information must be available from the device, probably from the card the patient was issued.

Look up that exact information on here:

mrisafety.com/TheList_search.asp

Then careful coordination with the radiologist at the MRI center with the above information - additional cardiology coordination may be needed.

No implanted device can ever be assumed "conditional" or "safe" - it must always be referenced with the MRIsafety.com list and discussed with a radiologist.

Educational purposes for licensed providers.


Note to Patients:

Radiology is a very large and ever changing field and this post is to help your provider.  When combined with a thorough history and physical exam, this information can be very useful.  Your provider is best suited to answer specific questions regarding this post.

A provider is usually a Nurse Practitioner, Physician Assistant or Medical Doctor.

Of course, this is not a substitute for medical care.

Cyclical Breast pain, ultrasound? #orderwhat #AFPjournal #PCareProgress #AANP_NEWS #AAPAorg #choosingwisely

If a woman has cyclical Breast pain, does she need an ultrasound? 

Probably not.

Cyclical breast pain, in a pre or peri-menopausal woman is probably benign and related to breast parenchymal response to hormonal changes.

If the pain does not coordinate with menses, a cyst or other structure could cause pain, in which case an ultrasound, or other imaging would be helpful.

Breast pain is not a common indicator of breast cancer.

More information here: 

webmd.com breast pain or mastalgia


Educational purposes for licensed providers.


Note to Patients:

Radiology is a very large and ever changing field and this post is to help your provider.  When combined with a thorough history and physical exam, this information can be very useful.  Your provider is best suited to answer specific questions regarding this post.

A provider is usually a Nurse Practitioner, Physician's Assistant or Medical Doctor.

Of course, this is not a substitute for medical care.