Oral Contrast is only* required for:
- Very thin Patients for abdominal pain.
- Post-op bowel surgery, fistula or Crohn's Disease
- When IV contrast is contraindicated
- Pediatric Patients
- CT A/P without contrast:
Cases ordered as CT kidney stone exam
- CT A/P with IV only:
Patients with RLQ pain and lower abdominal pain, if BMI >25
- CT A/P with IV only regardless of BMI:
Diffuse abdominal pain, Trauma, Lower GI bleed, Bowel obstruction (abdominal distention, vomitting, dilated loops in plain radiograph), AAA, suspected bowel ischemia
- CT A/P with IV and oral contrast:
Suspected fistula, post-op bowel surgery, hx. of Crohn's Diaease
- CT A/P with oral only:
Contraindication for IV, regardless of BMI or indication (except renal stone)
- In special cases, contrast administration can still be prescribed at the discretion of the ED radiologist.