Get the free Fluoroscopy-Esophagram - Mercy Medical Center

FluoroscopyEsophagram To Schedule: (319) 8617778 Questions about Procedure: (319) 3986050 What is an Esophageal Procedure? The esophageal will demonstrate evidence of esophagitis, reflux, strictures, esophageal

How to fill out fluoroscopy-esophagram - mercy medical

How to fill out a fluoroscopy-esophagram - Mercy Medical:

1. Gather the necessary information: Before filling out the fluoroscopy-esophagram form, make sure you have all the required information at hand. This may include your personal details, such as name, date of birth, and contact information, as well as any relevant medical history or previous procedures you have undergone.
2. Review the instructions: Take the time to carefully read the instructions provided on the form. These instructions will guide you through the different sections and ensure you provide accurate and complete information.
3. Provide accurate personal details: Start by filling out the personal details section of the form. This typically includes your full name, date of birth, address, and contact information. Double-check that everything is spelled correctly and that your contact information is up to date.
4. Medical history: Fluoroscopy-esophagram forms usually require information about your medical history. This may include any chronic conditions, previous surgeries, allergies, current medications, and any relevant family medical history. Fill out this section thoroughly, providing as much detail as possible.
5. Consent and acknowledgment: Often, these forms will have a section where you need to provide consent for the procedure and acknowledge that you understand its risks and benefits. Read this section carefully and make sure you agree before signing or checking the appropriate boxes.
6. Consultation: Depending on the specific requirements of Mercy Medical, you may need to schedule a consultation with a medical professional to discuss the procedure in more detail, ask any questions you may have, and sign any additional paperwork.
7. Submit the form: Once you have completed the form, ensure that all the required sections are filled out accurately. Check for any errors or missing information before submitting the form to Mercy Medical.

Who needs fluoroscopy-esophagram - Mercy Medical?

1. Individuals experiencing swallowing difficulties: A fluoroscopy-esophagram is often recommended for individuals who have difficulty swallowing or are experiencing pain when swallowing. This procedure helps doctors visualize the structure and function of the esophagus to identify any abnormalities.
2. Patients with suspected esophageal conditions: If a patient is presenting symptoms that may indicate esophageal conditions such as strictures, tumors, gastroesophageal reflux disease (GERD), or hiatal hernias, a fluoroscopy-esophagram may be necessary to provide a more accurate diagnosis.
3. Preoperative evaluations: In certain cases, a fluoroscopy-esophagram is performed as part of a preoperative evaluation, especially for procedures involving the upper gastrointestinal tract. This allows surgeons to assess the condition of the esophagus before operating to minimize any complications during the procedure.

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