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CT ICONOGRAPHY (CTC) REQUISITION ORDERINGPHYSICIAN Reset PATIENTNAME: Name: DOB: Signature: HAN: HOMOPHONE: Copy to: CELLPHONE: ADDRESS: DepartmentofDiagnosticImaging Date(dd/mm/by): Tel.6139697400×2860(BGH)

How to fill out ct colonography ctc requisition

How to fill out a CT colonography (CTC) requisition:

1. Start by providing basic patient information such as the patient's full name, date of birth, gender, and contact information. Make sure to double-check the accuracy of the information provided.
2. Next, fill in the relevant medical history of the patient, including any past or present medical conditions, surgeries, medications, and allergies. This information helps the radiologist interpret the results accurately.
3. Specify the reason for the CTC requisition. Is it for routine screening, evaluation of symptoms, or follow-up of a known condition? Providing a clear indication helps guide the radiologist in prioritizing and interpreting the procedure.
4. Choose the appropriate colon preparatory instructions. Indicate if the patient will receive a laxative, dietary restrictions, or any other specific instructions to prepare for the CTC. The preparation is crucial as it ensures clear visualization of the colon during the examination.
5. Enter the referring physician's information, including their name, contact details, and the reason for the referral. This allows for effective communication between the radiologist and the referring physician regarding the patient's condition.
6. If applicable, include any additional clinical information that may be relevant to the CTC examination. For example, if the patient has undergone previous colonoscopies or surgical procedures that may impact the findings, mention these details.

Who needs a CT colonography (CTC) requisition:

1. Individuals with a family history of colorectal cancer or polyps: Patients who have a first-degree relative (parent, sibling, or child) diagnosed with colorectal cancer or polyps may be at increased risk. A CTC requisition helps screen for any potential abnormalities or early signs of cancer.
2. Individuals with a history of colorectal polyps or cancer: Patients who have previously had polyps or have been diagnosed with colorectal cancer should undergo regular surveillance. A CTC requisition aids in monitoring the condition and identifying any new developments.
3. Individuals at average risk but cannot undergo colonoscopy: For patients who are at average risk for colorectal cancer but cannot tolerate or refuse a colonoscopy, a CTC requisition provides an alternative screening option. It allows for non-invasive visualization of the colon without the need for invasive procedures.

In conclusion, filling out a CT colonography CTC requisition involves providing accurate patient information, specifying the reason for the procedure, detailing the patient's medical history, and indicating the referring physician's information. This requisition is necessary for individuals with a family history or prior diagnosis of colorectal cancer, as well as those at average risk who cannot undergo a colonoscopy.

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What is ct colonography ctc requisition?

CT colonography (CTC) requisition is a form or request for a CT scan of the colon to screen for abnormalities or diseases.

Who is required to file ct colonography ctc requisition?

Medical professionals such as physicians or radiologists are typically required to file a CT colonography requisition.

How to fill out ct colonography ctc requisition?

CT colonography requisition is typically filled out by providing patient information, reason for the scan, and any other relevant details.

What is the purpose of ct colonography ctc requisition?

The purpose of CT colonography requisition is to facilitate the scheduling and performance of a CT scan of the colon for diagnostic or screening purposes.

What information must be reported on ct colonography ctc requisition?

Information such as patient demographics, clinical history, referring physician, scan indication, and any relevant prior imaging studies may need to be reported on a CT colonography requisition.