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COLONOSCOPY / EUS (circle one) / BOWEL PREP (circle one) *Purchase prep at your requested pharmacy within one week (Only follow the box instructions to mix prep and then follow the instruction sheet

How to fill out colonoscopy eus circle one

How to fill out colonoscopy EUS (endoscopic ultrasound) form:

1. Start by carefully reading the instructions provided on the form. Make sure you understand the purpose of the form and the information it requires.
2. Begin filling out the form by providing your personal details, such as your full name, date of birth, and contact information. This will help identify you as the patient undergoing the colonoscopy EUS procedure.
3. Indicate the reason or referral that led to the colonoscopy EUS by selecting the appropriate option from the provided choices. This could include symptoms like abdominal pain, unexplained weight loss, or abnormal imaging results.
4. Circle the specific EUS procedure being requested, ensuring that you indicate the correct form for a colonoscopy EUS. It may be necessary to consult with your healthcare provider or refer to any accompanying instructions if you are unsure of the exact procedure.
5. Provide a brief medical history by ticking the relevant boxes or filling in any required information about your current health conditions, medications, allergies, or previous surgeries. This will assist the medical staff in determining your suitability for the colonoscopy EUS procedure.
6. If applicable, specify any additional tests or procedures that have been done prior to the colonoscopy EUS, such as a regular colonoscopy, CT scan, or blood tests. This information will help ensure that your healthcare provider has a complete picture of your medical history.
7. Clearly indicate whether you have any known contraindications or risks related to the colonoscopy EUS procedure. This includes conditions such as bleeding disorders, pregnancy, or the presence of certain medical implants. If unsure, consult your healthcare provider for guidance.

Who needs colonoscopy EUS?

1. Individuals who exhibit signs or symptoms that require further investigation beyond a regular colonoscopy may need a colonoscopy EUS. This could include patients with abnormal imaging results, unexplained weight loss, or suspected gastrointestinal tumors.
2. Patients who have specific medical conditions that necessitate an EUS procedure may also require a colonoscopy EUS. Examples of such conditions could be chronic pancreatitis, bile duct diseases, or suspected gastrointestinal wall abnormalities.
3. In some cases, a colonoscopy EUS may be recommended as a follow-up procedure to a regular colonoscopy if any abnormalities or suspicious findings were found during the initial screening.

It is important to consult with your healthcare provider to determine if you require a colonoscopy EUS, as they will assess your individual circumstances and medical history to make an informed decision.

For pdfFiller’s FAQs

What is colonoscopy eus circle one?

Colonoscopy EUS is a procedure that combines colonoscopy and endoscopic ultrasound to examine the colon and other nearby organs.

Who is required to file colonoscopy eus circle one?

Patients who are recommended to undergo colonoscopy EUS by their healthcare provider are required to have the procedure.

How to fill out colonoscopy eus circle one?

Colonoscopy EUS is performed by a gastroenterologist or an endoscopist in a medical facility.

What is the purpose of colonoscopy eus circle one?

The purpose of colonoscopy EUS is to diagnose and evaluate conditions affecting the colon and surrounding organs, such as tumors, polyps, and inflammation.

What information must be reported on colonoscopy eus circle one?

The report of colonoscopy EUS should include findings, measurements, locations of abnormalities, and any biopsies taken during the procedure.

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