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PET/CT History PACS IMAGES: FIN: ORDER VERIFIED: 2 IDS VERIFIED: ADVANCED NUCLEAR IMAGING NUCLEAR MEDICINE Today's Date: Ordering Physician: Height: Weight: lbs. Patient Name: DOB: / / Allergies:
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How to fill out petct history

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To fill out PET-CT history, follow these steps:
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Begin by providing your personal information such as your name, date of birth, and contact details.
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Next, mention your medical history, including any previous illnesses, surgeries, or medical conditions you have been diagnosed with.
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Provide detailed information about any medications you are currently taking, including the dosage and frequency.
05
Mention any allergies or adverse reactions you have had to medications or contrast agents in the past.
06
Include information about your family medical history, especially if there is a history of cancer or other relevant conditions.
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Specify whether you have any existing medical implants or devices that may interfere with the PET-CT scan.
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If you are pregnant or breastfeeding, make sure to inform the healthcare professional conducting the PET-CT scan.
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Lastly, sign and date the PET-CT history form to confirm the accuracy of the information provided.

Who needs petct history?

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PET-CT history is needed by individuals undergoing a PET-CT scan.
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This includes patients who may be suspected of having cancer, as PET-CT scans are often used to detect and stage various types of cancer.
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In addition, individuals with certain medical conditions or symptoms such as unexplained weight loss, persistent pain, or abnormal growths may also require a PET-CT scan.
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PET-CT history provides essential information to healthcare professionals, allowing them to plan and interpret the scan accurately.
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PET/CT history is a record of a patient's previous PET/CT scans and medical history.
Healthcare professionals and radiologists who are conducting PET/CT scans are required to file PET/CT history for each patient.
PET/CT history can be filled out by documenting the patient's medical history, previous PET/CT scans, allergies, medications, and any relevant information.
The purpose of PET/CT history is to provide healthcare professionals with important information about a patient's previous scans and medical history to ensure accurate interpretation and treatment planning.
Information such as past PET/CT scans, medical history, allergies, current medications, and relevant clinical information must be reported on PET/CT history.
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