Contrast media - Revision history

Mikael Häggström: +Hyperthyroidism

2019-07-23T11:10:22Z

+Hyperthyroidism

Mikael Häggström: /* Intravenous */ CC-BY

2018-12-04T13:22:27Z

Intravenous: CC-BY

Mikael Häggström: /* In low renal function */ link

2018-11-13T06:15:13Z

In low renal function: link

Mikael Häggström: /* In low renal function */ linked

2018-11-13T06:14:44Z

In low renal function: linked

Mikael Häggström: /* In low renal function */ layout

2018-11-13T06:14:12Z

In low renal function: layout

Mikael Häggström: /* In low renal function */ +Image

2018-11-13T06:13:50Z

In low renal function: +Image

Mikael Häggström: /* Intravenous */ +Prevention

2018-11-12T17:19:51Z

Intravenous: +Prevention

Mikael Häggström: /* Intravenous */ Subsectioned

2018-11-09T20:12:28Z

Intravenous: Subsectioned

Mikael Häggström: Subarticles

2018-11-09T20:08:00Z

Subarticles

Mikael Häggström: /* CT scans */ less bolding

2018-11-07T12:33:19Z

CT scans: less bolding

@@ Line 9: / Line 9: @@
 [[File:Contrast CT.jpg|thumb|170px|[[CT with IV contrast]]]]
-====Contrast medium reaction====
+====In low renal function====
 {{Main|Contrast medium reaction}}
 In a more severe reaction:<ref name=SURF>Unless otherwise specified in lists and table: {{cite web|url=http://www.mastcellssjukdom.se/wp-content/uploads/2015/12/Nationella_rekommendationer_%C3%B6verk%C3%A4nslighetsreaktioner_kontrastmedel__PDF_2014-10-17.pdf|title=Hypersensitivity reactions against contrast media - Swedish Society of Uroradiology [Swedish: Överkänslighetsreaktioner mot kontrastmedel – SURFs kontrastmedelsgrupp] ], 2014-10-17}}</ref>
@@ Line 20: / Line 25: @@
 Before a contrast CT of a patient with known allergic-like or unknown-type of contrast reaction to the same class of contrast medium (such as iodinated), the American College of of Radiology recommends premedication with a glucocorticoid, preferably starting 12 or 13 hours before contrast administration.<ref>{{cite web|url=https://www.acr.org/-/media/ACR/Files/Clinical-Resources/Contrast_Media.pdf#page=11|Page 9 in: Manual on Contrast Media|website=American College of Radiology, Committee on Drugs and Contrast Media|accessdate=2018-08-25}} Version 10.3. 2018. ACR </ref>
-====In low renal function====
+===Hyperthyroidism===
-[[File:On the origin and progress of renal surgery, with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria. Together with a critical examination of (14783803013).jpg|link=CT with IV contrast in low renal function|thumb|180px|right|[[CT with IV contrast in low renal function]]]]
+{{Main|Iodinated contrast and hyperthyroidism}}
-{{Main|CT with IV contrast in low renal function}}
+Iodinated contrast can cause thyrotoxicosis in people with hyperthyroid diseases, mainly toxic multinodular goiter, Graves’ disease, or Hashimoto’s thyroiditis.<ref name="YıldızKuşkonmaz2016">{{cite journal|last1=Yıldız|first1=Sema|last2=Kuşkonmaz|first2=Şerife Mehlika|title= Effect of iodinated contrast media on thyroid: a brief review|journal=Journal of Health Sciences|volume=6|issue=1|year=2016|pages=12|issn=1986-8049|doi=10.17532/jhsci.2016.278}}</ref>
 ==Peroral==

@@ Line 14: / Line 14: @@
 *'''Adrenaline''' shot, 0.3-0.5mg in adults, given intramuscularly.
 *Summon an '''anesthesiologist'''
-<gallery mode=packed heights=200>
+[[File:Intramuscular site of adrenaline.jpg|thumb|center|150px]]
 ;Prevention

@@ Line 23: / Line 23: @@
 ====In low renal function====
-[[File:On the origin and progress of renal surgery, with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria. Together with a critical examination of (14783803013).jpg|thumb|180px|right|[[CT with IV contrast in low renal function]]]]
+[[File:On the origin and progress of renal surgery, with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria. Together with a critical examination of (14783803013).jpg|link=CT with IV contrast in low renal function|thumb|180px|right|[[CT with IV contrast in low renal function]]]]
 {{Main|CT with IV contrast in low renal function}}
 Decreased renal function and several other conditions increase the risk of '''contrast-induced nephropathy''', which is a potentially lethal renal injury to the kidney following intravenous radiocontrast.<ref name="RudnickFeldman2008">{{cite journal|last1=Rudnick|first1=M.|last2=Feldman|first2=H.|title=Contrast-Induced Nephropathy: What Are the True Clinical Consequences?|journal=Clinical Journal of the American Society of Nephrology|volume=3|issue=1|year=2008|pages=263–272|issn=1555-9041|doi=10.2215/CJN.03690907}}</ref>

@@ Line 23: / Line 23: @@
 ====In low renal function====
-[[File:On the origin and progress of renal surgery, with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria. Together with a critical examination of (14783803013).jpg|180px|right]]
+[[File:On the origin and progress of renal surgery, with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria. Together with a critical examination of (14783803013).jpg|thumb|180px|right|[[CT with IV contrast in low renal function]]]]
 {{Main|CT with IV contrast in low renal function}}
 Decreased renal function and several other conditions increase the risk of '''contrast-induced nephropathy''', which is a potentially lethal renal injury to the kidney following intravenous radiocontrast.<ref name="RudnickFeldman2008">{{cite journal|last1=Rudnick|first1=M.|last2=Feldman|first2=H.|title=Contrast-Induced Nephropathy: What Are the True Clinical Consequences?|journal=Clinical Journal of the American Society of Nephrology|volume=3|issue=1|year=2008|pages=263–272|issn=1555-9041|doi=10.2215/CJN.03690907}}</ref>

@@ Line 23: / Line 23: @@
 ====In low renal function====
-[[File:On the origin and progress of renal surgery, with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria. Together with a critical examination of (14783803013).jpg|thumb]]
+[[File:On the origin and progress of renal surgery, with special reference to stone in the kidney and ureter and to the surgical treatment of calculous anuria. Together with a critical examination of (14783803013).jpg|180px|right]]
 {{Main|CT with IV contrast in low renal function}}
 Decreased renal function and several other conditions increase the risk of '''contrast-induced nephropathy''', which is a potentially lethal renal injury to the kidney following intravenous radiocontrast.<ref name="RudnickFeldman2008">{{cite journal|last1=Rudnick|first1=M.|last2=Feldman|first2=H.|title=Contrast-Induced Nephropathy: What Are the True Clinical Consequences?|journal=Clinical Journal of the American Society of Nephrology|volume=3|issue=1|year=2008|pages=263–272|issn=1555-9041|doi=10.2215/CJN.03690907}}</ref>

@@ Line 17: / Line 17: @@
 File:Injection Sites Intramuscular Thigh Adult.png
 </gallery>
 ====In low renal function====

@@ Line 4: / Line 4: @@
 }}
 ==Intravenous==
-<gallery>
-File:Contrast CT.jpg|link=Contrast CT|[[CT with IV contrast|'''CT with IV''' contrast]]<br>-[[CT with IV contrast in low renal function|in low renal function]]<br>-[[Contrast medium reaction|reaction]]
+===CT===
 </gallery>
 ==Peroral==

@@ Line 29: / Line 29: @@
 ===[[CT scan]]s===
-'''Rectally administered contrast''' is indicated in cases where a suspicion remains of penetrating trauma to the colon where an initial CT shows no reason for immediate surgery.<ref>{{cite web|url=http://www.radiologyassistant.nl/en/p466181ff61073/acute-abdomen-role-of-ct-in-trauma.html#i466184acd2fdb|title=Acute Abdomen - Role of CT in Trauma|author=Stephen Ledbetter and Robin Smithuis|website=Radiopaedia|date=2007-08-02}}</ref>
+''Rectally administered contrast'' is indicated in cases where a suspicion remains of penetrating trauma to the colon where an initial CT shows no reason for immediate surgery.<ref>{{cite web|url=http://www.radiologyassistant.nl/en/p466181ff61073/acute-abdomen-role-of-ct-in-trauma.html#i466184acd2fdb|title=Acute Abdomen - Role of CT in Trauma|author=Stephen Ledbetter and Robin Smithuis|website=Radiopaedia|date=2007-08-02}}</ref>
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