Talk to General / Diabetic on Serum Creatinine Test For CT Scan
Asking For Mother, Female 58, Lahore
is it safe for a diabetic patient to go for CT scan with this serum creatinine result.she is advised to intake more water before and after CT scan.
Dr. Ilyas Sadiq - Vascular Surgeon
MBBS, FCPS-I, FRCS (UK), Diplomate Intercollegiate Speciality Board (UK), CCST (Ireland), EITS (France) | Lahore
378 Positive Reviews
she should drink plenty of water for two days, Repeat this test again, if it improves she can go for CT angio
Dr. Muhammad Arslan Ali - Rehabilitation Medicine
MBBS, Certified in Diabetes Care (UK), Diploma in Diabetes (UK), Diploma, Diploma in Rheumatology (UK) in Sports & Exercise Medicine (UK), Diploma in Pain Management (UK), MSc Musculoskeletal , M-MBA Healthcare (UK)Care (UK), | London
4 Positive Reviews
Totally agree with the advise , also to recheck the creatinine after the CT
CT scan plain can be done. CT with contrast is NOT advisable
follow the given advise ? lots of prayer for the patient.
your primary consultant who has ordered the CT scan should corrdinate with a nephrologist and the radiology department to devise a management plan. Patients need multidisciplinary care. one test report without any history or comprehensive investigatiin findings are not adequate for anyone to give any advice on a text message.
Asst. Prof. Dr. Kashan Uddin Niazi - Family Medicine
MBBS, MCPS (Medicine), MRCGP, Master Medical Education | Karachi
25 Positive Reviews
If it is plan CT is ok but if they are doing with contrast.... Nephrologist opinion should be taken
ok to have CT scan, don't worry
please book an online appointment for further discussion
Yes it's fine to go for CT scan
Dr. Naveed Akhtar - General Surgeon
MBBS, FCPS (Surgery), FCPS (Urology) | Multan
31 Positive Reviews
Yes she can
as advised to take more water
Asst. Prof. Dr. Muhammad Anwar Bugti - General Surgeon
MBBS, FCPS | Quetta
yes.if c.t scan is necessary
yes for sure if CT scan is necessary
and drink more water as advised
Short answer is yes, it is safe to go for ct with contrast in this case. Do follow the advice for increased water intake before and after.( upto 3 hours before and 6 to 12 hours after).
the long answer is that getting ct contrast done in this case has a relatively increased risk of causing kidney damage. so it is about weighing the risk of cancer scan complication vs burden of disease due to missed diagnoses of problem for which ct is advised. ct without contrast would be a better option if possible
Dr. Muhammad Ali - Family Medicine
| MBBS | MD | Family Physician | | Gujranwala
Plain CT could be performed. Contrast not advised
Dr. Sadaf Haris - Family Medicine
MBBS, FCPS | Lahore
plain CT can be done but Contrast should not be given without Nephrologist opinion. Also, please repeat Creatinine after plenty of fluids intake and consult Nephrologist if raised.
Dr. Summyia Sadia - General Practitioner
MBBS, DMJ (Diploma in Medical Jurisprudence) | Sargodha
26 Positive Reviews
yes.CT should be done with more water intake
No. plz consult a nephrologist first then go for any kind of CT scan ( with or without contrast ).
Dr. Faisal Khan - Internal Medicine Specialist
| MBBS | FCPS | Infectious Diseases Fellow | | Timergara
Yes, you can do with less nephrotoxic contrast media.
| MBBS | FCPS | Infectious Diseases Fellow | | Timergara | Book Appointment
The CIN Consensus Working Panel found that adequate intravenous volume expansion with isotonic crystalloids (1-1.5 mL/kg/h), 3-12 hours before the procedure and continued for 6-24 hours afterward, decreases the incidence of CIN in patients at risk.
1 year ago
if depends on why do you want to proceed for CT scan. if its really important for treatment or diagnosis then yes but only under nephrologist care and good hydration status of patient
Dr. Syed Sibtain Ul Hassan - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Lahore
7 Positive Reviews
Yes but under strict protocols
Kindly consult nephrologist.
Dr. Tariq Badini - General Physician
| MBBS | FCPS (Internal Medicine) | | Quetta
20 Positive Reviews
yes... ct scan can be done.... hydrate the patient well and then check creatine regularly
yes but it's better to hydrate patient well before and after test and then check Serum creatinine regularly for 3-4 days.
Yes she can undergo CT Scan. Just make sure she drinks plenty of fluids and monitor S. Cret afterwards
Dr. Syeda Huma Zartash - Internal Medicine Specialist
MBBS, MRCP, MRCGP (intl) | Lahore
1 Positive Reviews
Yes, but ensure hydration before CT
Dr. Ahmad Bilal - General Practitioner
MBBS | Faisalabad
Yes!! There wont be any complications regarding such Cret. value as far as She hydrates herself as much She can!! and yes monitor after test values as well!! moreover depends upon patient to patient condition!!
yes but hydrate before and after scan
Dr. Maryam Saleem - General Practitioner
MBBS, FCPS-1 (Medicine) | Lahore
Patient should hydrate herself adequately before the CT, if it's necessary. CT contrast is nephrogenic, therefore you should consult a nephrologist too. Or monitor RFTs later.
Dr. Ali Shuaib Ashraf - Internal Medicine Specialist
MBBS, FCPS, Certified of Diabetologist (University of Leicester UK) | Lahore
28 Positive Reviews
which area of CT Scan
Prof. Dr. Saira Mustehsan - Internal Medicine Specialist
MBBS, FCPS, FFPH, Certification in Curriculum Medical Education, P.h.D | Lahore
13 Positive Reviews
yes absolutely fine if she is conscious and well oriented in time place and person
Asst. Prof. Dr. Muhammad Dilawaiz Mujahid - General Surgeon
MBBS, FCPS (Surgery) | Faisalabad
3 Positive Reviews
yes at this level of creatinine CT scan is possible .... hydration in important
Dr. Hina Dildar - General Practitioner
MBBS | Rawalpindi
AoA yeah u can go for scan but keep the patient hydrated or give 500 ml normal saline after the test
dont do with contrast
Dr. Momal Fatima - General Practitioner
MBBS | Multan
yes she can get a CT, do repeat the test after the scan as well. and stay well hydrated
Dr. Nargis Tasleem - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Islamabad
24 Positive Reviews
yes she can go for it with proper hydration and precautions
can't be commented upon without proper history and examination
Yes but care must be taken if CT with contrast. Repeat kidney tests after CT
Asst. Prof. Dr. Saeeda - General Surgeon
MBBS, FCPS (Surgery) | Lahore
CT without contrast she can do
but not with contrast
if she want take CT with contrast then must take advise from nephrologist
no its not advised
get it done without dye
Dr. Lt Col R Muhammad Azhar Qureshi - General Surgeon
MBBS, FCPS (Surgery), FICS (USA), FACS (USA), Diploma in Surgery | Rawalpindi
50 Positive Reviews
with this creatinine level usually CT scan with contrast is not advisable because of potential renal damage. If at all necessary sometimes the nephrologist ask for proper hydration or may do post scan dialysis. Better to consult nephrologist
Dr. Mahwish Naimat - General Practitioner
MBBS | Karachi
no with this level of cretinine the CT scan with contrast is not advisable
U can go for plain CT scan.
Looks like diabetic nephropathy.
Damage of nephrons start early and srum creatinine start to rise late so I advise don't use contrast for ct scan.
Asst. Prof. Dr. Atif Abbas - Internal Medicine Specialist
MBBS, FCPS (Medicine), MCPS | Rawalpindi
1 Positive Reviews
CT Scan plain is safe... but contrast enhanced CT will lead to kidney problems
Dr. Aqsa Javaid Tarar - Family Medicine
MBBS | Lahore
Yes this is safe for a diabetic patient to go for CT scan but not with IV contrast because in case of IV contrast deranged Renal functions will make kindly unable to clear dye of contrast from body
Dr. Sabeel Iftikhar Ahmed - Internal Medicine Specialist
MBBS, FCPS (General Medicine) | Rawalpindi
yes she can go for CT without contrast , but in case if she needs contrast CT it's based on risk and benefit basis , her gfr is more than 60 so if she needs urgent CT with contrast thn she can go for that but iv hydration is mandatory .
Dr. Ashfaq Ahmed Bhutto - Family Medicine
MBBS, MAS, MBA (Health Care), DCPS-HCSM, CMQ | Karachi
1 Positive Reviews
Normally functional kidney is having value of estimated GFR GREATER THAN 60. However, for CT, eGFR > 45 indicates no increased risk of kidney damage from contrast material. eGFR > 30, but less than 45 indicates that while it is safe to get contrast material, there is a small risk of causing kidney damage. In that situation, we will inject additional fluid into the patient’s vein before and after the contrast material injection. This hydration is effective to prevent any renal damage. In your patient eGFR is 45.3. Therefore there is no increased risk, however I will still advise fluid infusion before and after contrast.
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ok sir.
Thank you.
1 year ago