PET Patient History & Screening

Yes
No
Previous Surgery?

Radiation Therapy?
Chemotherapy?
Bone Marrow Stimulation Drugs?
Diabetes?
Any foods other than water today?
Medicine or Latex Allergies?
Arthritis?
Claustrophobia?
Colostomy or Ileostomy Bags?
Drains? Open Wounds?
Implants or Port?
Infections?
Pregnant or Breast Feeding?
Recent Injury?
Strenuous exercise in last 24 hrs?
Previous CT/MRI/PET?