Question of the Week

For November 29, 2022

A 41-year-old woman needs intravenous radiocontrast for a CT study of an adrenal incidentaloma. She has a history of a shellfish allergy.

Which one of the following strategies is best for managing this patient’s need for intravenous contrast?

Perform the imaging study without intravenous contrast media
Premedicate with prednisone and then perform the imaging study using a nonionic contrast medium
Perform the imaging study using a standard contrast medium
Defer the imaging study until after allergy testing and desensitization
Premedicate with diphenhydramine and prednisone, and then perform the imaging study using a nonionic contrast medium

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