CATscan DOGmalysis Part 2

The Debrief

Pearl #1: “Iodine allergies” don’t exist. Iodine is not the antigenic component. Most reactions to contrast are non-IgE mediated hypersensitivity reactions. 

Pearl #2: The risk of contrast-induced acute kidney injury (AKI) is overstated. Patients who are considered high risk include those with recent AKI and those with eGFR <30. In these patients, give IV fluids.

Pearl #3: In addition to IV contrast, PO contrast should be considered in CT scans of patients with suspected complication of IBD (i.e.  fistula) and post bowel-reconstructive surgery (i.e. anastomotic leak).