The four case scenarios found in this section will help you examine your clinical skills and knowledge. Consider how you might approach each case as a practising Canadian nuclear medicine technologist.
Gillian is a 12-year-old girl with hydronephrosis. She arrives in the nuclear medicine department with her parents. Her attending doctor has requested a renal scan with pharmacologic intervention with furosemide (Lasix®). On her requisition, the doctor has noted that she has tested positive for MRSA.
Trina Smith, a 25-year-old woman, is referred from the medical intensive care unit for a ventilation and perfusion lung scan to rule out a pulmonary embolism. Her symptoms include shortness of breath, chest pain and an increased anxiety level. She is receiving intravenous and oxygen therapy and has a urinary catheter. She arrives in the nuclear medicine department with a nurse and a respiratory therapist.
Gilles Maltais is a 75-year-old man with Type II diabetes who is referred to the nuclear medicine clinic by his cardiologist for a gated myocardial perfusion scan. He had a myocardial infarction three years ago and is now complaining of chest pain and shortness of breath upon exertion.
John Durham is a 45 year old man recently diagnosed with prostate cancer. His oncologist has requested a whole body bone scan prior to starting his treatments to rule out metastatic disease. It is noted on the requisition that the patient is complaining of lower back pain.