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Screening for contraindications to hysterosalpingogram (HSG)[1,2]

Screening for contraindications to hysterosalpingogram (HSG)[1,2]
* Moderate or severe contrast reaction:
  • Cardiac arrhythmia or arrest
  • Circulatory collapse
  • Seizures
  • Unconsciousness
  • Anaphylaxis
  • Hospitalization required
ΒΆ HSG premedication for mild contrast reaction:
  • Prednisone 50 mg orally, given 13, 7, and 1 hour(s) prior to contrast
  • Diphenhydramine 50 mg orally, given 1 hour prior to contrast
  • Additional measures for the prevention of contrast reactions are reviewed elsewhere; refer to separate topic reviews available in UpToDate (eg, immediate hypersensitivity reactions to radiocontrast media, section on prevention of recurrent reactions, or topic review of prevention of contrast-induced nephropathy)
References:
  1. American College of Radiology (ACR). ACR practice parameter for the performance of hysterosalpingography. Revised 2017. (Resolution 8). Available at: https://www.acr.org/-/media/ACR/Files/Practice-Parameters/HSG.pdf (Accessed on May 21, 2021).
  2. ACR Committee on Drugs and Contrast Media. ACR manual on contrast media. Available at: https://www.acr.org/-/media/ACR/Files/Clinical-Resources/Contrast_Media.pdf (Accessed on May 21, 2021).
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