JOHNS HOPKINS -cancer.net
Diagnostic rTSH-stimulated 123-I Whole Body Scan
and Serum Thyroglobulin
Patient:______________
Date:________________
Continue taking your usual daily thyroid medication
Follow the Low Iodine Diet Instructions for two weeks
On Monday ______________ at ____ am you will receive an injection of recombinant TSH (Thyrogen®) at this location___________________.
On Tuesday _____________ at ___ am you will receive a second injection at the same location.
On Wednesday _________________
Do not eat or drink anything for two hours before your appointment
- At _____ am -Report to the laboratory for a TSH blood test and a stat pregnancy blood test (hCG), if indicated. Allow two hours for the results of the pregnancy test.
- ______am Report to the Nuclear Medicine Department, which is located at ___________________to receive a test dose pill of radioactive iodine.
No radiation safety precautions are required.
On Thursday _________________at ______, you have an appointment for a radio iodine scan in the Nuclear Medicine Department, which is located at _____________________.
- Before or after report to the laboratory for a thyroglobulin blood test.
You may resume your normal diet for dinner.
If you have any questions or problems, contact _________________ at________.
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