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Tests

Arterial Doppler

Your doctor at the Wound Center has ordered a test for you which is called an arterial doppler. The purpose of this test is to evaluate the blood vessels which bring blood from the heart to your lower legs and feet. This test will help us to know if you have decreased blood flowing to these areas, which may be preventing your wound from healing in a normal manner.

An arterial Doppler is performed in the Ultrasound Department of the hospital. The test involves having several blood pressure cuffs placed on your leg, starting at your thigh and working down your leg to your foot. This test may also involve having a small amount of clear gel placed on your leg so that an ultrasound probe may be touched to the skin to create a picture of what the blood vessels look like on the inside.

An arterial Doppler is a painless test which feels very similar to having your blood pressure taken in your arm. The entire test usually takes approximately one hour.

There are no pre test instructions that you must follow, and you may eat, drink and take all your medications as usual. As well, you will not experience any post test side effects which will require unusual special care or assistance to get back home.

Arteriogram / Angiogram / Angiography

Your doctor at the Wound Center has recommended an arteriogram (also called an angiogram). An arteriogram, is a test that provides your doctor with a roadmap like picture of the blood vessels in your legs, as well as any blockages which may be present inside those blood vessels.

You will be given a medication to help you relax before the test. You will not be put to sleep. The needle-like insertion site (usually the groin or in the arm) will be shaved and numbed for your comfort. The doctor will then gently guide a tiny flexible tube into the artery. You will not feel the tube move. A special camera and some dye will be used to create the picture of your blood vessels. A slight flushing feeling may come over you as the pictures are taken. The test will last approximately 30 minutes.

When the physician has finished, the tiny tube will be removed and pressure will be applied for several minutes to prevent bleeding. You will be asked to remain in the hospital for a few hours after the test, and pressure may be placed over the insertion site for up to 3 hours. You will usually go home the same day as the test, and arrangements should be made in advance to have someone drive you home after the test. Continue to monitor your insertion site at home. It is important to call your doctor if bleeding, bruising, numbness or swelling develops.

This (Arteriogram) test requires you to follow special instructions to prepare for the event. It is very important that you understand and follow these instructions exactly. If you have any questions, please call the Wound Center 573-331-6353 before the day of the procedure if you have any questions, to clarify them.

Bone Scan

Your doctor at the Wound Center has recommended you have a test performed which is called a bone scan. The purpose of this test is to make a picture of the bone, to determine if a portion of it may have become infected, preventing your wound from healing.

A bone scan is performed in the Nuclear Medicine Department of the hospital. The test involves receiving an injection in your arm, which is allowed a certain amount of time to circulate through your body so it can reach the bones. Then you will lay on a table while the large camera takes the pictures required.

A bone scan is a painless test which only involves the mild discomfort of receiving the injection, which is similar to that experienced when you have blood taken for a blood test. Side effects from the test are rare, and most people are completely unaware that it has been injected. A bone scan usually takes 3 – 6 hours to complete the entire test.

There are usually no pre test instructions which you are required to follow, and you may eat, drink and take all your medications as always. As well, you will not experience any post test side effects which will require unusual special care or assistance to get back home.

MRI

Your physician at the Wound Center has recommended you have a test performed which is called an MRI. The purpose of this test is to make a picture of the bone, to determine if a portion of it may have become infected, which is preventing your wound from healing.

An MRI is performed in the MRI Department of the hospital. The test involves lying on a special table which is slid inside a tube shaped cylinder. Then a picture is taken of the body to view inside the area to see if infection or other abnormalities are present.

An MRI is a painless test which takes approximately one hour to perform. There are no side effects of the test, and the only discomfort which may be experienced is that of being still in a small space for a brief period of time.

There are no pre test instructions which you are required to follow, and you may eat, drink and take all your medications as usual. As well, you will not experience any post test side effects which will require unusual special care or assistance to get back home.

Transcutaneous Oxygen Test (TCOM)

Your doctor at the Wound Center has recommended you have a test performed which is called a TCPO2. The purpose of this test is to evaluate the tiny blood vessels which circulate blood to the surface of your skin where your wound is located. This test will help to provide information as to whether these vessels may have been blocked or damaged, causing the blood flow to have been decreased. If these vessels have become blocked or damaged, they may not be able to provide the wound with enough blood for it to heal in a normal manner.

A TCOM is performed in the Wound Center. The test involves having several small sensors placed around the wound, which are secured with an adhesive plastic ring, similar to when an EKG patch is placed on your chest. The small sensors are able to measure how much oxygen, which is carried in the blood, is present directly below the sensor. Since oxygen is an essential nutrient to make wounds heal, it is important to know if enough is circulating to the wound site.

A TCOM is a painless test which usually takes approximately 45 minutes to perform.

There are no pre test instructions which you are required to follow, and you may eat, drink and take all your medications as usual. As well, you will not experience any post test side effects which will require unusual special care or assistance to get back home.

Venous Doppler

Your doctor at the Wound Center has recommended you have a test performed which is called a venous doppler. The purpose of this test is to evaluate the blood vessels which carry blood from your lower legs and feet back to the heart. This test will help to provide information as to whether these vessels may have been blocked or damaged, causing blood and fluid to pool down in your lower legs and become swollen. If these vessels have become damaged, they may be preventing your wound from healing in a normal manner.

A venous doppler is performed in the Ultrasound Department of the hospital. The test involves having a small amount of clear gel placed on your leg so that an ultrasound probe may be touched to the skin to create a picture of what the blood vessels look like on the inside.

A venous doppler is a painless test which feels very similar to having an ultrasound during pregnancy to visualize the baby. The entire test usually takes approximately one hour to perform.

There are no pre test instructions which you are required to follow, and you may eat, drink and take all your medications as usual. As well, you will not experience any post test side effects which will require unusual special care or assistance to get back home.