Question 1499
{"accessible":false,"alternatives":[{"id":7489,"text":"gastrografin (diatrizoate meglumine)"},{"id":7490,"text":"low osmolarity water soluble CT IV contrast"},{"id":7491,"text":"thin barium"},{"id":7492,"text":"none: the study is contraindicated"}],"archived":false,"correctAlternativeId":7491,"explanation":"\u003cp\u003eAvoid hyperosmolar contrast agents if there is a strong chance they may end up in the lungs. Low osmolarity water-soluble CT contrast would be preferable to diatrizoate meglumine since it is less hyperosmolar, but barium is the better choice.\u0026nbsp;\u003c/p\u003e\u003cp\u003eWhat is the best oral contrast material to use for the fluoroscopic diagnosis of esophageal rupture?. (2013) AJR. American journal of roentgenology. 162 (5): 1243. doi:10.2214/ajr.162.5.8166018\u0026nbsp;- https://www.ncbi.nlm.nih.gov/pubmed/8166018\u003c/p\u003e","id":1499,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/1639","nextQuestionPath":"/articles/tracheo-oesophageal-fistulation/questions/583","relatedArticles":[],"alsoUsedIn":[{"id":259,"kind":"Course","title":"Oesophageal trauma","link":"https://radiopaedia.org/courses/oesophageal-trauma"},{"id":582,"kind":"Course","title":"Lectures by Matt A Morgan - page 582","link":"https://radiopaedia.org/courses/lectures-by-matt-a-morgan/pages/582"},{"id":582,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 582","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/582"},{"id":582,"kind":"Course","title":"2020 Virtual Conference Private Use - page 582","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/582"},{"id":582,"kind":"Course","title":"Abdominal Lectures - page 582","link":"https://radiopaedia.org/courses/abdominal-lectures/pages/582"}],"stem":"\u003cp\u003eWhat contrast agent would best for the first fluoroscopic evaluation for a patient suspected of having a tracheo-esophageal fistula?\u0026nbsp;\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1499"}],"attemptsPercentages":[{"alternativeId":"7492","percentage":4},{"alternativeId":"7489","percentage":13},{"alternativeId":"7491","percentage":37},{"alternativeId":"7490","percentage":46}],"promptToLogin":false,"questionManager":false,"articleId":"tracheo-esophageal-fistulation"}