How to prepare for examinations:

Urological diagnostics at the Drinković Polyclinic include specialist examinations, ultrasound diagnostics of the urinary and reproductive system, as well as functional urination tests. Preparation depends on the type of examination.

GENERAL NOTES (APPLY TO ALL UROLOGICAL EXAMINATIONS)

• It is recommended to arrive 10–15 minutes earlier for the examination
• Bring previous medical documentation and findings
• Bring a list of your regular therapy
• Do not discontinue therapy, unless otherwise agreed
• If you have acute symptoms (severe pain, inability to urinate, elevated temperature), it is necessary to emphasize this when booking

SPECIALIST UROLOGICAL EXAMINATIONS

Specialist urological examination

Follow-up urological examination

• No special preparation
• The examination includes medical history, clinical urological status, and a plan for further evaluation

EXAMINATIONS WITH ULTRASOUND

Ultrasound and examination

Follow-up examination and ultrasound

Urological ultrasound

• Full bladder
• It is recommended to drink 0.5–1 l of water 1 hour before the examination
• Do not urinate immediately before the examination

Reason: a full bladder allows a more accurate assessment of the urinary system and prostate (transabdominally).

FUNCTIONAL TESTING

Uroflow (uroflowmetry)

• Arrive with a strong urge to urinate
• Do not urinate for at least 1–2 hours before the examination
• The examination is painless and non-invasive

TESTICULAR ULTRASOUND

Testicular ultrasound

Testicular ultrasound and Color Doppler

• No special preparation
• Comfortable clothing is recommended
• The examination is painless and brief

SAFETY AND IMPORTANT NOTES

• Ultrasound examinations do not use ionizing radiation
• All examinations and tests are performed according to individual clinical indication
• If necessary, additional diagnostic methods are recommended (MRI, MSCT, laboratory testing)

IMPORTANT NOTE
If you are not sure whether you should come with a full bladder or have additional questions related to preparation for a urological examination, please emphasize this already when booking. Our team will provide you with clear and individualized instructions.

Ultrasound and color Doppler are non-invasive, safe, and painless diagnostic methods that do not use ionizing radiation. Most examinations do not require special preparation, but for certain exams, proper preparation significantly improves the quality of the findings.

GENERAL RULES FOR ULTRASOUND AND COLOR DOPPLER

• It is recommended to arrive 10 minutes early for the examination
• Do not discontinue your therapy
• Bring previous medical documentation and findings
• Wear clothing that allows easy access to the examination area

EXAMINATIONS THAT REQUIRE FASTING

Abdominal ultrasound

• Arrive with a full bladder

Color Doppler of the abdomen

• Fasting for at least 6 hours
• Water is allowed
• Avoid carbonated drinks, milk, and heavy meals the day before

Reason: the presence of gas and contents in the stomach and intestines significantly reduces the quality of visualization of the liver, gallbladder, pancreas, and abdominal blood vessels.

EXAMINATIONS WITH A FULL BLADDER

Urinary tract ultrasound

• Arrive with a full bladder

Pelvic ultrasound (transabdominal)

• Drink 0.5–1 l of water 1 hour before the examination
• Do not urinate immediately before the examination

A full bladder allows better visualization of the urinary system and pelvic organs.

EXAMINATIONS WITHOUT SPECIAL PREPARATION

The following examinations do not require any preparation:

• Breast ultrasound
• Thyroid and neck structures ultrasound
• Testicular ultrasound
• Penile ultrasound
• Superficial structures ultrasound
• Musculoskeletal ultrasound (shoulders, knees, hand, ankle, etc.)
• Color Doppler of the carotid arteries and vertebrobasilar circulation
• Color Doppler of the veins and arteries of the arms and legs
• Transcranial Doppler

SPECIAL NOTES BY TYPE OF EXAMINATION

TRUS – Prostate ultrasound

• An emptied bowel is recommended
• A light dinner the day before, if needed
• Moderately full bladder

Ultrasound-guided cytological thyroid puncture

• No special preparation
• Do not discontinue therapy unless otherwise agreed

LIMITATIONS AND NOTES

• Ultrasound may be technically limited in cases of:
  • pronounced meteorism
  • obesity
  • inability of the patient to cooperate
• In such cases, additional imaging (MRI or MSCT) may be recommended

IMPORTANT NOTE
If you are not sure whether you need to fast or have a full bladder, please make sure to emphasize this when booking. Our team will provide you with precise and individualized instructions.

X-ray imaging (RTG) is a fast and widely available diagnostic method that uses a low dose of ionizing radiation. Most X-ray examinations do not require special preparation, but for certain exams specific instructions are needed for the quality of the findings and patient safety.

GENERAL RULES FOR X-RAY EXAMINATIONS

• You should arrive 10 minutes earlier for the examination
• Bring previous medical documentation and images if available
• Do not discontinue therapy, unless stated otherwise
• Before imaging, remove metal objects from the area being examined

PREGNANCY AND X-RAY

• As a rule, X-ray examinations are not performed during pregnancy
• If there is a possibility of pregnancy, it is mandatory to emphasize this before imaging
• In urgent and justified cases, the examination may be performed with protective measures

X-RAY EXAMINATIONS WITHOUT SPECIAL PREPARATION

The following X-ray examinations do not require any special preparation:

• Bone X-ray
• Foot or hand X-ray
• Comparative X-ray imaging
• Spine X-ray by segment
• Functional spine X-ray imaging by segment
• Whole spine X-ray
• Sinus X-ray
• Heart and lung X-ray

Therapy is taken as usual, diet is not restricted.

X-RAY EXAMINATIONS REQUIRING SPECIAL PREPARATION

Abdominal X-ray

• A light diet the day before is recommended
• Avoid carbonated drinks and heavy food
• If possible, fast for several hours before the examination

Reason: gases and intestinal contents may reduce the diagnostic value of the image.

X-ray I.V. urography

• Fasting for at least 6 hours
• Light diet the day before
• If necessary, an emptied bowel is recommended
• It is mandatory to emphasize:
  • contrast allergy
  • kidney disease
  • diabetes

X-ray iridography

• Mandatory bowel preparation the day before
• The patient receives special written instructions when booking
• It is recommended to plan a day off

X-ray of the stomach and intestinal transit

• Strictly fasting
• Do not smoke, do not chew gum
• Take therapy only if agreed with the doctor

X-ray of the esophagus / swallowing act

• Fasting for at least 4–6 hours
• Avoid fluid intake immediately before the examination

X-ray phlebography

• Fasting according to instructions
• It is mandatory to emphasize allergies and kidney disease
• Short rest is recommended after the examination

RADIATION DOSE AND SAFETY

• All X-ray examinations at Drinković Polyclinic are performed using the lowest possible radiation dose, in accordance with the ALARA principle
• Each examination is indicated individually and justified
• Special attention is given to children and younger persons

IMPORTANT NOTE

If you are not sure whether you need to be fasting or you have a medical condition that could affect the examination, please emphasize this already when booking. Our team will give you precise and individual instructions.

Pulmonary diagnostics at the Drinković Polyclinic include specialist examinations, pulmonary function testing, allergy assessment, and radiological diagnostics. Preparation depends on the type of examination, and proper preparation is important for the accuracy of the findings.

GENERAL NOTES (APPLY TO ALL PULMONARY EXAMINATIONS)

• It is recommended to arrive 10–15 minutes early
• Bring previous medical documentation (findings, X-ray/CT scans, discharge letters)
• Bring a list of regular therapy
• Do not discontinue therapy unless explicitly agreed otherwise
• If you have an acute respiratory infection or fever, please contact us before arrival

SPECIALIST PULMONARY EXAMINATIONS

Specialist pulmonary examination

Follow-up pulmonary examination

• No special preparation
• The examination includes medical history, clinical status, and a plan for further diagnostics

PULMONARY FUNCTION TESTING

Spirometry

• Do not smoke for at least 1 hour before the examination
• Avoid heavy meals immediately before the examination
• Wear comfortable clothing
• Therapy is generally not discontinued, unless the pulmonologist requests otherwise

Bronchodilation test

• Do not use bronchodilators before the examination, according to the doctor’s instructions
• Do not smoke for at least 1 hour before the test
• The test is performed under medical supervision

Lung diffusion test (DLCO)

• Do not smoke for at least 24 hours before the examination
• Avoid greater physical exertion on the day of the examination
• Inform the doctor about anemia or lung diseases

FeNO (measurement of nitric oxide in exhaled breath)

• Do not smoke for at least 1 hour before the examination
• Avoid food and drink 1 hour beforehand
• Do not use inhalation therapy immediately before the examination, according to the doctor’s instructions

ALLERGY ASSESSMENT IN PULMONOLOGY

Allergy testing (inhalation and/or food allergens)

Pulmonary examination with allergy testing

• Do not take antihistamines for at least 5–7 days before testing
• Do not apply creams or corticosteroids to the forearms
• Testing is not performed during an acute infection
• Do not discontinue corticosteroid therapy without consulting a doctor

THERAPEUTIC PROCEDURES

Inhalations

• No special preparation
• They are performed according to medical indication

Administration of therapy

• No special preparation
• It is performed in controlled conditions

RADIOLOGICAL DIAGNOSTICS IN PULMONOLOGY

Chest X-ray

• No special preparation
• Pregnancy must be emphasized before the examination

Lung MSCT

• Without contrast: fasting is not required
• With contrast (if indicated): fast for 4–6 hours
• Be sure to mention allergies and kidney disease

Lung LDCT – lung cancer screening

• No special preparation
• The examination uses a low dose of radiation
• It is recommended for people at increased risk (e.g. long-term smokers)

SAFETY AND IMPORTANT NOTES

• Pulmonary function tests do not use ionizing radiation
• Radiological examinations are performed using an optimized radiation dose
• All examinations are indicated individually, according to clinical need

IMPORTANT NOTE
If you are not sure whether you should discontinue therapy or have questions related to preparation for a pulmonary examination or testing, please make sure to emphasize this already when booking. Our team will provide you with clear and individualized instructions.

Pediatric services at the Drinković Polyclinic include general pediatrics, infant check-ups, pediatric pulmonology and allergology, functional respiratory system testing, ultrasound diagnostics, and pediatric dermatology. Preparation of the child depends on the type of examination or test.

GENERAL NOTES

(apply to all pediatric examinations and tests)

• It is recommended to arrive 10–15 minutes early for the appointment
• The child must come accompanied by a parent or legal guardian
• Bring the child’s medical documentation (previous findings, discharge letters, vaccination booklet)
• Bring a list of regular therapy
• Do not discontinue therapy unless otherwise agreed with the doctor
• If the child has a fever, an acute infection, or worsening symptoms, this should be emphasized when booking the appointment

GENERAL PEDIATRICS

Examination of a child aged 3 months to 18 years

• No special preparation is required
• The examination includes medical history, clinical pediatric examination, and counseling

Check-up of a child aged 0 to 12 months

• Bring pediatric documentation and the vaccination booklet
• It is recommended that the child be fed and changed before the examination
• The examination includes assessment of growth and development, neurological and somatic status, and parental counseling

PEDIATRIC PULMONOLOGY AND ALLERGOLOGY

• No special preparation
• Bring previous pulmonology and allergology findings, if available
• Bring a list of inhalation and other therapy

SKIN ALLERGY TESTS

Skin allergy Prick test for children

• Do not take antihistamines for at least 5–7 days before testing (unless otherwise agreed)
• The skin on the forearms must be clean, without creams and lotions
• The test is painless and takes a short time

FUNCTIONAL LUNG TESTS

• The child must not eat a heavy meal 2 hours before the test
• Do not engage in intense physical activity for at least 2 hours before the examination
• If the child uses inhalation therapy, this must be emphasized in advance (instructions on possible discontinuation of therapy are given by the doctor)
• The child must be cooperative (most often over 5–6 years of age, depending on the test)

ULTRASOUND (US)

Ultrasound of children’s hips

• No special preparation
• Bring a diaper and a changing mat
• The examination is painless and safe

PEDIATRIC DERMATOLOGY

Dermatologist examination

• Come without creams, ointments, and cosmetic products on the examination area
• Bring previous dermatology findings, if available
• The examination includes clinical assessment of the skin, scalp, and nails

SAFETY AND IMPORTANT NOTES

• All pediatric examinations and tests are performed according to individual clinical indication
• Diagnostic methods are safe and adapted to the child’s age
• If necessary, additional tests or specialist consultations are recommended

IMPORTANT NOTE
If you are not sure whether the child needs special preparation for a pediatric examination or test, or if you have additional questions related to therapy and safety, please emphasize this already when booking the appointment. Our team will provide you with clear and individualized instructions.

Neurological diagnostics at Drinković Polyclinic includes specialist examinations, functional neurophysiological tests (EMNG, EEG), and imaging and vascular methods (MRI, Doppler). Preparation depends on the type of examination.

GENERAL NOTES (APPLY TO ALL NEUROLOGICAL EXAMINATIONS)

• It is recommended to arrive for the examination 10–15 minutes earlier
• Bring all available medical documentation, findings, and scans
• Do not discontinue therapy unless otherwise agreed
• If you have implanted devices, metal parts, or chronic conditions, emphasize this when booking

SPECIALIST NEUROLOGICAL EXAMINATIONS

Specialist neurological examination

Follow-up neurological examination

• No special preparation
• The examination includes medical history and clinical neurological status
• It is recommended to bring a list of current therapy

ELECTROMYONEUROGRAPHY (EMNG)

EMNG of the arms

EMNG of the legs

EMNG of the arms and legs

• On the day of the examination, do not apply creams, lotions, or oils to the skin
• The skin should be clean and dry
• Do not discontinue therapy unless the doctor recommends otherwise
• The test may be mildly uncomfortable, but it is short and safe

Note: for patients with clotting disorders or on anticoagulant therapy, prior notice is required.

ELECTROENCEPHALOGRAPHY (EEG)

EEG

• Wash your hair the evening before or on the day of the examination
• Do not use hair gels, sprays, or oils
• Do not discontinue therapy unless the neurologist decides otherwise
• A light meal before the examination is recommended
• For children or according to indication, additional instructions are possible (e.g. sleep deprivation)

MAGNETIC RESONANCE IN NEUROLOGY

Brain MRI

MRI of the cervical spine

• Preparation according to the MRI protocol
• In most cases, no diet is required
• Remove all metal from the body
• Be sure to emphasize:
  • implanted devices
  • claustrophobia
  • pregnancy
• For MRI with contrast, additional safety notes apply

DOPPLER OF BLOOD VESSELS

Doppler of the neck blood vessels

Doppler of the neck blood vessels and vertebrobasilar circulation

• No special preparation
• Clothing that allows easy access to the neck is recommended
• Do not discontinue therapy

SAFETY AND IMPORTANT NOTES

• Neurophysiological tests (EMNG, EEG) do not use radiation
• MRI examinations do not use ionizing radiation, but they have safety limitations related to metal
• All examinations are performed according to the individual clinical indication

IMPORTANT NOTE
If you are not sure whether you need special preparation for a neurological examination or test, please emphasize this already when booking. Our team will provide you with clear and individualized instructions.

Multislice CT (MSCT) is a fast and precise diagnostic method that uses X-ray radiation. In certain examinations, an intravenous iodine-based contrast agent is used, which is why special safety checks are required.

GENERAL PREPARATION FOR MSCT EXAMINATIONS

• You need to arrive for the examination 10–15 minutes earlier
• Bring medical documentation and previous findings
• Do not discontinue therapy, unless otherwise stated
• If contrast is used, it is usually necessary to be fasting for 4–6 hours
• Good hydration before and after the examination is recommended

PERSONS FOR WHOM MSCT IS NOT PERFORMED OR IS PERFORMED WITH SPECIAL CAUTION

Pregnancy

• As a rule, MSCT is not performed during pregnancy
• In exceptional, urgent cases, the examination may be performed under a strict medical indication
• It is mandatory to mention pregnancy when booking

MSCT EXAMINATIONS WITH CONTRAST – SAFETY NOTES

Before contrast administration, it is necessary to mention if you have:

• a known allergy to iodine or contrast agents
• kidney disease
• diabetes
• asthma
• previous severe allergic reactions

For certain patients, a creatinine test result may be requested.

Metformin

• In most cases, it is not necessary to discontinue metformin
• For patients with impaired kidney function, individual instructions may be given

BREASTFEEDING AND MSCT WITH CONTRAST

• After an MSCT examination with contrast, it is not necessary to stop breastfeeding
• The contrast is excreted in very small, clinically insignificant amounts

SPECIAL MSCT EXAMINATIONS – PREPARATION

MSCT of the abdomen, pelvis, thorax with contrast

• Fasting for 4–6 hours
• Water is allowed
• Good hydration after the examination is recommended

MSCT angiographies (carotids, aorta, extremities, brain, lungs)

• Strictly fasting
• Possible administration of contrast under pressure
• For some patients, prior laboratory testing is required

MSCT of the urinary tract according to the urolithiasis protocol

• Without contrast
• It is not necessary to be fasting
• Normal fluid intake is recommended

MSCT urography

• Fasting for 4–6 hours
• Full urinary bladder according to instructions

MSCT virtual colonoscopy

• Special bowel preparation the day before
• Detailed instructions are given to the patient when booking
• It is recommended to plan a day off

MSCT of bones, sinuses, orbits, brain (without contrast)

• No special preparation
• Therapy is taken as usual

RADIATION AND SAFETY

• MSCT uses the lowest possible radiation dose in accordance with applicable standards
• Each examination is indicated individually, according to medical necessity
• For children and younger persons, additional dose optimization measures are applied

IMPORTANT NOTE

If you are not sure whether you need to be fasting, whether you have an allergy or a disease that may affect the examination, please emphasize this already when booking. Our team will give you precise and individual instructions.

Magnetic resonance imaging is a non-invasive diagnostic method, without ionizing radiation and generally very safe. Despite this, due to the strong magnetic field there are clearly defined situations in which MRI must not be performed or may be performed only with special assessment.

GENERAL PREPARATION FOR MRI EXAMINATIONS

• Most MRI examinations do not require a special diet
• Do not discontinue therapy, unless otherwise agreed
• Remove all metal objects (jewelry, watch, piercing, cards, hearing aids)
• Arrive for the examination 10–15 minutes earlier
• Bring previous medical documentation and scans if available

PERSONS WHO MUST NOT UNDERGO MRI (ABSOLUTE CONTRAINDICATIONS)

MRI examination must not be performed in persons who have:

• Non-MRI-compatible pacemaker or defibrillator
• Non-MRI-compatible neurostimulators
• Ferromagnetic aneurysm clips (older types)
• Metal foreign particles in the eye (e.g. after grinder or welding injuries, if not ruled out by X-ray)
• Older cochlear implants that are not MR-conditional
• Undefined or unknown metal implants without documentation

In the above cases, MRI is not performed due to the risk to life or permanent damage.

PERSONS WHO MAY UNDERGO MRI WITH SPECIAL ASSESSMENT (RELATIVE CONTRAINDICATIONS)

MRI examination may be performed only after verification and individual assessment in persons who have:

• MR-conditional pacemaker or defibrillator
• Orthopedic implants, endoprostheses, screws, plates
• Vascular stents or filters
• Artificial heart valves
• Intrauterine device (IUD)
• Tattoos (especially older and dark ones, they can rarely cause local heating)
• Permanent makeup (eyebrows, eyeliner)
• Metal fragments in the body from previous surgeries or injuries

In these cases, our team carries out a safety check according to current MRI guidelines.

PREGNANCY AND MRI

• MRI without contrast can be performed during pregnancy if there is a clear medical indication
• MRI with contrast is generally not recommended during pregnancy
• Pregnancy must be stated when booking

BREASTFEEDING AND MRI WITH CONTRAST

• After an MRI examination with contrast, it is not necessary to stop breastfeeding
• The contrast agent is excreted in negligible amounts

MRI EXAMINATIONS WITH CONTRAST – ADDITIONAL NOTES

• Before contrast administration, it is important to mention:
  • kidney disease
  • previous allergic reactions to contrast agents
• For certain patients, a creatinine test result may be requested
• The contrast agents we use are in accordance with current safety recommendations

CLAUSTROPHOBIA AND RESTLESSNESS

• Mild claustrophobia is usually not an obstacle
• In cases of pronounced fear, the following are possible:
  • detailed explanation of the procedure
  • breaks during imaging
  • if necessary, arrangement for pharmacological support with prior notice

SPECIAL MRI EXAMINATIONS – PREPARATION

• MRI abdomen / pelvis / MRCP / enterography: do not eat for 4–6 hours
• Prostate MRI: emptied bowel, moderately full bladder
• Breast MRI with contrast: 5th–10th day of the cycle
• MRI heart: avoid caffeine, bring cardiology documentation
• MRI arthrography: joint rest regimen for 24 hours after the examination

IMPORTANT NOTE

If you are not sure whether you have an implant or a condition that could be a limitation for MRI, please mention it already when booking. Our team will assess the safety of the examination and, if necessary, suggest an alternative diagnostic method.

Cardiological diagnostics at Drinković Polyclinic include clinical examinations, electrocardiographic and ultrasound examinations, functional stress testing, long-term monitoring of heart rhythm and blood pressure, as well as cardiac magnetic resonance imaging. Preparation depends on the type of examination.

GENERAL NOTES (APPLY TO ALL CARDIOLOGICAL EXAMINATIONS)

• It is recommended to arrive for the examination 10–15 minutes earlier
• Bring all available cardiological documentation (findings, ECG, ultrasound, discharge letters)
• Bring a list of regular therapy
• Do not discontinue therapy, unless explicitly agreed otherwise
• If you have acute symptoms (pain in the chest, shortness of breath, dizziness), contact a doctor immediately

SPECIALIST CARDIOLOGICAL EXAMINATIONS

Specialist cardiological examination

Follow-up cardiological examination

Consultations

• No special preparation
• The examination includes medical history, clinical status, and a plan for further evaluation

ELECTROCARDIOGRAPHY AND ULTRASOUND

ECG

• No special preparation
• Clothing that allows easy access to the chest is recommended

Examination + ECG

• No special preparation
• Take therapy as usual

Cardiac ultrasound (echocardiography) + ECG

• No special preparation
• The examination is painless and non-invasive

COMPLETE CARDIOLOGICAL EXAMINATION

• Includes a clinical examination, ECG, and cardiac ultrasound
• No special preparation
• It is recommended to bring all previous documentation

LONG-TERM MONITORING

Holter ECG (24-hour monitoring)

• On the day of placement, do not apply creams or lotions to the chest
• During use, maintain usual daily activities
• Keep a diary of symptoms and activities
• The device must not get wet

Holter BP (24-hour blood pressure monitoring)

• No special preparation
• During measurement, live according to your usual routine
• Avoid more intense physical exertion
• Keep a diary of activities and symptoms

STRESS TEST

Ergometry

• A light meal at least 2–3 hours before the examination
• Do not smoke for at least 2 hours before the test
• Wear comfortable sports clothing and footwear
• Do not discontinue therapy, unless the cardiologist decides otherwise
• The test is carried out under continuous medical supervision

CARDIAC MAGNETIC RESONANCE IMAGING

Cardiac MRI

• A light meal up to 4 hours before the examination
• Avoid caffeine on the day of the examination
• Be sure to emphasize:
  • implanted devices or pacemaker
  • claustrophobia
  • allergies
  • kidney history
• The examination is carried out according to the MRI safety protocol

SAFETY AND IMPORTANT NOTES

• ECG, ultrasound, and Holter examinations do not use ionizing radiation
• Ergometry and cardiac MRI are performed with a clear indication and supervision
• Each examination is adapted to the individual clinical condition of the patient

IMPORTANT NOTE
If you are not sure whether you need to discontinue therapy or have additional questions related to preparation for a cardiological examination or test, please emphasize this already when booking. Our team will provide you with clear and individual instructions.

Gynecological and obstetric care at the Drinković Polyclinic includes preventive examinations, diagnostics, pregnancy monitoring, prenatal tests, and microbiological testing. Preparation depends on the type of examination, and proper preparation ensures reliable results and patient comfort.

GENERAL NOTES (APPLY TO ALL GYNECOLOGICAL EXAMINATIONS)

• It is recommended to arrive for the examination 10–15 minutes earlier
• Bring previous medical documentation and findings
• Do not use vaginal suppositories, creams, or douches for at least 48 hours before the examination
• Abstinence from sexual intercourse for 24–48 hours before a PAP test and swabs is recommended
• Do not discontinue therapy unless otherwise agreed
• Be sure to mention pregnancy, breastfeeding, or suspected pregnancy when booking

CLASSIC GYNECOLOGICAL EXAMINATIONS

Gynecological examination + TV ultrasound ± Color Doppler

• No special preparation
• It is recommended to empty the bladder before the examination

Gynecological examination + PAP test (standard or LBC) + TV ultrasound + Color Doppler

• It is ideal to schedule the examination outside of menstrual bleeding
• Light bloody discharge may reduce the quality of the PAP result

CYTOLOGICAL TESTS

PAP smear + degree of purity

PAP test – liquid-based cytology (LBC SurePath)

• No vaginal preparations for 48 hours beforehand
• Not recommended during menstruation
• The LBC method enables additional analyses (e.g. HPV)

TRANSVAGINAL ULTRASOUND

Transvaginal ultrasound (TV ultrasound) ± Color Doppler

• No special preparation
• The bladder should be empty
• It can be performed during pregnancy

PREGNANCY EXAMINATIONS AND ULTRASOUNDS

Early pregnancy ultrasound / pregnancy test

• No special preparation
• In very early pregnancy, a full bladder may be recommended

Early combined screening

• Recommended timing: 11–13+6 weeks of pregnancy
• Bring previous documentation

Mini Anomaly Scan / Anomaly Scan

• No special preparation
• Optimal timing according to gestational age

Pregnancy examination + 3/4D ultrasound + Color Doppler

• No special preparation
• The quality of the 3/4D image depends on the position of the fetus and the amount of amniotic fluid

Color Doppler in pregnancy ± CTG

• No special preparation
• CTG is usually performed after the 28th week, more often after the 35th week

PREGNANT WOMEN WHO RECEIVE PREGNANCY CARE AT THE POLYCLINIC

• Examinations are adjusted to gestational age
• In later pregnancy, CTG is routinely included
• The timing and content of the examination are determined individually

PRENATAL TESTS (NIPT)

• No special preparation
• They can be performed from the 10th week of pregnancy onward
• Genetic counseling is recommended before testing

MICROBIOLOGICAL GYNECOLOGICAL TESTS

Cervical and vaginal swabs (culture, PCR, HPV)

• No vaginal preparations or intercourse for 48 hours beforehand
• Do not collect samples during menstruation
• Inform the doctor about antibiotic therapy

Cervical swab – GBS screening

• Recommended timing: 35th–37th week of pregnancy

Urine culture and antibiogram

• First morning urine sample
• Midstream sample, with prior hygiene

VACCINES AND THERAPEUTIC PROCEDURES

Vaccination against the HPV virus

• No special preparation
• It can be administered to both young people and adults
• It is not administered during an acute infection

Anti-D immunoglobulin

• Administered according to obstetric indication
• No special preparation is required

RADIOLOGICAL TESTS IN GYNECOLOGY

Pelvic MRI

• Preparation according to the MRI protocol
• An examination outside menstruation is often recommended

Abdominal MSCT with pelvis with contrast

• Fasting for 4–6 hours
• Be sure to mention pregnancy and allergies

IMPORTANT NOTE

If you are not sure what preparation is required for your examination or test, please mention this already when booking. Our team will provide you with clear and individual instructions tailored to your health condition

Gastroenterological diagnostics at Drinković Polyclinic include clinical examinations, endoscopic examinations of the digestive system, and imaging methods (ultrasound, MRI, MSCT). Preparation depends on the type of examination, and proper preparation is key to the accuracy of the findings and patient safety.

SPECIALIST EXAMINATIONS

Specialist examination by a gastroenterologist

Follow-up specialist examination

• No special preparation
• Bring all existing medical documentation and findings
• Do not discontinue therapy unless otherwise agreed

GASTROSCOPY (EGDS)

Gastroscopy (with or without Helicobacter pylori)

Gastroscopy with biopsy

• Strict fasting for at least 6 hours
• Do not drink fluids 2 hours before the examination
• Take therapy only if agreed with the doctor
• After the examination, short-term throat irritation is possible

Gastroscopy with sedation

• Strict fasting
• It is mandatory to come with an escort
• Driving is not allowed on the same day
• Sedation is administered under supervision

LOWER ENDOSCOPY

Rectoscopy

• Light meal the day before
• If needed, a small enema before the examination
• Do not discontinue therapy unless otherwise stated

Colonoscopy

Colonoscopy with biopsy

Colonoscopy with sedation

Polypectomy / biopsy

• Bowel preparation is mandatory the day before
• The patient receives detailed written instructions when booking
• It is recommended to plan a day off
• In case of sedation: mandatory escort and no driving on the same day
• Anticoagulant therapy: individual agreement

RADIOLOGICAL ALTERNATIVES AND ADDITIONAL EXAMINATIONS

MSCT virtual colonoscopy

• The patient receives detailed written instructions when booking
• Special bowel preparation the day before
• Without sedation
• Recommended when classic colonoscopy is not possible

Irrigography

• Bowel preparation is mandatory
• Special instructions are provided when booking
• It is recommended to plan a day off

MAGNETIC RESONANCE IN GASTROENTEROLOGY

MR enterography

• Fasting for at least 6 hours
• Oral contrast preparation is carried out at our clinic
• Possible administration of an antispasmodic
• The examination is used to assess the small intestine (e.g. IBD)

MRCP (cholangiopancreatography)

• Strict fasting for at least 6 hours
• No chewing gum or coffee
• Take therapy only if agreed

MRI of the abdomen with contrast

• Fasting for 4–6 hours
• Water is allowed
• Be sure to mention kidney diseases or allergies

ABDOMINAL ULTRASOUND

Abdominal ultrasound

Abdominal ultrasound + elastography

• Fasting for at least 6 hours
• Water is allowed
• Avoid carbonated drinks and heavy food the day before

SAFETY AND IMPORTANT NOTES

• Pregnancy or breastfeeding must be mentioned when booking
• Mild transient discomfort is possible with endoscopic procedures
• All examinations are performed with individual assessment and a clear indication

IMPORTANT NOTE
If you are not sure what preparation is required for your examination or you are taking therapy that may affect the procedure, please make sure to mention this already when booking. Our team will provide you with accurate and personalized instructions.

Dermatological and aesthetic services at Drinković Polyclinic include specialist dermatological examinations, dermatoscopy, surgical procedures on the skin, and aesthetic treatments (fillers, botox, SkinPen microneedling). Patient preparation depends on the type of procedure or examination.

GENERAL NOTES

(apply to all dermatological and aesthetic examinations)

• It is advisable to arrive 10–15 minutes early for the examination
• Bring previous medical documentation and dermatological findings, if available
• Bring a list of regular therapy
• Do not discontinue therapy unless otherwise agreed with the doctor
• On the day of the examination, do not apply makeup, creams, lotions, or preparations to the area being examined
• If you have acute inflammation, a skin infection, elevated temperature, or a worsening of the underlying condition, it is necessary to mention this when booking

SPECIALIST DERMATOLOGICAL EXAMINATIONS

Specialist dermatological examination

Follow-up specialist examination

• No special preparation is required
• Come without makeup and cosmetic products on the examination area
• The examination includes a detailed medical history, clinical examination of the skin, scalp, and nails, and a plan for further diagnostics or therapy

DERMATOSCOPY AND MOLE EXAMINATION

Examination and dermatoscopy

• No special preparation
• Do not apply makeup, creams, or protective products to the skin
• If possible, bring previous dermatoscopic findings for comparison

Reason: clean and dry skin enables precise assessment of pigmented and non-pigmented changes.

CRYOTHERAPY

Cryotherapy of skin lesions

• No special preparation
• Do not apply creams or ointments to the treatment area
• After the procedure, temporary redness, a blister, or a scab may occur

SURGICAL PROCEDURES ON THE SKIN

Surgical excision of moles / lesions

Biopsy of a skin lesion

• Come with clean skin, without makeup and lotion
• If you are taking anticoagulant or antiplatelet therapy, be sure to mention this when booking
• The procedure is performed under local anesthesia
• If necessary, the sample is sent for pathohistological analysis (PHD)

After the procedure, the patient receives written instructions on wound care and suture removal.

SAFETY AND IMPORTANT NOTES

• All dermatological and aesthetic procedures are performed according to individual clinical indication
• The decision on the procedure is made by the doctor after examination and skin assessment
• If necessary, additional diagnostic or therapeutic measures are recommended

IMPORTANT NOTE
If you are not sure whether you need special preparation for a dermatological or aesthetic procedure, or if you have additional questions related to therapy and safety, please mention this already when booking. Our team will provide you with clear and individual instructions.

Physiatry services at Drinković Polyclinic include specialist physiatric examinations, diagnostic assessment of the musculoskeletal system, and the application of targeted injection therapy (blocks, viscosupplementation, intra-articular and paravertebral applications). Patient preparation depends on the type of examination or procedure.

GENERAL NOTES

(applicable to all physiatric examinations and procedures)

• It is recommended to arrive 10–15 minutes early for the examination
• Bring previous medical documentation (X-ray, MRI, ultrasound findings, discharge letters)
• Bring a list of your regular therapy
• Do not discontinue therapy unless otherwise agreed with the doctor
• If you have acute pain, neurological deficits, fever, or signs of infection, it is necessary to emphasize this when booking

SPECIALIST PHYSIATRIC EXAMINATIONS

First specialist examination by a physiatrist

Follow-up specialist examination

• No special preparation is required
• The examination includes a detailed medical history, clinical examination of the musculoskeletal system, and functional assessment
• If necessary, additional diagnostic tests or therapeutic procedures are indicated

INJECTION THERAPY – JOINTS (VISCOSUPPLEMENTATION)

• No special preparation is required
• Arrive with clean skin in the application area
• If you are taking anticoagulant or antiplatelet therapy, be sure to emphasize this when booking
• The procedure is performed on an outpatient basis, under sterile conditions
• After the application, transient pain, a feeling of pressure, or mild joint swelling may occur

After the procedure, a rest regimen is recommended, and greater joint loading should be avoided for 24–48 hours.

BLOCKS AND LOCAL INJECTIONS

Blocks (depot lidocaine)

Paravertebral block

• No special preparation
• A light meal before arrival is recommended
• If you are taking medications that affect blood clotting, it is necessary to emphasize this in advance
• The procedure is performed quickly and precisely, with clinical control of the application site

After the procedure, transient tenderness or mild weakness in the treated area is possible.

SAFETY AND IMPORTANT NOTES

• All procedures are carried out exclusively after a clinical assessment by the doctor
• The type of preparation and method of application are determined individually, according to the diagnosis and clinical findings
• If necessary, a combination with physical therapy, exercises, or additional diagnostics (MRI, ultrasound, X-ray) is recommended

IMPORTANT NOTE
If you are not sure whether you need special preparation for a physiatric examination or injection therapy, or if you have questions related to the safety of the procedure and recovery, please emphasize this already when booking. Our team will provide you with clear and individualized instructions.