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\n\t\t\t\t\t\t\tCerebral Vascular Profile \/ Carotid Duplex Ultrasound\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\tCarotid duplex ultrasonography is a useful diagnostic tool for assessing cervical carotid artery disease. Carotid duplex ultrasound can be highly reliable with proper technique, has no radiation risk, is well tolerated by all patients including those who are claustrophobic in MRI machines, and has fewer risks than conventional angiography. The North American Symptomatic Carotid Endarterectomy Trial, Asymptomatic Carotid Artery Stenosis Trial, and Asymptomatic Carotid Surgery Trial have helped establish guidelines for possible interventions based on Carotid duplex ultrasonography results. Further intimal-medial thickness measurements are associated with an increased stroke risk.\n\t\t\t\t\t\t\t

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\n\t\t\t\t\t\t\t\tIndications:\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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  • TIA - Trans Cerebral Ischemia<\/li>\n\t\t\t\t\t\t\t
  • Lack of coordination<\/li>\n\t\t\t\t\t\t\t
  • Carotid Bruit<\/li>\n\t\t\t\t\t\t\t
  • Abnormality of gait<\/li>\n\t\t\t\t\t\t\t
  • Cerebral arteritis<\/li>\n\t\t\t\t\t\t\t
  • Speech disturbances<\/li>\n\t\t\t\t\t\t\t
  • Cerebral ishemia<\/li>\n\t\t\t\t\t\t\t
  • Dizziness<\/li>\n\t\t\t\t\t\t\t
  • Syncope<\/li>\n\t\t\t\t\t\t\t
  • Hyperlipidemia<\/li>\n\t\t\t\t\t\t\t
  • Cerebral atherosclerosis<\/li>\n\t\t\t\t\t\t\t
  • Occlusion and stenosis<\/li>\n\t\t\t\t\t\t\t
  • Visual Flair deffect<\/li>\n\t\t\t\t\t\t\t
  • Transient paralysis of limb<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
    \n\t\t\t\t\t\t\tEchocardiography\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
    \n\t\t\t\t\t\t\tDiagnostic evaluation of cardiac anatomy, dynamic and texture:\n\t\t\t\t\t\t\t
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    • M-Mode Echocardiogram<\/li>\n\t\t\t\t\t\t\t
    • Two-Dimensional (2D) Echocardiogram<\/li>\n\t\t\t\t\t\t\t
    • Color Flow Doppler<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t

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      \n\t\t\t\t\t\t\t\tIndications:\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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      • Cardiac Arrhythmia<\/li>\n\t\t\t\t\t\t\t\t
      • TV Disorders<\/li>\n\t\t\t\t\t\t\t\t
      • Systolic Click<\/li>\n\t\t\t\t\t\t\t\t
      • Hypertensive HeartDisease<\/li>\n\t\t\t\t\t\t\t\t
      • Atrial\/Ventricular Septal Defect<\/li>\n\t\t\t\t\t\t\t\t
      • Abnormal Heart Sounds<\/li>\n\t\t\t\t\t\t\t\t
      • Ischemic Heart Disease<\/li>\n\t\t\t\t\t\t\t\t
      • PV Disorders<\/li>\n\t\t\t\t\t\t\t\t
      • Abnormal EKG<\/li>\n\t\t\t\t\t\t\t\t
      • Cardiomyopathy<\/li>\n\t\t\t\t\t\t\t\t
      • Pneumatic Fever<\/li>\n\t\t\t\t\t\t\t\t
      • Chest Pain<\/li>\n\t\t\t\t\t\t\t\t
      • Tachycardia<\/li>\n\t\t\t\t\t\t\t\t
      • Heart Murmur<\/li>\n\t\t\t\t\t\t\t\t
      • Pericarditis<\/li>\n\t\t\t\t\t\t\t\t
      • Fibrillation (VF)<\/li>\n\t\t\t\t\t\t\t\t
      • Heart Palpitation<\/li>\n\t\t\t\t\t\t\t\t
      • Endocarditis<\/li>\n\t\t\t\t\t\t\t\t
      • Rheumatic Heart Disease<\/li>\n\t\t\t\t\t\t\t\t
      • Atherosclerotic Heart Disease<\/li>\n\t\t\t\t\t\t\t\t
      • Congestive Heart Failure<\/li>\n\t\t\t\t\t\t\t\t
      • AV Disorders<\/li>\n\t\t\t\t\t\t\t\t
      • LV Hypertrophy<\/li>\n\t\t\t\t\t\t\t\t
      • Valvular Disease<\/li>\n\t\t\t\t\t\t\t\t
      • MV Disorders<\/li>\n\t\t\t\t\t\t\t\t
      • Cardiovascular Disease<\/li>\n\t\t\t\t\t\t\t\t
      • Coronary Insufficiency<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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        \n\t\t\t\t\t\t\tPeripheral Vascular Profile \/ Arterial Duplex Ultrasound\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
        \n\t\t\t\t\t\t\tDiagnostic evaluation of blood in the lower extremities:\n\t\t\t\t\t\t\t
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        • Segmental Doppler systolic blood pressure and velocity waveform analysis<\/li>\n\t\t\t\t\t\t\t
        • Post-exercise Doppler blood pressure analysis<\/li>\n\t\t\t\t\t\t\t
        • B-Mode, realtime ultrasonic imaging of the femoral and popliteal arteries<\/li>\n\t\t\t\t\t\t\t
        • Spectral blood flow analysis<\/li>\n\t\t\t\t\t\t\t
        • Doppler Velocity flow analysis of the femoral and popliteal arteries<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t

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          \n\t\t\t\t\t\t\t\tIndications:\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t
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          • PVD, Claudication (Cramping)<\/li>\n\t\t\t\t\t\t\t\t
          • Vascularities<\/li>\n\t\t\t\t\t\t\t\t
          • Resting Pain<\/li>\n\t\t\t\t\t\t\t\t
          • Injury to Blood Vessels<\/li>\n\t\t\t\t\t\t\t\t
          • Ulceration<\/li>\n\t\t\t\t\t\t\t\t
          • Arterial Thromboembolism<\/li>\n\t\t\t\t\t\t\t\t
          • Absent Peripheral Pulses<\/li>\n\t\t\t\t\t\t\t\t
          • Berger's Disease<\/li>\n\t\t\t\t\t\t\t\t
          • Aneurysm<\/li>\n\t\t\t\t\t\t\t\t
          • aynaud's Phenomenon<\/li>\n\t\t\t\t\t\t\t\t
          • Gangrene<\/li>\n\t\t\t\t\t\t\t\t
          • Pre-Operative Examination<\/li>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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            \n\t\t\t\t\t\t\tPeripheral Vascular Profile \/ Venous Duplex Ultrasound\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
            \n\t\t\t\t\t\t\tDiagnostic evaluation of venous patency, valvular competency, venous capacitance and venous outflow; venous Doppler ultrasonography with compression maneuvers.\n\t\t\t\t\t\t\t

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            \n\t\t\t\t\t\t\t\tIndications:\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t
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            • Phlebitis Thrombophlebitis<\/li>\n\t\t\t\t\t\t\t\t
            • Gangrenous Extremities<\/li>\n\t\t\t\t\t\t\t\t
            • Chronic DVT<\/li>\n\t\t\t\t\t\t\t\t
            • Limb Tenderness<\/li>\n\t\t\t\t\t\t\t\t
            • Varicose Veins<\/li>\n\t\t\t\t\t\t\t\t
            • Venous Insufficiency<\/li>\n\t\t\t\t\t\t\t\t
            • Edema<\/li>\n\t\t\t\t\t\t\t\t
            • Embolism of Vein<\/li>\n\t\t\t\t\t\t\t\t
            • Erythema \/ Reddening of Area<\/li>\n\t\t\t\t\t\t\t\t
            • Thrombosis of Vein<\/li>\n\t\t\t\t\t\t\t\t
            • Congenital Vascular Anomalies<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
              \n\t\t\t\t\t\t
              \n\t\t\t\t\t\t\tAbdominal Aortic Aneurysm (AAA)\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t
              \n\t\t\t\t\t\t\tMost abdominal aortic aneurysms (AAAs) are asymptomatic, not detectable on physical examination, and silent. Tobacco use, hypertension, a family history of AAA, and male sex are clinical risk factors for the development of an aneurysm. Ultrasound, the preferred method of screening, is cost-effective in high-risk patients. Repair is indicated when the aneurysm becomes greater than 5.5 cm in diameter or grows more than 0.6 to 0.8 cm per year. Symptomatic aneurysms present with back, abdominal, buttock, groin, testicular, or leg pain and require urgent surgical attention. Rupture of an AAA involves complete loss of aortic wall integrity and is a surgical emergency requiring immediate repair.\n\t\t\t\t\t\t\t

              \n\t\t\t\t\t\t\tAAAs cause 15,000 deaths yearly and in 2010 were the 10th leading cause of death in white men 65 to 74 years of age in the United States.\n\t\t\t\t\t\t\t

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              • With an aging population, the incidence and prevalence of AAA is certain to rise. Most AAAs are asymptomatic, and physical examination lacks sensitivity for detecting an aneurysm.<\/li>\n\t\t\t\t\t\t\t
              • It is important that physicians understand which patients are at risk for the development of AAA, and provide appropriate evaluation and treatment once a patient has been diagnosed with an aneurysm.<\/li>\n\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t"}