Medical, Sonogram

Description

Please answer only from attached files, not from online sources, Thnx

DAIGLE CH 2, 3 & 4 – LECTURE
OBJECTIVES & STUDY GUIDE


1. Draw normal carotid anatomy with waveforms for each

2. Discuss the clinical symptoms associated with a hemispheric stroke

3. How does TIA and RIND differ from Stroke?

4. What is Amaurosis Fugax and where would you look for the cause?

5. What are the three main windows available to you for scanning the Carotids?

6. What is the fool proof method of determining ECA from ICA? Why?

7. Define these terms – Anechoic, Sonolucent, Echolucent, Echogenic, Hyperechoic, Hypoechoic, Isoechoic, Heterogenous, Homogenous

8. Explain the difference between the ECA and ICA waveform (resistance) and why?

9. Draw and Calculate Percent Diameter Stenosis. Why is this not a reliable method for categorizing Carotid disease?

10. Define the different plaque characterizations and their morphology

11. Explain the significance for the flow drop off in a tight, near occlusive Stenosis

12. Explain the significance of the NASCET/ACAS studies. Differentiate between the traditional “Bulb” method versus Angiographic method, in categorizing P-ICA disease.

13. Chart the SRU table parameters commonly used in categorizing Carotid disease

14. Explain Fibro muscular Dysplasia. If found, in the Carotids, where else would you want to look?

15. What are the common collateral pathways for ICA occlusion?

16. What are the common collateral pathways for CCA occlusion?

17. What is the significance for reversed flow in the vertebral artery?

18. Explain the difference between Subclavian Steal and Subclavian Steal Syndrome

19. Draw the different stages of Subclavian Steal using the waveforms

20. Explain how using Reactive Hyperemia would be helpful with documenting Subclavian Stenosis

21. Explain Carotid dissection; List the clinical and sonographic findings


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References:

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Living Guideline

Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E

Evidence-based practice

BMJ Best Practice

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JBI: Evidence summary

Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global

JBI: Best practice information sheet

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Cochrane Database of Systematic Reviews

Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2

Drug Information

Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au

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Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html

Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/

Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html

Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis

Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia

Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367

NCBI Bookshelf

Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/

Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au

 

 

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