RIU 436 Lecture Notes - Lecture 12: Axillary Artery, Ulnar Nerve, Deep Artery Of The Thigh

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Peripheral arterial direct testing- duplex sonography: upper extremity duplex, arterial duplex- patient positioning i. ii. iii. To evaluate axillary artery, arm should be externally rotated and positioned away from body, can be conducted with the arm in the pledge position . Head may need to be rotated depending on area to be examined iv. i: scanning technique. Arteries to be documented: subclavian, axillary, brachial, radial, ulnar. Peak systolic velocities are recorded for each vessel: using optimal 45-60 degree angle in longitudinal plane, note psv pre stenosis, in stenosis, and post stenosis ii. iii. iv. v. vi. i. when present. Size: document diameter, (anteroposterior [ ap] and lateral, visualize thrombus or plaque when present. Document area of: stenosis, occlusion, aneurysmal enlargement, scanning technique: subclavian artery i, windows for insonation include: Followed as it courses under clavicle and over first rib: sternal notch, supraclavicular.

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