RIU 436 Lecture 30: Typical Carotid Examination

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1. eca: no e" in brain, multiple branches and temporal tap. 3. ica: no i" in face, larger, posterior to. A. atherosclerosis usually develops within 2 cm of bifurcation and is rarely associated with distal ica. B. distal ica is at least 3 cm above the carotid bifurcation. 3. to detect: a)image in both long and trans b)use low scale and high gain doppler settings c)use power doppler d)carefully evaluate distal for any flow. D. may result in increased velocities contralaterally to severe stenosis or occlusion. C. can vary from small curves to very sharp angulations. 1. up to one-fourth of adults will have some degree of angulation. 2. may cause stroke or tia symptoms; especially with head turning. 3. pulsatile mass (particular with common carotid artery [cca] tortuosity) G. doppler waveforms should be taken from straighter positions of vessel. H. if doppler waveform must be taken from curved portion. 1. angle cursor is set with middle of angle-correct cursor parallel to flow jet. 1. cannot be applied to tortuous segments of arterial flow.

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