By: Stephanie Sadek Baker College of auburn hills Carotid Duplex Exam By: Stephanie Sadek Baker College of auburn hills
Overview Patient demographics Signs / Symptoms Images Preliminary Report Treatment Conclusion References
Patient Demographics T.T. 38 years old Female Outpatient Phillips IU22 Risk Factors Sex Signs/Symptoms Headaches Dizziness
Fibromuscular Dysplasia Definition : Condition when arteries have abnormal cluster of cells growing on wall. Bead-like appearance. Most often affects renal arteries and carotid arteries. Symptoms include : dizziness, blurred or temporary loss of vision, neck pain, chronic headaches, facial weakness or numbness. Mayo Clinic
CTA of head and neck report : The distal cervical internal carotid arteries bilaterally have a irregular contour, resembling a “string of beads.”
Preliminary Report R. Proximal CCA, distal CCA, bulb, proximal ICA, and ECA appear within normal limits. R. distal ICA displays accelerated flow velocity of 244 cm/sec PSV; 107 cm/sec EDV. L. Proximal CCA, distal CCA, bulb, proximal ICA, and ECA appear within normal limits. L. distal ICA displays accelerated flow velocity of 166 cm/sec PSV; 83 cm/sec EDV. No plaque visualized. Both vertebral’s have antegrade flow.
Treatment Surgery to open narrowed portion of the arteries. Medications for hypertension. Mayo Clinic
Conclusion Complications of FMD include : High blood pressure Chronic kidney failure Dissected artery Aneurysms Stroke Mayo Clinic
References Fibromuscular dysplasia - MayoClinic.com. (n.d.). Mayo Clinic. Retrieved February 15, 2013, from http://www.mayoclinic.com/health/fibromuscular-dysplasia/DS01101 Henry Ford West Bloomfield