2. Ultrasound Examination- Doppler Carotid 1) Demonstrate Appropriate examination technique

3. Referral Request: 73yr old female for Doppler carotid Ultrasound. 1 week post ? Left facial droop and dizziness. ? Stenosis. No previous history of smoking, non-diabetic, no other risk factors.

4. Examination Preparation Step 1: Read the referral and understand the clinical information Step 2:Check the computer system for relevant previous imaging Step 3:Set the room up, ensuring the bed and machine are at appropriate height. Have warm gel, towels, or gowns if required. Step 4:Collect patient from the waiting room, check D.O.B. Step 5:Patient lying on the table, explain examination. Step 6:Discuss patient history. Reasons as to why they are having the examination. Check for risk factors for plaque. Eg: History smoking, diabetic, high Bp or cholesterol etc. Step 7: bring patients details up on the machine Step 8: begin examination

5. Examination begins Please click on the sound box and listen as I explain how I perform a Doppler carotid Ultrasound.

6. Scout

7. Right Common Carotid Artery

8. RT CCA con’t

9. Right External Carotid Artery

10. Right Internal Carotid Artery

11. RT ICA cont’

12. Right Vertebral Artery

13. I then move onto the left carotid artery.

14. Left Common Carotid Artery

15. LT CCA con’t

16. Left External Carotid Artery

17. Left Internal Carotid Artery

18. Lt ICA con’t

19. Left Vertebral Artery

20. Worksheet

21. Conclusion In order to demonstrate and be competent in performing such examinations, it is always important to understand the reasons as to why we take such representative images. It is also necessary to understand the way in which both b-mode, colour and doppler trace allows you to assess the carotid artery.

22. Acknowlegdments I have used ideas and taken direction from Perth Radiological Clinic in writing this presentation.