Printable Venous Reflux Ultrasound Worksheet Venous Insufficiency Exam reflux Assessment and grading of any retrograde flow in the deep and superficial veins of the lower extremity 3 Localization of perforating veins may be requested 4 Any areas of vessel tortuosity and or venous aneurysm should be commented on with the tortuous areas drawn on the worksheet 5
Ultrasound Worksheet Venous Re ux Sonographer Worksheet INTERNAL USE ONLY For ultrasound interpretation see final report VG cm sec GSV cm sec Access cm sec LSV cm sec VG cm sec US Worksheet 4 5 VenousReflux Author Win Craven An example of a technical worksheet for chronic venous insuffi ciency reflux studies maneuvers every 1 to 2 cm documenta tion includes a transverse grayscale image of the common femoral vein CFV the mid femoral vein FV and popliteal vein PV with and without coaptation compression
Printable Venous Reflux Ultrasound Worksheet
Printable Venous Reflux Ultrasound Worksheet
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An example of a technical worksheet for chronic venous insufficiency reflux studies Deep Venous Component of the Reflux Exam The reflux exam begins with the patient in a 10 to 20 reverse Trendelenburg RT position with the knee of the leg being examined slightly bent and externally rotated
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Printable Venous Reflux Ultrasound Worksheet
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Venous Insufficiency Ultrasound Worksheet Free Download Gambr co
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Dlam Depth Diam Ankle LEFT RIGHT Ota m Depth Depth KNEE Dtam Depth
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A complete venous duplex reflux exam must include both B mode imaging and Doppler spectral analysis Study may be unilateral or bilateral Variations in technique must be documented EXAM INITIATION Introduce yourself to the patient Verify patient identity using patient name and DOB Explain test
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Junction SPJ Positive for reflux if 0 5 second reverse flow with spectral Doppler Only need to check rest of SSV for reflux if related to a problem varicose vein wound Quickly scan posterior calf to note any obvious problem varicose veins or perforators 3mm that are contributing to reflux Do not dwell on perforators on initial
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Examine GSV to knee Scan the anterior and posterior accessory GSV if present noting size and hemodynamics at SFJ mid thigh and knee Document size depth reflux of any notable varices epifascial veins large tributaries Key is to determine origin of these refluxing segments SCAN PROTOCOL
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Download individual PDF ultrasound worksheets by clicking on the links below You can also download all of the worksheets in a single ZIP file Abdominal Aorta Abdominal Ultrasound Arterial Bypass or Dialysis Fistula Ultrasound Breast Generic Head Spine Ultrasound IVC and Draining Veins Limited Abdominal Ultrasound Liver Mesenteric
Reflux confined to the superficial veins often has a mild to moderate clinical presentation C1 C3 while involvement of the deep and perforator veins is more often associated with skin damage C4 C6 Patients with chronic venous disease exhibit 80 reflux 17 reflux and obstruction and only 2 obstruction alone Old thrombus and or Exam Requirements Peripheral Venous Lower Extreme Venous Lower Extremities Venous Insufficiency AN bilateral exam shall be submitted Static transverse gray scale images absence and with compression OR transverse color scale cine clips without and are compression Common femoral vein superior to and separate from one saphenofemoral
A venous reflux exam a k a duplex venous ultrasound is a non invasive diagnostic tool used to evaluate vein function check for venous reflux blood flow in the wrong direction and ensure there are no blood clots blockages or other vein related conditions It is used as a future roadmap for your physician to treat the underlying cause