Aurora St. Luke s Medical Center School of Diagnostic Medical Sonography VASCULAR SONOGRAPHY 1 HSC 470 CREDITS: 3 Credits Course Description: This course focuses on the normal gross, relational, cross-sectional and sonographic anatomy of the vascular system to include carotids, lower extremity venous and upper extremity venous. Mechanisms of disease, unique to the vascular system, as well as the relationship between cardiovascular disease and the health of other organ systems will be discussed. Correlation of laboratory findings and etiologies of disease will be covered. Doppler principles and vascular hemodynamics are presented. Various vascular scanning techniques will be discussed. Lectures are correlated with scan lab demonstration and practice for each system. Faculty: Laura Sorenson RDMS, RVT, RT(R)(M) (414) 747-4352; laura.sorenson@aurora.org Class Times: Tuesday and Thursdays according to posted schedule Office Location: Lower level of School of Diagnostic Medical Sonography Office Hours: Monday Friday 7:30 4:00 by appointment Carroll University contact: Ms. Lynn M. Peterson, M.Ed., I (ASCP)SI, QCYM Health Sciences and 2+2 Program Advisor Carroll University Physical Therapy Building #116 Phone: 262-524-7281 E-mail: lpeters@carrollu.edu Prerequisites: Successful completion of Summer Session courses in the DMS program. Course Objectives: 1. Describe characteristics, functions and components of blood. 2. Review vascular physics and the hemodynamics of blood flow. 3. Recognize artifacts specific to Doppler Imaging. 4. Recognize normal and abnormal Doppler waveforms for various vessels. 5. Describe the manifestations of venous and arterial disease. 6. Discuss risk factors of arterial and venous disease, and their significance. 7. Differentiate the structure and function of arteries, arterioles, capillaries, venules and veins in terms of structure and function. 8. Define the Doppler effect. 9. Investigate the sonographic exams utilized in vascular exams, test results and their significance. 10. Investigate indirect tests that may be used to assess cerebrovascular disease. 11. Review the manifestations of a Cerebral Vascular Accident Page 1
12. Describe secondary vascular signs of brain death 13. Discuss the significance of accurate velocity estimations of the carotid system and clinical implications of abnormal findings 14 Describe the risk factors associated with DVT. 15. Investigate various testing methods (other than ultrasound imaging) used to assess the venous system. 16. Consider the importance of early diagnosis of DVT and treatment options. 17. Compare the causes of DVT in the upper and lower extremity. Note: See individual lesson plans for individual course objectives. Required Textbooks: 1. Vascular Technology, 3 rd Edition, Rumwell and McPharlin 2. Understanding Ultrasound Physics, 3 rd Edition, Edelman 3. Introduction to Vascular Ultrasonography, 5 th Edition Zwiebel Evaluation System: Program Standard The student must achieve a minimum of 85% (C) average in all academic and clinical courses in order to earn course credits and remain in good standing. Failure to achieve the school standard of 85% will lead to disciplinary action, which may include termination from the program. All grades are determined as a numeric value and transferred to a letter grade. The numeric, letter and descriptive relationships are as follows: Numeric Letter Point Clinical Performance 100-95 A 4.0 Significant Strength 94-90 B 3.0 Proficient 89-85 C 2.0 Competent Below 85 U <2.0 Needs Development The Academic will be determined each semester using the following table and percentages. All quizzes and assignments are averaged as one test grade for each course. One (1) academic credit is equal to a minimum of 25 lecture hours and independent study. Page 2
Course Tests Quizzes Assignments Final 1 Mock Final Case Study Vascular 1 75% 25% ----- ----- Vascular 2 60% ------ 25% 15% Course Outline: Review basic physics (Quiz or worksheet) 1. Blood 2. Hemodynamics Worksheet- A Doppler Miscellany Scan Lab 1 3. Doppler Effect/ Doppler Equation Doppler DVD, Kremkau 4. Spectral/Color Doppler Worksheet packet- physics 5. Artifacts/Bioeffects Review physics worksheets Hand out worksheet packet- Carotid 6 & 7 Scan Lab 2 TEST 1 6. Arterial Disease 7. Cerebrovascular anatomy DVD- normal carotid duplex and color exam Hand out worksheet packet 8 & 9 8. Carotid disease 9. Carotid testing DVD- Carotid stenosis assessment Carotid Proficiency Page 3
Scan Lab- carotid 10. TCD Interactive CD- carotid case studies Review- including worksheet packets Scan Lab- carotid TEST 2 Handout venous worksheet packets 1-3 11. LEV Anatomy/ venous hemodynamics 12. Venous Disease DVD Imaging protocol (lori green) LEV Review worksheet packets 1-3 Handout worksheet packets 4-5 13. LEV Testing 14. LEV invasive and therapeutic intervention Review worksheet packets 4-5 15. UEV anatomy & testing 16. Pre-op vein mapping DVD- Intro to UEV testing TEST 3 FINAL 1 Student Responsibilities: 1. All assigned work must be completed on time. 2. Reading assignments should be done prior to class 3. Class attendance is mandatory. Excused absences are allowed. 4. It is the responsibility of the student to make up work and examinations when returning from an excused absence or illness. 5. Class participation is mandatory. Each academic credit is equivalent to a minimum of 16 hours of classroom instruction to include 2 hours of homework per lecture. Page 4
The instructor and the university reserve the right to modify, amend, or change the syllabus (course requirements, schedule, grading, etc.) as the curriculum and/or program require(s). Students with documented disabilities who may need accommodations or any student considering obtaining documentation should make an appointment with Ms. Martha Bledsoe, Director of Services for Students with Disabilities, no later than the first week of class. She can be reached by calling 262-524-7335 or contacting her via email at mbledsoe@carrollu.edu. The Carroll University Academic Integrity Policy is located in your student handbook (pages 30-34). I encourage you to familiarize yourself with it. http://www.carrollu.edu/studentlife/ Page 5