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Get the free PERIPHERAL VASCULAR DUPLEX SCAN TESTING ORDER FORM - CardioSD

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PERIPHERAL VASCULAR DUPLEX SCAN TESTING ORDER FORM Referring Physician Phone Fax Patient Information: (Please Fax Current Insurance Cards With Order Front and Back.) Name Height Phone (H) SS# Weight
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How to fill out peripheral vascular duplex scan

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How to fill out peripheral vascular duplex scan:

01
Obtain the patient's demographic information including name, date of birth, and contact information.
02
Document the reason for the scan, such as suspected peripheral artery disease or deep vein thrombosis.
03
Record the patient's medical history, including any previous vascular surgeries or interventions.
04
Perform a physical examination of the patient, noting any signs or symptoms of vascular disease.
05
Prepare the patient for the scan by explaining the procedure and obtaining informed consent.
06
Set up the ultrasound machine and ensure it is calibrated properly.
07
Apply a gel to the area being scanned, usually the lower extremities, and use the ultrasound probe to collect images of the blood vessels.
08
Measure the blood flow velocity and record any abnormalities or blockages observed.
09
Assess the presence of any blood clots, arterial plaques, or other vascular abnormalities.
10
Document all findings in a clear and concise manner, including measurements, images, and any relevant clinical observations.

Who needs peripheral vascular duplex scan:

01
Individuals with symptoms suggestive of peripheral artery disease, such as leg pain or cramping during walking.
02
Patients with a history of diabetes, hypertension, or high cholesterol, as they are at an increased risk of developing vascular disease.
03
Individuals with a family history of vascular disease or a previous diagnosis of blood clots.
04
Patients preparing for vascular surgery or intervention, to assess the severity and extent of the disease.
05
Those with unexplained swelling or discoloration of the extremities, which may indicate venous insufficiency or deep vein thrombosis.
06
Individuals with chronic wounds or ulcers that are not healing properly, as vascular disease may be a contributing factor.
07
Patients with a history of smoking or other risk factors for vascular disease, as they are more likely to develop complications.
By following these steps, healthcare professionals can accurately fill out a peripheral vascular duplex scan and determine its necessity for individuals who may benefit from this diagnostic procedure.
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