Get the free Carotid Duplex Scan Feedback Form

This document is a feedback form used in the Ultrasound Research Lab for Carotid Duplex scans conducted during the LLFS (Long Life Family Study) Visit 3. It captures details about the scan performance and imaging quality, including the assessment of carotid artery plaques and important identifying information for study tracking.

How to fill out carotid duplex scan feedback

How to fill out carotid duplex scan feedback

1. Gather the patient's information including name, age, and medical history.
2. Review the ultrasound images and preliminary findings of the carotid duplex scan.
3. Write a summary of the indication for the scan, including any symptoms the patient has.
4. Detail the technical aspects of the scan, such as equipment used and any notable challenges.
5. Interpret the results, including the degree of stenosis or any abnormalities detected.
6. Provide recommendations for further management or follow-up, if necessary.
7. Ensure that your feedback is clear and concise, avoiding medical jargon where possible.

Who needs carotid duplex scan feedback?

1. Patients with a history of stroke or transient ischemic attack (TIA).
2. Individuals with risk factors for cardiovascular disease, such as hypertension, diabetes, or high cholesterol.
3. Patients presenting with symptoms of carotid artery disease, such as neck pain, dizziness, or vision changes.
4. Those requiring pre-operative evaluation for surgeries involving the carotid arteries.

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What is carotid duplex scan feedback?

Carotid duplex scan feedback refers to the structured response provided regarding the results and findings of a carotid duplex ultrasound, which is used to evaluate blood flow in the carotid arteries.

Who is required to file carotid duplex scan feedback?

Healthcare providers and facilities that perform carotid duplex scans are typically required to file feedback to ensure compliance with regulatory standards and quality assurance.

How to fill out carotid duplex scan feedback?

To fill out carotid duplex scan feedback, providers must enter patient details, scan results, any interpretations, and any necessary recommendations or follow-up actions as per the guidelines.

What is the purpose of carotid duplex scan feedback?

The purpose of carotid duplex scan feedback is to communicate findings effectively, ensure accurate documentation, and provide necessary follow-up actions or referrals to other medical professionals.

What information must be reported on carotid duplex scan feedback?

Carotid duplex scan feedback must report patient identification, date of the scan, findings regarding blood flow, any abnormalities, and recommendations for further evaluation or treatment if needed.