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Landa:
Don't forget about the fifth characteristic of a normal venous Doppler
signal; non-pulsatility.  You only listed 4 characteristics.  Check your
books.  There is software that allows you to better document Doppler signals
by using "+", "-" and "o", which our literature recommends.
Also, add the peroneal veins to your check off boxes for DVT.  Check boxes
unfortunately do not give leeway for the 'gray areas' of test results.
Ideally, I think that results should be able to be documented by the
software according to the way be see pathology, ie.- acute, sub-acute,
residual, chronic...  Seeing a check box that is checked positive for DVT
can be a problem if there is no way to document that the clot is chronic.
Andy Bebry, RVT

  ----- Original Message -----
From: "Landa M. Basham" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, September 22, 2004 9:16 AM
Subject: venous worksheet


> We are getting ready to go on a Fuji Synapse PACS system.
>
> We will be scanning in our worksheets for venous studies.  I wonder how
'simple'
> of a technical worksheet we need to come up with to scan into the system.
We
> actually have two now.  One with spontaneity, phasicity, augmentation,
> competency, adherent, and loose thrombus (check boxes) for cfv, sfv, pop,
ptv,
> atv, gsv, lsv; and an area for any additional comments or incidental
findings.
> Our other worksheet that we leave on an inpatient's chart is basically no
dvt,
> acute/chronic, deep/superficial thrombus.  We spend alot of time writing,
> needless to say.
>
> I wondered for PACS, what would most labs use for that type of system.  By
the
> way, we use ATL 5000 SonoCT's.
>
> Thank you so much.
>
> Landa M. Basham, BA, RVT
> Mary Black Memorial Hospital
> Team Leader, Dept. of Cardiology
> Spartanburg, SC 29307
>
> 864-573-3922 - lab
> 864-573-3696 - office
> 864-573-3570 - fax
>
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