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If I do a venous study in the ER and tell the doc that "the femoral and popliteal vein lumens are filled and incompressible," that's a finding (magic word). That's how it's phrased on the preliminary report that we leave. The doc can probably figure it out from there. Our carotid preliminary report form is a little more complicated, but contrives to keep it in the nature of "findings" rather than calling percent stenosis. Findings are just the observations: BP is 138/88, temperature is 99.3, heart rate is 85 bpm, velocities are accelerated and turbulent, vein lumen is filled, all findings. 

We had to work this out with the lawyers so that we could report something without interpreting, as there was very strong demand for preliminary reports. It seems to work. The doc is given the findings, the doc decides the significance.


Don Ridgway
Grossmont Hospital
Grossmont College







-----Original Message-----
From: UVM Flownet on behalf of JASON ROBERTS
Sent: Mon 4/14/2008 3:56 PM
To: [log in to unmask]
Subject: Re: Prelim Vs Diagnosis
 

I have given this statement some thought, however, describing and diagnosing are not that far in comparison, at least in my area, and with my vascular director. In the face of emergent studies or after hour studies an immediate impression is given to PCP or ER doctor by the sonographer, is this not a diagnosis? The reading physician or on-call surgeon is not contacted and the study is not read until the next day. I know this some how falls under preliminary impression, however, this is clearly a diagnosis since the patient will be released following a negative finding. This may not be the case in radiology suites where radiologist directly read post study and then contact the referring physician in the face of a positive or critical findings. But most of us know this is not the case, mostly we are practicing technologist's, no necessarily describologist's :) 
 
One other issue,my fiancee who is also in vascular is required to educate the patient post positive findings, utilizing pamphlets and clinical findings. 
 
 
What says the masses out there, on the emergent preliminary findings.> 
Jason 
 
 
 
Date: Mon, 14 Apr 2008 12:11:50 -0400
 
> From: [log in to unmask]> Subject: Re: carotid plaque interpretation> To: [log in to unmask]> > Jason: Again, it's the interpreting physicians call. We describe > findings, not diagnose them.> > Terry Case> > Terry, is this to say all irregular plaque can be classified as > questionably ulcerated?> > Jason> > > > Quoting JASON ROBERTS <[log in to unmask]>:> > >> > Terry, is this to say all irregular plaque can be classified as > > questionably ulcerated?> >> > Jason > Date: Mon, 14 Apr 2008 09:53:46 -0400> From: [log in to unmask]> > > Subject: carotid plaque interpretation> To: > > [log in to unmask]> > It is my experience that the term > > "ulceration" is a clinical > diagnosis, not a technical finding. > > Radiologists have great difficulty > determining ulceration even > > with angio and studies have showed when > reviewing angios, they > > not only disagreed with others but even among > their own > > interpretation. Only the surgeon or pathologist can call it > an > > ulceration. As sonographers, I believe we should limit the findings > > > to ?irregular surface characteristics.? Remember you can tell the > > > interpreting physician it is a fowl, with web feet and says > > ?Quack, > Quack.? But it is up to the interpreting physician to > > call it a > duck..... and in some cases, rule out chicken, rule out > > turkey, etc > and so on.> > Terry Case> > > > > > > > > > Quoting > > "Haase, Craig K." <[log in to unmask]>:> > > yes,> > c. haase> >> > > > -----Original Message-----> > From: UVM Flownet > > [mailto:[log in to unmask]]On Behalf Of paul hrdlick> > Sent: > > Saturday, April 12, 2008 2:19 PM> > To: [log in to unmask]> > > > Subject: carotid plaque interpretation> >> >> > Does anyone use the > > term "ulceration" when describing plaque in the > > carotid? I> > > > remember yrs. ago Dr. Strandness ( an article) commented that this > > was> > inappropriate due to our 2D imaging limitations. Can we > > truly say with any> > certainty that plaque contains ulcerations?> > > >> > _____> >> > Get in touch in an instant. Get Windows Live > > Messenger now.> > > > <http://www.windowslive.com/messenger/overview.html?ocid=TXT_TAGLM_WL_Refresh_ge> > tintouch_042008> To unsubscribe or search other topics on UVM > > Flownet link to:> > http://list.uvm.edu/archives/uvmflownet.html> >> >> > The information transmitted in this electronic communication is intended only> > for the person or entity to whom it is addressed and may contain confidential> > and/or privileged material. Any review, retransmission, > > dissemination or other> > use of or taking of any action in reliance upon this information by > > persons or> > entities other than the intended recipient is prohibited. If you > > received this> > information in error, please contact the Compliance HelpLine at > > 800-856-1983 and> > properly dispose of this information.> >> >> >> > To unsubscribe or search other topics on UVM Flownet link to:> > http://list.uvm.edu/archives/uvmflownet.html> >> > To unsubscribe or search other topics on UVM Flownet link to:> > > http://list.uvm.edu/archives/uvmflownet.html> > _________________________________________________________________> > Pack up or back up?use SkyDrive to transfer files or keep extra > > copies. Learn how.> > hthttp://www.windowslive.com/skydrive/overview.html?ocid=TXT_TAGLM_WL_Refresh_skydrive_packup_042008> > To unsubscribe or search other topics on UVM Flownet link to:> > http://list.uvm.edu/archives/uvmflownet.html> >> > To unsubscribe or search other topics on UVM Flownet link to:> http://list.uvm.edu/archives/uvmflownet.html
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