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I definitely agree that the RAS exam is very challenging.  I started by auditing an abdominal ultrasound course at a local community college (can't beat free!!!).  Does anyone have criteria regarding renal artery instent restenosis.  I know velocities will be higher.  Also, is the same criteria applied to celiac artery stents???  Do we do a celiac/aortic ratio???  What criteria do you use with aortic stenosis or low cardiac output????
 
Gail Gonsalves
Non-Invasive Vascular Lab Supervisor
The Miriam Hospital 
Providence, RI

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]]On Behalf Of Pamela Wickkiser
Sent: Friday, February 11, 2011 9:16 AM
To: [log in to unmask]
Subject: Re: RAS and self teaching!


I agree you need specific training. Marsha Neymeyer is the best. I have a tech sheet and protocol for you. E-mail me at [log in to unmask] and I will forward the information to you.


Pamela Wickkiser, MBA/HCM
Radiology Director
Humboldt General Hospital
Winnemucca, NV
(775)623-5222 ext. 130
[log in to unmask]
 




  




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Date: Thu, 10 Feb 2011 10:10:40 -0500
From: [log in to unmask]
Subject: Re: RAS and self teaching!
To: [log in to unmask]

Listen to Don.  The Renal Vascular exam is just loaded with pitfalls and places to make important errors.  Get'em to get you some training.  I think the notion of "just picking it up as we go" is expecting way too much for even experienced and expert sonographers.


On Wed, Feb 9, 2011 at 5:10 PM, Betty-Sue/Elizabeth < [log in to unmask]> wrote:


So the general sonographer needs some down to earth tips and tricks.  We are teaching ourselves RAS and making our own hx sheets.  yikes (doesn't even begin to cover it)  so I could use some simple answers, like: Do you do a full renal study first and then do the vasc part?  Must we include the bladder pre and postvoid?  Are the hx questions the same as on abd/renal (like hematuria? N&V? etc)Will I see the string of pearls with color or only on angio?  Oh my gosh I can go on and on. Will it always take more than an hour? Should they only be done first thing in the AM? Does gas-ex really make a difference? If I don't see the mid renal A at all can I still get some kind of diagnoses?  Well, you guys start firing them back and if you want to fax me your favorite hx sheet that would be a bonus!  248-937-5020 attn Elizabeth/Ultrasound  tanks a million

 

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