Questions on Sonography

1. A 53-year-old woman arrives with an ultrasound referral stating “ETOH++ PHT check”. What vascular-related surveys and images would you do, and what would you document on your sonographer worksheet? 2. When performing an ultrasound on a patient who has come with a suspected lower limb DVT, their Valsalva manoeuvre and augmentation performed at the CFV were both normal. What does this mean, and where could you still find an occlusive DVT in this person? 3. A patient arrives with an ultrasound referral stating “Lt CVA 2/52 ago” and while scanning the neck, you notice a total occlusion in the distal BCA. What specific surveys and images would you do related to this discovery, and what would you document on your sonographer worksheet? 4. A 67-year-old woman arrives with an ultrasound referral asking for a leg ultrasound. Upon asking her what symptoms she was experiencing, she said she had a cold left leg and pain in her calf when she walks for more than a couple of minutes. What surveys and images would you do, and what would you document on your sonographer worksheet? 5. A 42-year-old man rings up to make an ultrasound appointment for “uncontrollable hypertension” and the receptionist is not sure what to book him in for so comes to ask you. What specific ultrasound examination does he need, and what will you be surveying and specifically imaging when he comes in for his appointment? 6. When performing a bilateral lower limb DVT study, you notice the Valsalva manoeuvre did not result in the flow ceasing but the augmentation worked well for both legs. After asking the patient, you find out that they had already had a d-dimer test that had come back as a low risk for DVT and had no obvious risk factors. What other pathological conditions could cause this, and given this is what the doctor suspected, how do you think the patient may have appeared on a physical examination to the doctor for them to suspect this.