OVERVIEW

ULTRASOUND SCREENING EXAMS

Carotid artery Duplex

Who need this:

People who have diabetes,  those who are experiencing dizziness, having vertigo, family history of stroke or heart disease, high cholesterol, a recenttransient ischemic attack (TIA), high blood pressure, diagnosed with coronary artery disease, diagnosed with stroke, abnormal sound in carotid arteries (bruit) detected by your doctor using a stethoscope?

Or a referral from your Doctor.

Thyroid ultrasound surveillance

Who need this:

People who suspect/detect a lump on the neck, experience pain on the neck, those who have been diagnosed with hyperthyroidism/hypothyroidism, have frequent coughing during the day and a need to keep clearing throat, or havingproblems swallowing.

Or a referral from your Doctor.

Thoracic Aortic Aneurysm surveillance

Who need this:

People who are experiencing a sudden, intense, and persistentchest or back pain, pain in the jaw, neck, and upper back,coughing, hoarseness, difficulty breathing, low blood pressure, or loss of consciousness.

Or a referral from your Doctor.

Abdominal Aortic Aneurysm with Femoral and popliteal Aneurysm surveillance

Who need this:

People who are experiencing an intense and persistent abdominal or back pain that may radiate to the buttocks and legs, or sweating and clamminess, dizziness, nausea and vomiting, rapid heart rate, shortness of breath, or low blood pressure.

Or a referral from your Doctor.

Renal transplant surveillance

Who need this:

People who have kidney transplant.

Or a referral from your Doctor.

Lower Extremity deep venous thrombosis (DVT)  or superficial venous thrombophlebitis (SVT) evaluation

Who need this:

Those who smoke, or people who have elevated d-dimer, or have history of cancer, or have blood clotting disorders, or taking oral contraceptives, or those who are on estrogen therapy, or taking tamoxifen and raloxifene, or childbirth, or recent surgery, or experiencing extreme pain in the leg and the leg looks pale or blue and swollen. People who been diagnosed with trousseau syndrome, or who are experiencing painful on the skin exactly on the where thevein located and it looks red, swollen, feels warm, and very tender or visible vein (varicose veins) feel like hard painful cord under the skin.

Or a referral from your Doctor.

Upper Extremity deep venous thrombosis (DVT) or superficial venous thrombophlebitis (SVT) valuation

Who need this:

Those who smoke, or People who have elevated d-dimer, or have history of cancer, or have blood clotting disorders, or taking oral contraceptives or on estrogen therapy, or taking tamoxifen and raloxifene, or childbirth, or recent surgery, or experiencing extreme pain in the arm and the arm looks pale or blue. People who are experiencing painful on the skin exactly on where the vein is located and it looks red and swollen, or recently have an IV line.

Or a referral from your Doctor.

Hemodialysis Access surveillance

Who need this:

People who have Arteriovenous (AV) fistula or Arteriovenous (AV) graft, or feeling warmth at the access site of the graft, or notice redness, pain, swelling around the access site.

Or a referral from your Doctor.

Renal artery Stenosis/Aneurysm surveillance

Who need this:

People who are overweight or obese, who have high blood cholesterol, or high blood pressure, currently have a history of smoking, insulin resistance, diabetes, or lack of physical activity, a diet high in fat, cholesterol, sodium, and sugar, a man who is older than 45 or a woman who is older than 55, or those who have family history of early heart disease.

Or a referral from your Doctor.

Renal artery Stent surveillance

Who need this:

People who have undergone renal artery stenting treatment for renovascular hypertension.

Or a referral from your Doctor.

Hepatic Portal System surveillance

Who need this:

People who have Portal Hypertension, or Liver Cirrhosis, Abnormal liver function tests, or hepatitis B, or hepatitis C, metastatic disease in the liver, or those who suspect veno-occlusive disease after hematopoietic stem cell transplantation,trauma, or hypercoagulable state, or gastrointestinal bleed.

Or a referral from your Doctor.

Hepatic Portal System with Transjugular Intrahepatic
Portosystemic Shunt or TIPS

Who need this:

People who have undergone this procedure may use this screening to help reducing portal hypertension and its complications,especially variceal bleeding.

Or a referral from your Doctor.

Lower Extremity Venous insufficiency surveillance

Who need this:

People who experiencing localize swelling in the lower leg, or visualize bulging veins in the leg, or childbirth, or have historyof DVT/SVT, or experiencing fullness, heaviness, aching, cramps, pain, tiredness, and tingling in the legs, or skin discoloration (brown of reddish- brown) in the lower leg, or experiencing ulcer, scaly, and itchy lower leg or ankl

Or a referral from your Doctor.

Lower Extremity Arterial (duplex only) for peripheral arterial/vascular disease (PAD/PVD) evaluation

Who need this:

People who are experiencing leg pain when walking, or leg pain when resting, or foot, ankle, heel or toe ulcers, or skin discoloration,or gangrene, or have history of aneurysm, or pseudoaneurysm, or follow-up post-operative stent placement or bypass graft procedure in the legs, or follow up of known stenosis, or arterial trauma, or history of peripheral arterial disease.

Or a referral from your Doctor.

Upper Extremity Arterial (duplex only) for peripheral arterial/vascular disease (PAD/PVD) evaluation

Who need this:

People who shoulder/arm numbness and tingling, or arm pain, ulcers, or skin discoloration, or gangrene, or have history ofaneurysm, or pseudoaneurysm, or arterial-venous fistula or follow- up post-operative stent placement or bypass graft procedure in the arms, or follow up of known stenosis, or arterial trauma, or history of peripheral arterial disease, or experiencing fatigue, clumsiness, weakness, or headache,

Or a referral from your Doctor.

Results of vascular screening exams are not revealed nor discussed with patients at the testing center.  (Please ask your doctor for the result of the test)

Thoracic Outlet Syndrome (TOS) evaluation

Who need this:

Have you ever been in a car accident and experiencing numbness and tingling in your arm and fingers after theaccident? Trying to reach item(s) above your head, but experiencing numbness and tingling in your arm and fingers? Trying to comb your hair, but experiencing numbness and tingling in your arm and fingers?

Or a referral from your Doctor.

Lower extremity Arterial duplex with doppler (ABI and PVR)

Who need this:

People who are experiencing leg pain when walking, or leg pain when resting, or foot, ankle, heel or toe ulcers, or skin discoloration,or gangrene, or have history of aneurysm, or pseudoaneurysm, or follow-up post- operative stent placement or bypass graft procedure in the legs, or follow up of known stenosis, or arterial trauma, or history of peripheral arterial disease.

Or a referral from your Doctor.

Results of vascular screening exams are not revealed nor discussed with patients at the testing center.(Please ask your doctor for the result of the test)

ULTRASOUND SCREENING EXAMS

Carotid artery Duplex

Who need this:

People who have diabetes,  those who are experiencing dizziness, having vertigo, family history of stroke or heart disease, high cholesterol, a recenttransient ischemic attack (TIA), high blood pressure, diagnosed with coronary artery disease, diagnosed with stroke, abnormal sound in carotid arteries (bruit) detected by your doctor using a stethoscope?

Or a referral from your Doctor.

Thyroid ultrasound surveillance

Who need this:

People who suspect/detect a lump on the neck, experience pain on the neck, those who have been diagnosed with hyperthyroidism/hypothyroidism, have frequent coughing during the day and a need to keep clearing throat, or havingproblems swallowing.

Or a referral from your Doctor.

Thoracic Aortic Aneurysm surveillance

Who need this:

People who are experiencing a sudden, intense, and persistentchest or back pain, pain in the jaw, neck, and upper back,coughing, hoarseness, difficulty breathing, low blood pressure, or loss of consciousness.

Or a referral from your Doctor.

Abdominal Aortic Aneurysm with Femoral and popliteal Aneurysm surveillance

Who need this:

People who are experiencing an intense and persistent abdominal or back pain that may radiate to the buttocks and legs, or sweating and clamminess, dizziness, nausea and vomiting, rapid heart rate, shortness of breath, or low blood pressure.

Or a referral from your Doctor.

Renal transplant surveillance

Who need this:

People who have kidney transplant.

Or a referral from your Doctor.

Lower Extremity deep venous thrombosis (DVT)  or superficial venous thrombophlebitis (SVT) evaluation

Who need this:

Those who smoke, or people who have elevated d-dimer, or have history of cancer, or have blood clotting disorders, or taking oral contraceptives, or those who are on estrogen therapy, or taking tamoxifen and raloxifene, or childbirth, or recent surgery, or experiencing extreme pain in the leg and the leg looks pale or blue and swollen. People who been diagnosed with trousseau syndrome, or who are experiencing painful on the skin exactly on the where thevein located and it looks red, swollen, feels warm, and very tender or visible vein (varicose veins) feel like hard painful cord under the skin.

Or a referral from your Doctor.

Upper Extremity deep venous thrombosis (DVT) or superficial venous thrombophlebitis (SVT) valuation

Who need this:

Those who smoke, or People who have elevated d-dimer, or have history of cancer, or have blood clotting disorders, or taking oral contraceptives or on estrogen therapy, or taking tamoxifen and raloxifene, or childbirth, or recent surgery, or experiencing extreme pain in the arm and the arm looks pale or blue. People who are experiencing painful on the skin exactly on where the vein is located and it looks red and swollen, or recently have an IV line.

Or a referral from your Doctor.

Hemodialysis Access surveillance

Who need this:

People who have Arteriovenous (AV) fistula or Arteriovenous (AV) graft, or feeling warmth at the access site of the graft, or notice redness, pain, swelling around the access site.

Or a referral from your Doctor.

Renal artery Stenosis/Aneurysm surveillance

Who need this:

People who are overweight or obese, who have high blood cholesterol, or high blood pressure, currently have a history of smoking, insulin resistance, diabetes, or lack of physical activity, a diet high in fat, cholesterol, sodium, and sugar, a man who is older than 45 or a woman who is older than 55, or those who have family history of early heart disease.

Or a referral from your Doctor.

Renal artery Stent surveillance

Who need this:

People who have undergone renal artery stenting treatment for renovascular hypertension.

Or a referral from your Doctor.

Hepatic Portal System surveillance

Who need this:

People who have Portal Hypertension, or Liver Cirrhosis, Abnormal liver function tests, or hepatitis B, or hepatitis C, metastatic disease in the liver, or those who suspect veno-occlusive disease after hematopoietic stem cell transplantation,trauma, or hypercoagulable state, or gastrointestinal bleed.

Or a referral from your Doctor.

Hepatic Portal System with Transjugular Intrahepatic
Portosystemic Shunt or TIPS

Who need this:

People who have undergone this procedure may use this screening to help reducing portal hypertension and its complications,especially variceal bleeding.

Or a referral from your Doctor.

Lower Extremity Venous insufficiency surveillance

Who need this:

People who experiencing localize swelling in the lower leg, or visualize bulging veins in the leg, or childbirth, or have historyof DVT/SVT, or experiencing fullness, heaviness, aching, cramps, pain, tiredness, and tingling in the legs, or skin discoloration (brown of reddish- brown) in the lower leg, or experiencing ulcer, scaly, and itchy lower leg or ankl

Or a referral from your Doctor.

Lower Extremity Arterial (duplex only) for peripheral arterial/vascular disease (PAD/PVD) evaluation

Who need this:

People who are experiencing leg pain when walking, or leg pain when resting, or foot, ankle, heel or toe ulcers, or skin discoloration,or gangrene, or have history of aneurysm, or pseudoaneurysm, or follow-up post-operative stent placement or bypass graft procedure in the legs, or follow up of known stenosis, or arterial trauma, or history of peripheral arterial disease.

Or a referral from your Doctor.

Upper Extremity Arterial (duplex only) for peripheral arterial/vascular disease (PAD/PVD) evaluation

Who need this:

People who shoulder/arm numbness and tingling, or arm pain, ulcers, or skin discoloration, or gangrene, or have history ofaneurysm, or pseudoaneurysm, or arterial-venous fistula or follow- up post-operative stent placement or bypass graft procedure in the arms, or follow up of known stenosis, or arterial trauma, or history of peripheral arterial disease, or experiencing fatigue, clumsiness, weakness, or headache,

Or a referral from your Doctor.

Results of vascular screening exams are not revealed nor discussed with patients at the testing center.  (Please ask your doctor for the result of the test)

Thoracic Outlet Syndrome (TOS) evaluation

Who need this:

Have you ever been in a car accident and experiencing numbness and tingling in your arm and fingers after theaccident? Trying to reach item(s) above your head, but experiencing numbness and tingling in your arm and fingers? Trying to comb your hair, but experiencing numbness and tingling in your arm and fingers?

Or a referral from your Doctor.

Lower extremity Arterial duplex with doppler (ABI and PVR)

Who need this:

People who are experiencing leg pain when walking, or leg pain when resting, or foot, ankle, heel or toe ulcers, or skin discoloration,or gangrene, or have history of aneurysm, or pseudoaneurysm, or follow-up post- operative stent placement or bypass graft procedure in the legs, or follow up of known stenosis, or arterial trauma, or history of peripheral arterial disease.

Or a referral from your Doctor.

Results of vascular screening exams are not revealed nor discussed with patients at the testing center.(Please ask your doctor for the result of the test)