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sonography lecture

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
anastamosis   connection of the two hollow or tubular structures  
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aneurysm   localized balloon like enlargement of an artery  
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atheroma   fatty deposit within an arterial wall  
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atherosclerosis   hardening and narrowing of arteries due to plaque build-up  
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arteriosclerosis   abnormal hardening of arterial walls  
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bifurcation   having two branches or divisions, forked  
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lumen   channel or opening within the vessel through which blood flows  
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occlusion   closed state or blockage  
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plaque   build up of cholesterol or fat within the arterial wall  
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stenosis   abnormal narrowing of vessel  
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syncope   brief loss of consciousness caused by cerebral hypoxia, loos of oxygen  
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tortuous   having many twists or turns  
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thrombus   blood clot attached to interior wall of a vein or artery  
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anechoic   without echoes, ex. blood  
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hypoechoic   low level echoes, ex. thyroid  
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hyperechoic   high level of echoes, ex. bone  
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homogeneous   all the same level of echoes  
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heterogeneous   many different echo levels  
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doppler   evaluation of the presence, speed and character of blood flow within the vessels  
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aliasing   the wrapping around of the spectral waveform that can result from high velocity of blood flow, nyquist limit is exceeded  
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overall gain   when the image is too dark to too light overall  
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focus   this optimizes your gray scale image by providing a clearer image, and optimizing your color image as well  
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doppler angle   this should be set between 45 and 60 degrees to achieve an accurate velocity measurement  
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sample volume gate (SVG)   should be placed midstream (center of the vessel) angle cursor parallel to the blood flow and the gate set between 1.5-2 mm  
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wall filter   will increase or decrease echoes present due to wall thumping *always set on low  
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heal-toe rocking   this is important to do when a vessel is perpendicular to the beam and runs horizontal across the beam  
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doppler gain   adjust the overall gray scale of the doppler spectral wave form  
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doppler effect   a shift in frequency caused by motion ( moving RBC's) *sound of train from far away to close to you  
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doppler   acceleration to deceleration to diacrotic notch to peak velocity to boundary layer(envelope) to diastole  
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sweep speed   changes spped of the doppler spectral display  
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doppler gain   knob that controls the strength of the doppler signal displayed  
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PRF (pulse repetition frequency)   if low, doppler aliases....if high, signal is too small to assess  
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baseline   controls level of baseline on the spectral doppler display  
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invert   switch inversts doppler signal from above to below the baeline  
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