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1.Abdominal ultrasound protocol.
Abnormal liver function test
Elevated Alkaline phosphate
Elevated Alanine aminotransferase
Elevated Asparate aminotransferase
Elevated Lactate dehydrogenase
Elevated Serum bilirubin
Prolonged or shortened Prothrombin
Abd. Pain or bloating or flank pain
Hepatitis B, C
Cirrhosis or jaundice
*Abdominal aorta- Medicare. Hx of smoking . over 55 years old
2 Thyroid ultrasound
Abnormal TSH
Palpable mass
Patient who is currently taking thyroid medicine
Patient who had thyroid Cx
3 Echocardiogram
Abnormal Cardiac enzyme
Elevated troponin
Strong family hx of cardiac disease
Chest pain or palpitation.
High risk patient ( who had stroke, high cholesterol. Malig. Hypertension. Obesity. SOB)
4. Testicular ultrasound
Impotence
Swelling and pain
5. Pelvic ultrasound
Feel mass
Irregular or heavy menst.
Infertility
6. Renal artery
Kidney failure or malignant hypertension
*study is very limited
7. Bladder ultrasound
Frequent urination or dysuria
8. Renal ultrasound
Kidney stone
Back pain or side pain
when should I get ultrasound?
By disease
We need to come up with Standard protocol not limited to ultrasound
Protocol has to include step for diff. test and results and how we respond. What labs and diagnostic test has to order. Many doctors offices are not concentrating on patient education. I personally believe patient education is most important things that we have to do to help our patient and for the better care.
Protocols for stroke patient
Vital Sign*
Cardiac enzyme and labs
Echocardiogram and carotid ultrasound
EKG
Treatment
Discharge summary and patient education.
Follow up
Protocol for Chest pain patient
Vital Sign. EKG.
Check cardiac enzyme
Echocardiogram.
Treatment and discharge summary and patient education.
Follow up
Protocol for SOB Patient and asthma patient?
Vital sign. EKG.
Breathing test ? spirometer / Echocardiogram
Treatment, Discharge summary and patient education.
Follow up
Protocols for abdominal pain
Vital sign.
Abdominal ultrasound.
Lab. And treatment
Protocol for DVT
Vital sign. EKG.
Venous Doppler
Treatment. Patient education.
Protocol for patient who has chronic leg pain.
ABi and Arterial Doppler
Protocols for patient who has acute leg pain
Venous doppler
Protocols for cardiovascular disease patient
Anybody who has malignant hypertension with dizziness Carotid artery ultrasound
Doctor should check bruit on neck.
Anyone who is high risk for stroke, doctor should recommend carotid Doppler ultrasound.
