Aim of this module
This module provides trainees with the knowledge that underpins the third year specialist module in Vascular Science. It will provide trainees with the knowledge, understanding and practical skills to safely contribute to the diagnosis of extracranial vascular disease and provides the knowledge that will underpin learning in the work base.
1. Triage requests for investigation of patient with suspected carotid and vertebral artery disease and prepare the room and equipment.
2. Prepare patients and take their clinical histories.
3. Perform scans on patients with suspected carotid and vertebral artery disease.
4. Interpret, explain and report results.
|Number||Work-based learning outcome||Title||Knowledge|
Triage requests for investigation of patients with suspected carotid and vertebral artery disease.
Set up equipment and room ready for extracranial investigation.
Control infection risks associated with extracranial investigations in accordance with departmental protocols.
Minimise risks and hazards during the extracranial investigation in compliance with health and safety policies.
Explain the procedure to the patient, address any procedure-related questions they may have and provide information on how the patient will be informed of the results.
Gain informed consent for the extracranial investigation.
Obtain clinical history from the patient pertinent to the extracranial examination.
Perform an ultrasound scan using B Mode to identify normal carotid and vertebral anatomy in the neck.
Perform an ultrasound scan using colour Doppler and spectral Doppler to demonstrate the haemodynamics of normal carotid and vertebral arteries.
Perform an ultrasound scan to identify significant carotid artery disease.
Perform an ultrasound scan to identify an incidental finding, e.g. vertebral artery stenosis, other unusual finding.
Produce an interpretive report of investigations.
Recognise the pitfalls and limitations of the investigation.
Ensure extracranial results are given in a timely manner with appropriate action for urgent findings.
|You must complete|
|2 Case-based discussion(s)|
|2 of the following DOPS / OCEs|
|Perform and analyse B Mode colour Doppler scan of the carotid arteries obtaining longitudinal and transverse images from the origin of the CCA to the distal ICA and distal ECA.||DOPS|
|Perform and analyse B Mode colour Doppler scan of the carotid bifurcation using anterior, lateral and posterior approaches.||DOPS|
|Obtain, measure, differentiate and analyse Doppler spectra from CCA, ICA and ECA||DOPS|
|Obtain, measure and analyse Doppler spectra from vertebral and subclavian arteries.||DOPS|
|Perform and interpret a complete diagnostic scan on a new TIA patient||DOPS|
|Perform and interpret a complete diagnostic scan on a pre endarterectomy patient or follow up patient with known 70 percent diameter reduction stenosis.||DOPS|
|Perform and interpret a complete follow up scan on a post endarterectomystent patient.||DOPS|
|Perform and interpret a complete diagnostic scan on an immobile patient in a wheelchair||DOPS|
|Perform and interpret a complete diagnostic scan on an immobile patient on a trolley bed.||DOPS|
|Perform and interpret an emergency post endarectomy stent scan on a patient in recovery ICU using a portable system||DOPS|
|Introduce yourself to the patient and confirm their identity||OCE|
|Explain the carotid scan procedure and purpose to the patient||OCE|
|Obtain patient consent for the carotid scan||OCE|
|Obtain the relevant clinic history and symptoms pertinent to the carotid scan.||OCE|
|Prepare and position a mobile patient for the carotid scan||OCE|
|Prepare and position a patient with mobility difficulties for the carotid scan||OCE|
|Communicate with the patient during the scan to explain the practical aspects of the procedure e.g. head position.||OCE|
|Explain temporal tap procedure to the patient.||OCE|
|Explain the carotid scan findings to the patient||OCE|
|Explain what happens with the carotid scan results||OCE|
The academic parts of this module will be detailed and communicated to you by your university. Please contact them if you have questions regarding this module and its assessments. The module titles in your MSc may not be exactly identical to the work-based modules shown in the e-portfolio. Your modules will be aligned, however, to ensure that your academic and work-based learning are complimentary.