Blood clots are lifesaving when they stop a bleed. When they form abnormally they can cause heart attacks, strokes, or other medical problems. Blood clots can form from many different conditions. The first step to diagnosing a clot is an ultrasound. There are two types of treatment plans to stop blood clots. Blood clots affect many people each year and they can be very scary. I will be covering the basics on blood clots to inform people of the dangers and how to avoid them. DVT stands for deep vein thrombosis, which is a blood clot that forms in one or more deep veins in the body. This becomes very dangerous when a part of the clot breaks of and travels downstream through the heart into the pulmonary circulation system and becomes lodged in the lung (www.medicinenet.com). The blood clots form in four different steps. First the platelet plug forms. Then the chemical reactions grow the blood clot. Anti-clotting processes halt the blood clot’s growth. The body then slowly breads down the blood clot (www.webmd.com). The types of people who have a higher risk of blood clots ranges from cancer patients to people using certain types of drugs. Most types of …show more content…
Brightness modulation, also called B-mode is used first. This is used with high-energy sound waves. The sonographer pushes down on the veins to try and collapse them. If they do not collapse because of a clot this is when they diagnose the patient with a DVT. The second step is to do a Doppler ultrasound to detect abnormalities of blood flow. This is how they determine if the blood flow is normal and if there isn’t a blood flow a DVT diagnosis is made. If both of these tests are negative they move onto a Venogram or MRI. The reason they try to avoid these first is because of the cost. After a clot is formed and treated they do a D-dimer blood test to ensure that the blood clot has disappeared
These tests are called diagnostic tests. A 12 lead EKG is done to look at the electrical activity inside the heart. This EKG helps identify which areas of the heart may be damaged from the heart attack. Some medicines help stop blood clots from forming. They also keep existing clots from getting larger. Some drugs are known as clot busters. These drugs are given to dissolve clots that have already formed. Nitrates include the drug nitroglycerine. These medicines ease the coronary arteries and allow oxygen to reach the heart muscle. Nitrates also can reduce chest pain. Sometimes the patient is taken to an area of the called a step down unit. This unit will have different equipment and capably qualified doctors and nurses who provide the best current care
To begin, 3-D ultrasound configures the sound wave data into 3-D images and 4-D ultrasound is considered a version of 3-D ultrasound that shows motion (Radiological Society of North America). Another type of examination is a Doppler ultrasound may be part of an examination. Doppler ultrasounds use a special technique that assesses blood flow through blood vessels, including the body’s major arteries and veins in the legs, neck, and abdomen. Under the Doppler ultrasound, there are three more types: Color, Power, and Spectral (Radiological Society of North America).
He should have been taking a blood thinner. This will decrease the blood’s ability to clot. This keeps the existing clots from getting
Diagnostic medical sonography is a profession where sonographers direct high-frequency sound waves into a patient’s body through the use of specific equipment to diagnose or monitor a patient’s medical condition. As described by the Bureau of Labor Statistics, this examination is referred to as an ultrasound, sonogram, or echocardiogram. The high-frequency sound waves emitted from the handheld device, called a transducer, bounce back creating an echo and therefore produce an image that can be viewed on the sonographers computer screen. This image provides the sonographer and physician with an internal image of the patient’s body that will be used in the diagnosis. The most familiar use of ultrasound is used in monitoring pregnancies
There's also other scans such as a ventilation perfusion scan, this looks for blood clots along the pathway to the lungs. Other
Diagnostic medical sonography is a profession where sonographers direct high-frequency sound waves into a patient’s body through use of specific equipment to diagnose or monitor a patient’s medical condition. As described by the Bureau of Labor Statistics, this examination is referred to as an ultrasound, sonogram, or echocardiogram. The high-frequency sound waves emitted from the handheld device, called a transducer, bounce back creating an echo and therefore produce an image that can be viewed on the sonographers computer screen. This image provides the sonographer and physician with an internal image of the patient’s body that will be used in diagnosis. The most familiar use of ultrasound is used in monitoring pregnancies, and is
The understanding of blood spatter patterns is not a widely recognized forensic practice. Bloodstain pattern interpretation (BPI) is commonly used in murder investigations, but could be utilized in everything from simple assault to mass murders if the number of trained professionals increased. BPI can reveal critical information into reinventing a given crime scene. Everything from the number of blows, stabs or shots a victim was given, the movement that was undergone by the victim and assailant after bloodshed began, position of objects at the crime scene and the type of weapon, if any, that was used can be uncovered.
The blood vessel that Dr. Eltahawy was concerned about was thin and looked as though it would collapse in on itself. First, Dr. Eltahawy tried a balloon catheter. At the top of the catheter was a small balloon that could inflate to maintain a shape or structure of a blood vessel. However, because the blood vessel was so thin, the balloon catheter was not very effective. Instead, Dr. Eltahawy installed a stent. A stent is a wire mesh tube. It is placed in a blood vessel permanently to maintain the shape of the vessel and to allow for the free flow of blood. Throughout this entire independent study, I realize that shadowing in the medical field is less about learning about medicine and more about discovering about whether becoming a doctor is the right step. This independent study has been a step in the right
Diagnostic medical sonographers play a key role in the health care team and often work alongside doctors, nurses, and other technologists. They prepare patients by explaining the procedure and collect necessary patient history information prior to examination. An ultrasound is then performed, which is a non-invasive process that enables sonographers to send high-frequency sound waves into the body. The return signals are then analyzed to help visualize internal organs in 2D, 3D or 4D. These images help physicians with medical diagnoses and are also used for monitoring pregnancy. An ultrasound is often executed on many different areas of the body including the abdomen, pelvis, tissues, and vascular and cardiac systems. A DMS may also be required
DVT (deep vein thrombosis) is a blood clot that develops in the leg, thigh or pelvis. Although it is not common during pregnancy (only 1-2 pregnant women out of 1,000 experience it), pregnant women are 5 times more likely to have DVT than non-pregnant women.
With suspicion of a DVT or PE, I would order the D-dimer with other baseline labs such as CBC and CMP. I would verify with the physician or CT tech that imaging needed to be done with contrast to be of value. I am aware that in some hospitals, the physicians aren’t as involved with the nurses, and discourage the nurses to order or even suggest things to them. But if it was my patient, and I knew the patient wasn’t getting the attention they deserved, it would be my job to advocate for them. If my suggestions to the physician were ignored, I would document thoroughly and inform a supervisor of the
Cerebral Carotid ultrasound, this creates a detailed image of the interior of the carotid artier, which will show the buildup of fatty plaque the patient may have ("Diagnosis - Stroke - Mayo Clinic," 2015). Cerebral Angiogram, is a procedure in which a tube is inserted through the groin and dye is injected so the vessels become visible through X-ray image that will show the vessels in the brain and the neck. Echocardiogram is the sound waved the heart makes from the heart to the brain, this will show a blood clot that causes a stroke ("Diagnosis - Stroke - Mayo Clinic," 2015). The physician will also order some blood work to be done, they will look at blood clotting, sugar absorbency, any possible imbalances and any possible infections ("Diagnosis - Stroke - Mayo Clinic,"
A DVT is a thrombus or blood clot that most commonly occurs in deep veins in the leg or pelvis. DVTs usually start distally in the veins of
As blood pressure rises and “the blood moves with enough force, [it] increases the chances of tearing that plaque loose” and rupturing it (Sapolsky, 2004, p. 45). When a rupture occurs, the material that has become loose, a blood clot known as a thrombus, can pose as much more of a threat to a person’s life than the initial build up of plaque. If the thrombus blocks a coronary vessel then the heart muscle is unable to receive blood that is full of needed oxygen and other essential nutrients, this is known as cardiac ischemia (Steffen, Lecture 11). Ischemia can cause angina and discomfort. Another possible result of a blocked coronary artery is a heart attack, which can lead to death, and if a blood vessel in the brain is clogged then a stoke will occur.
Deep vein thrombosis (DVT) is a disorder that occurs when a blood clot forms in a vein that is deep inside the body. It is mainly associated with veins in the legs, usually in the lower leg and thigh, but may occur in other parts of the body. About half of the people who have DVT show no symptoms, but people who sit for long periods, are over 60 and smoke are at higher risk, and should be aware of possible signs of a problem.