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Interpretation Courses

Upper Extremity Veins

SKU:
STANDARDCOURSE-148

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Course Description: This presentation will begin with a review of the pathology of upper extremity venous thrombosis. The differences between upper and lower extremity veins and venous disease will also be discussed. The pertinent anatomy will be reviewed. It will describe the ultrasound techniques used and the essential images that should be obtained. Normal and abnormal grayscale and spectral Doppler parameters will be reviewed.

Objectives

  • List the essential components to an upper extremity venous ultrasound
  • Describe the differences between upper and lower extremity venous disease
  • Identify normal and abnormal imaging and Doppler findings.



Estimated Time Required for Course Completion: 59"     CME: 1.0 hours

Original Release: September 01, 2017       Reviewed: September 1, 2019     Termination Date for Completion of CME Credit: September 30, 2020

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals.  There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate. 

$25.00
Rated: 
5
Additional Suggested Courses: 

Iliacs Galore

SKU:
STANDARDCOURSE-121

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This presentation will begin with an anatomical review of the venous anatomy in the abdomen. We will discuss the limitations that occur during an abdominal venous duplex exam and how to work around them. You will learn how to perform a duplex of the inferior vena cava and iliacs veins with a focus on take home tricks to use on your next abdominal venous exam!

Objectives

  • Understand the anatomy prior to performing an abdominal venous duplex examination
  • Explain the limitations in the pelvis and abdomen
  • Describe how to perform a venous duplex of the inferior vena cava and iliac veins
  • Identify take home tricks to use on your next patient

Total Estimated time for Course Completion: 60"    CME: 1.0 hours

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals.  There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: September 1, 2015        Reviewed: September 1, 2019     Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

$30.00
Rated: 
4.5

Dialysis Access Grafts and Fistulae

SKU:
STANDARDCOURSE-149

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Course Description: This presentation will begin with a review of the different types of surgically created hemodialysis access grafts and fistulae.  It will describe the ultrasound techniques used and the essential images that should be obtained.  The calculation of volume flow and its importance to determining access outcome will be discussed.  Normal and abnormal grayscale and spectral Doppler parameters will be reviewed.  Five cases will also be presented which illustrate the common pathology observed with dialysis access grafts and fistulae.



Objectives

  • Describe the types of hemodialysis access grafts and fistulae
  • List the essential components to a dialysis access ultrasound
  • Define the normal ultrasound characteristics of a dialysis graft or fistula
  • Identify abnormal imaging and Doppler findings

Running Time: 38"     Estimated Time Required for Course Completion: 45"      CME: 0.75 hours



Original Release: September 13, 2016    Reviewed: September 1, 2019     Termination Date for Completion of CME Credit: September 30, 2020



This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals.  There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

$20.00
Rated: 
4.833335
Additional Suggested Courses: 

Arterial Stenosis - Let the Waveforms Guide You

SKU:
STANDARDCOURSE-147

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Course Description: This presentation reviews the use of duplex ultrasound in the evaluation of the arterial system. While most of the validated data for categorizing normalcy versus disease is based on calculation of Doppler derived velocities, there is much useful information contained in the Doppler spectral analysis waveform.  The background of using Doppler ultrasound for categorizing disease is reviewed but quickly moves to other waveform features that are useful in the performance and interpretation of these examinations.  Spectral waveform morphology and various parameters are explained. Focus is placed on how this information helps clinically.

Course Objectives

• Describe various audible Doppler signals with varied disease states

• Review background on the development of Doppler ultrasound criteria for disease classification

• Learn what additional elements of the Doppler waveform can be useful clinically

• Describe various spectral Doppler waveform parameters and how they vary with disease states

Estimated Time Required for Course Completion: 45"     CME: 0.75 hours

Original Release: September 01, 2016    Reviewed: September 1, 2019     Termination Date for Completion of CME Credit: September 30, 2020

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals.  There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate. 

$15.00
Rated: 
5
Additional Suggested Courses: 

Measurement Methodology and Duplex Ultrasound Criteria in Extracranial Carotid Examination

SKU:
STANDARDCOURSE-145

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Course Description:  One our our most popular non-venous courses, this presentation covers the variety of different validated criteria for categorizing disease in the extracranial carotid arteries with duplex ultrasound. Additionally, the clinical course of these patients typically follows recomenedations as a result of various clincial trials and these studies utilize not only different imaging technologies but varied measurement methodologies as well. First, in order to successfully apply any criteria, the sonographer must know what criteria are used, how they were developed and any caveats or other considerations necessary for their application. Secondly, to effectively perform quality assurance and comparison of the duplex ultrasound with another modality, a basic understanding of the imaging technology one uses as the gold standard is required.  Depending upon the technology, various measurement methodologies are typically employed and these are covered in some detail.  Finally, data regarding the accuracies of all the various methods are included.

Objectives

  • Review diagnostic criteria for categorizing carotid artery stenosis
  • Learn the background and nuances of various important studies dealing with carotid artery disease classification
  • Understand the different measurement methodologies used with varying technologies
  • Learn potential sources of error in measuring and classifying carotid artery disease

Video Running Time: 39"     Total Estimated Time Required for Completion: 45"     CME: 0.75 hours 

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals.  There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation.

After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Review: May 01,2016    Reviewed: September 1, 2019     Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.  

$20.00
Rated: 
4.875
Additional Suggested Courses: 

Why Duplex Derived Reflux Times Do NOT Correlate with Disease Severity

SKU:
STANDARDCOURSE-144

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Course Overview – There remains significant confusion within the vascular community about duplex derived reflux times.  We have largely reached a consensus on retrograde flow of greater than 0.5 seconds within a superficial vein or >1.0 seconds in the deep venous system in a standing patient as being pathologic. Intuitively it would seem that the more severe the disease becomes, the duration of retrograde flow would increase however this is not the case and in this presentation, we will explain why. Additionally, we provide an overview of venous hemodynamics  in order to understand why reflux times do NOT correlate with disease severity. If we cannot use the reflux duration, how then might we classify the severity of chronic venous disease in a patient? To answer that question, we will present a brief literature review and explanation of the tools that can be used towards that goal. 

Objectives

  • Create a thought paradigm for how the lower extremity venous system works.
  • Identify what is required for reflux to occur
  • Consider the role of the reservoir, the refluxing segment and the pool
  • Describe why reflux duration is NOT an indicator of disease severity
  • Learn how to classify chronic venous disease severity

Video Running Time: 19"     Total Estimated Time Required for Completion: 30"     CME: 0.5 hours 

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals.  There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation.

After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Review: October 14,2016    Reviewed: September 1, 2019     Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.  

Ultrasound Physics Simplified

SKU:
STANDARDCOURSE-136

Please login or register to take this course.

In order to perform an adequate duplex ultrasound, a basic understanding of ultrasound physics is necessary. Memorization of mathematical formulas and equations is not really necessary. Understanding basic concepts allows for proper utilization of the technology and recognition of potential shortcomings, artifacts and other sources of error. This presentation provides fundamental overview of many of the most important physics concepts presented in a practical manner. The author has performed diagnostic ultrasound for more than 35 years and teaches extensively throughout the US and internationally. This presentation is distilled from this experience.

Course Objectives

  • Learn various properties of ultrasound waves
  • Know the types of attenuation
  • Understand the Doppler equation and how it impacts our studies
  • Recognize the importance of angle of incidence
  • Learn types of resolution
  • Understand what you are looking at in an ultrasound image
  • Use the technology to its fullest
  • Appreciate shortcomings in the technology
  • Recognize artifacts and avoid errors

Total Estimated time for Course Completion: 55"    CME: 1.0 hours

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals.  There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: September 1, 2015       Reviewed: August 1, 2019     Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

$20.00
Rated: 
4.25
Additional Suggested Courses: 

Pumps of the Leg

SKU:
STANDARDCOURSE-134

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An often under recognized cause of the symptoms of chronic venous insufficiency is the dysfunction of the various muscle pumps of the leg. Most phlebologists know about the calf muscle pump, but there are other important pumps of the leg that all contribute to venous outflow and ultimately lower extremity venous system function. The importance of assessing these pumps cannot be overstating as treatment of venous reflux is unlikely to help a patient with inadequate leg pumps. The function of these pumps and how each contributes to venous system function is described. This overview is provided by Dr. John Mauriello, past president of the American College of Phlebology, who has nearly 3 decades of exclusive phlebology practice.

Course Objectives

  • Review the muscle pumps of the leg
  • Learn the venous drainage routes of the foot
  • Learn the components that contribute to the calf muscle pump
  • Recognize the patient with muscle pump failure

Total Estimated Time Required for Completion: 30"     CME: 0.5 hours

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation.

Original Date of Release: August 1, 2015     Reviewed: September 1, 2019     Termination Date for Completion of CME Credit: September 30, 2020



System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

 

$15.00
Rated: 
4.875

What does this knob do for my image?

SKU:
STANDARDCOURSE-124

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This highly practical presentation ties basic ultrasound physics to the duplex scanner controls that impact and govern those principles. Presented is a basic overview of the primary physical principles that ultimately determine what is visualized on an ultrasound image and how adjustments affect the ultrasound image to not only its optimization but potential detriment if not utilized correctly.

Objectives

  • Identify which knobs are frequently used for enhancing the 2D image, color Doppler, and pulsed Doppler during a venous duplex examination
  • Describe the adjustments made to optimize the image and color/Doppler
  • Explain what happens to the 2D image, color Doppler, and pulsed Doppler when adjusting the settings

Total Estimated Time Required for Completion: 31"     CME: 0.5 hours 

 

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals.  There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 28, 2015      Reviewed: September 1, 2019     Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.  

$20.00
Rated: 
4.714285
Additional Suggested Courses: 

Basic Function and Hemodynamics of the Lower Extremity Venous System

SKU:
STANDARDCOURSE-120

Please login or register to take this course.

In order to perform an adequate duplex ultrasound evaluation for venous insufficiency, an understanding of venous hemodynamics is critical. This presentation provides solid overview of venous hemodynamics from the perspective of duplex evaluation. Anatomy forms the basis of hemodynamic function, particularly with regards to the various tissue and muscular compartments and this topic is reviewed. Hemodynamic principles such as flow and pressure relationships are covered in some detail including dynamic and hydrostatic pressure. Venous valves, various muscular pumps, and anatomic relationships and how these factors work together to overcome gravity as also discussed. 

Objectives

  • Review lower extremity venous anatomy, especially with regards to tissue and muscle compartment
  • Learn basic principles regarding to pressure and flow relationships
  • Understand how gravity affects venous return
  • Distinguish the difference between dynamic and hydrostatic pressure and their relationships
  • Learn venous valve function
  • Appreciate the role of the muscular pumps in lower extremity venous return
  • Review the physiologic impact of system dysfunction

Estimated Time for Course Completion: 75"   CME: 1.25 hours

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering this topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 1, 2015   Reviewed: September 1, 2019     Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

 

$25.00
Rated: 
4.25

Ankle Brachial Index for the Phlebologist

SKU:
STANDARDCOURSE-109

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This course is designed to provide an understanding of one of the most useful patient assessments in medical practice – the ankle brachial index (ABI). Many patients seek consultation at a vein center for a variety of leg symptoms. While symptoms of venous disease are typically quite diverse for those resulting from arterial disease, some patients may have either confusing or atypical symptoms. Others may in fact suffer from both venous and arterial disease. Beginning with an overview of arterial anatomy, this presentation will explain how to perform an arterial focused history and physical exam which may by itself conform or rule out significant arterial disease. The ABI is a rapid and highly accurate method for determining the presence and relative severity of significant arterial disease. You will learn different methods commonly used to measure ankle pressure, how to calculate an ankle brachial index and diagnostic criteria for interpreting those values. Various caveats and pitfalls will also be discussed. Finally, we will present a few case studies to demonstrate how this may be used in clinical practice.   

Objectives

  • Review the arterial anatomy and elements of a history and physical exam specific to the detection of peripheral arterial disease
  • Learn the typical physical exam findings and symptoms of lower extremity arterial insufficiency
  • Discuss techniques for obtaining a reliable ankle pressure
  • Learn how to calculate an ankle brachial index (ABI)
  • Determine the diagnostic criteria for ABI

Total Estimated Time Required for Completion: 62"     CME: 1.0 hours

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering this topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 1, 2015      Reviewed: September 1, 2019     Termination Date for Completion of CME Credit: September 1, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

 

$20.00
Rated: 
4.166665

Lower Extremity Venous Pulsatility - What Does It Really Mean?

SKU:
STANDARDCOURSE-108

Please login or register to take this course.

A pulsatile spectral waveform in the lower extremity is a common finding. This is commonly attributed to various forms of cardiac dysfunction ranging from congestive heart failure, tricuspid regurgitation, to fluid overload. However, most researchers who have looked at this phenomena have not been able to definitively answer this question. This presentation explores the reason it is seen in the extremities from a hemodynamic perspective. Pulsatile flow can be seen in completely normal individuals and a blanket statement that it is indicative of cardiac dysfunction should probably be abandoned.  Running Time: 42"  

Course Objectives

  • Review venous hemodynamics
  • Explore the etiology of pulsatile flow patterns in the venous system
  • Challenge overly simplistic explanation(s)
  • Create a new thought paradigm

Estimated time for Course Completion: 45"   CME: 0.75 hours

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering this topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 1, 2015       Reviewed: August 9, 2019     Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

 

$20.00
Rated: 
4.5
Additional Suggested Courses: