Direction and Orientation
LEV Anatomy
Before the Exam
Protocol
100

This term means closer to the point of attachment. 

What is proximal?

100

The longest vessel in the body.

What is the Great Saphenous Vein?

100

Verify the patient's _______ and date of birth prior to beginning the exam.

What is name?

100

 A sonographer should start a Lower Extremity Venous Exam here.

What is above the Great Saphenous Vein?

Or

What is the Common Femoral Vein?

200

The Deep Femoral Vein runs ____ to the Femoral Vein.

What is lateral?

200

The landmark where the Common Femoral Veins confluences into the External Iliac Vein. 

What is the Inguinal Ligament?

200

The type of transducer used in a LEV Exam.

What is a linear probe/array?

200

Transverse transducer compressions should be done every ___cm in order to accurately assess the entire vein.

What is 2-4?

300

This term means farther away from the point of attachment. 

What is distal?
300

The vessel to the immediate right of the IVC.

What is the Abdominal Aorta?

300

The name of the position the patient is in during a LEV exam.

What is supine?

300

After completing all transverse compressions, go back up to the CFV and evaluate the veins in _____________ with 2D, Color Doppler & PW Doppler.

What is longitudinal?

400

The Great Saphenous Vein runs _____ to the Peroneal Vein.

What is Medial?

400

Where the Small Saphenous Vein confluences.

What is the Popliteal Vein?

or

What is the Saphenopopliteal Junction?

400

Three examples of a clinical indication for a LEV Exam.

What is…

-acute onset of symptoms

-limb swelling

-red and/or tender calf or thigh

-palpable “rope” in leg

-chest pain, shortness of breath

-post venous interventional procedure

-positive D-Dimer Test Result

-varicose veins


400

A sonographer can do this to show blood flow if the veins do not fill spontaneously.

What is Augment?

500

The plane you use at the start of the LEV Duplex exam.

What is transverse?

500

The three vessels that form the Tibioperoneal Trunk.

What are the Peroneal, Anterior Tibial, and Posterior Tibial Veins?

500

The name of the position the bed is in for a LEV Exam.

What is reverse Trendelenburg position?

500

If you discover a DVT on a patient, do not let them get up and walk around because they are at risk of a __________?

What is a pulmonary embolism?

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