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Can you identify the pathology in this echocardiography clip?

Ultrasound Accreditation and/or sonographer credentialing requirements are already in effect in many states and soon will be required for reimbursement of exams. Is your ultrasound lab accredited? If not, are the sonographers in your department registered? How is your lab preparing for the upcoming accreditation requirements?

How in depth does your echocardiography department go to classify the grade of LV diastolic dysfunction? Do you perform tissue Doppler? Do you grade by E/e' ratio? Do you sample tissue Doppler at only the lateral wall or also include the septal wall?

How would you adjust your ultrasound settings to go about proving this diagnosis? What waveform characteristics would you be aware of in adjacent vasculature?

What is the method of diagnosis for this patient? How would you as the sonographer prove the findings seen below? What is the prognosis for this patient?

Here at All About Ultrasound, we will be using this forum to create a place for sonographers to freely collaborate on case studies, protocols and more. Have a case study to share? You can submit it through our website here.

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