At EG Care Management, our physicians and their patients are our primary focus. We are dedicated to providing the highest level of professional service in portable diagnostic ultrasound in order to render the most detailed and accurate imaging and reporting. We are able to achieve this by utilizing state-of-the-art portable imaging equipment and reporting systems, which are easily accessible online through our HIPAA compliant system.
Real time, 2-D imaging is performed with visualization and evaluation of cardiac anatomy. Wall motion, valve function, and blood flow is evaluated, and any abnormality is characterized and documented.
The same as the Adult Echocardiogram, but with an increased focus on congenital abnormalities.
Carotid Ultrasound is the most accurate test available for screening patients for carotid artery disease. Atherosclerotic plaque (hardening of the arteries) contained in the carotid artery in the neck, can break up into many particles. The force of blood then sends these particles of plaque up to the brain. These particles lodge in smaller vessels within the brain, shutting off blood flow to the brain tissue. This is thought to be the major cause of strokes. Carotid ultrasound uses technology, to accurately image and record the appearance and the amount of blockage within the carotid arteries. This is critical information both for the patient and the patient’s physician. The type and amount of blockage directly correlates with a patients risk of stroke. This information can then be used to determine which patients should, or should not undergo carotid endarterectomy, a proven stroke prevention surgery.
During an Upper and lower extremity venous ultrasound, veins will be assessed for compressibility, spontaneity, phasicity, and for the presence/absence of augmentation.
During an Upper and lower extremity arterial duplex exams, physiological assessment of the extremities will be obtained prior to the duplex exam (ABI’s, and segmental pressures). The duplex arterial exam consists of 2-D arterial imaging and color/spectral flow analysis. If arterial lumen narrowing is found, the percent stenosis will be characterized.
Abdominal Vascular Ultrasound
Abdominal Aortic Ultrasound
Abdominal Aortic Ultrasound uses ultrasound to measure the size of the aorta or an aortic aneurysm. The only preparation for the test is no eating after midnight prior to the examination. The examination is painless, and is normally completed in about half an hour. The images obtained allow the physician to decide which aneurysms must be repaired as well as those that can be safely watched without surgery.
Renal Artery Ultrasound
Renal Artery Ultrasound is used to determine if any significant narrowing is present in the arteries going to the kidneys. Most commonly, these tests are ordered by physicians, in those patients with severe high blood pressure, or those who appear to be losing kidney function.
Transcranial Doppler (TCD)
Color flow Doppler and power Doppler is utilized to identify the cerebral arteries and to aid in accurate placement of the sample volume within the cerebral arteries. Spectral Doppler analysis is obtained in the MCA, ACA, PCA, ICA, vertebral, basilar, and ophthalmic arteries.
Nerve Conduction Velocity (NCV)
Nerve conduction velocity (NCV) is used to test the speed of conduction of impulses through a nerve. This test is commonly used to evaluate a wide variety of nerve conditions including carpal tunnel syndrome, neck/back pain, weakness, herniated discs, and many other types of nerve problems. The nerve is stimulated, usually with surface electrodes, which are patch-like electrodes (similar to those used for ECG) placed on the skin over the nerve at various locations. One electrode stimulates the nerve with a very mild electrical impulse. The other electrodes record the resulting electrical activity.
Autonomic Nervous System Testing (ANSAR)
The autonomic nervous system testing measures the heart rate, respiration and blood pressure in sitting and standing. There are two breathing challenges during the test to measure the balance between the sympathetic and parasympathetic branches of the autonomic nervous system.
Somatosensory Evoked Potential (SEP)
A small electrical current is used to stimulate a nerve in an arm and/or leg. It will identify abnormalities which interfere with the travel of the stimulus over the peripheral nerves and/or spinal cord.
Tests the inner ear and central motor functions. VNG testing is considered the new standard for testing inner ear functions over Electronystagmography (ENG), because VNG measures the movements of the eyes directly through infrared cameras, instead of measuring the mastoid muscles around the eyes with electrodes like the previous ENG version. VNG testing is more accurate, more consistent, and more comfortable for the patient. By having the patient more comfortable and relaxed, consistent and accurate test results are more easily achieved. VNG testing is used to determine if a vestibular (inner ear) disease may be causing a balance or dizziness problem, and is one of the only tests available today that can decipher between a unilateral (one ear) and bilateral (both ears) vestibular loss. VNG testing is a series of tests designed to document a person’s ability to follow visual objects with their eyes and how well the eyes respond to information from the vestibular system. This test also addresses the functionality of each ear and if a vestibular deficit may be the cause of a dizziness or balance problem. To monitor the movements of the eyes, infrared goggles are placed around the eyes to record eye movements during testing. VNG testing is non-invasive, and only minor discomfort is felt by the patients during testing as a result of wearing goggles.
EG CARE MANAGEMENT
Abdominal Ultrasound (complete or limited)
The following list represents the views obtained with a complete abdominal ultrasound.
Abdominal Aorta and Inferior Vena Cava
Superior diagnostic results are obtained in the morning after fasting 8 to 12 hours. Children should fast (NPO) for 4 hours prior to the examination.
Ultrasound delivering real time imaging of the kidneys, with documentation of size, anatomical discrepancies, and pathological findings.
Ultrasound delivering real time imaging of the scrotal contents, including the testicles, and epididymus is performed. Documentation of any testicular, epididymal, or scrotal masses will be obtained.
Ultrasound delivering real time imaging of the thyroid gland¸ with documentation of size, anatomical discrepancies, and pathological findings. Each lobe is examined separately in both longitudinal and transverse views. Any abnormalities found within the thyroid, or adjacent to the thyroid, will be measured from multiple views. Doppler spectral analysis and color Doppler will also be utilized to evaluate any abnormalities.
Transabdominal ultrasound of the prostate is useful to assess patients with lower urinary tract symptoms, to diagnose benign prostatic hyperplasia, and to classify its severity. Patients should finish drinking 30 ounces of water one hour before their appointment time, and should not empty their bladder once they have started drinking.
Ultrasound assists the physician in the evaluation of the uterus, ovaries and related anatomy. Color Doppler Imaging may be used during a pelvic ultrasound exam to assess blood flow in pelvic organs and structures. Patients must have a full bladder before the pelvic exam can be performed. Patients should finish drinking 36 ounces of water one hour before their appointment time, and should not empty their bladder once they have started drinking.