ࡱ> OlNk bjbjZ Z IE8cb8cb8kV V 8TrD'/D(.......$k1!4.....r+:-pG,..0'/,z44:-4:-X..:'/4V B :  GROSSMONT COLLEGE COURSE OUTLINE OF RECORD Curriculum Committee Approval: 03/22/2022 GCCCD Governing Board Approval: 04/19/2022 CARDIOVASCULAR TECHNOLOGY 223 DIAGNOSTIC PROCEDURES I, VASCULAR TECHNOLOGY 1. Course Number Course Title Semester Units CVTE 223 Diagnostic Procedures I, Vascular Technology 5 Semester Hours 3 hours lecture: 48-54 hours 96-108 outside-of-class hours 6 hours laboratory: 96-108 hours 240-270 total hours 2. Course Prerequisites A C grade or higher in CVTE 117. Corequisite None Recommended Preparation None 3. Catalog Description A course of instruction in the specialized techniques of noninvasive testing of the human vascular system and the evaluation of vascular pathophysiology. Lectures will stress the performance and analysis of vascular ultrasound scanning, spectral analysis and the interpretation of scanning and non-scanning modalities for vascular testing. The classroom laboratory provides advanced instruction in the topics and performance of diagnostics tests in vascular technology. The theory, calibration, operation and clinical application of specified diagnostic medical instrumentation will be applied. Hospital based laboratory sessions are conducted in vascular laboratories in local hospitals, with instruction in techniques of duplex scanning of the cerebrovascular and lower-extremity vasculature. 4. Course Objectives The student will: a. Describe and define the principles of human vascular anatomy, physiology, and hemodynamics. b. Compare and contrast the physical principles, limitations, and performance of test modalities used in the detection of carotid and lower-extremity arterial (LEA) and venous disease. c. Perform, in accordance with criteria established by the instructor and the course text, duplex scanning of the intra and extracranial carotid arteries and the lower-extremity arterial and venous systems. d. Analyze and interpret the results of specified noninvasive vascular tests: (1) Duplex scanning and spectral Doppler of the intra and extracranial cerebrovascular arteries (2) Duplex and non-imaging diagnosis of lower-extremity arterial disease. (3) Duplex scanning of the lower-extremity venous (LEV) system with focus on venous insufficiency. 5. Instructional Facilities a. Standard classroom. b. Ultrasound Laboratory. c. Vascular laboratories in local hospitals and clinics. 6. Special Materials Required of Student Two or more blank flash drives with at least 2 gigabyte capacity. 7. Course Content a. Pathology, mechanism of disease, and symptoms of venous valvular insufficiency. b. Treatment of venous insufficiency and deep vein thrombosis. c. Diagnostic methods of valvular insufficiency. d. Waveform morphology and diagnostic parameters for LEV reflux studies. e. Clinical protocol for LEV reflux studies, study optimization and interpretation. f. Transcranial imaging (TCI) and Doppler (TCD) waveform analysis. g. Clinical protocol for TCD/TCI studies, study optimization and interpretation. h. Repair of intra and extra-cranial cerebral vasculature pathology. i. Lower extremity arterial (LEA) anatomy and hemodynamics. j. Triphasic waveform analysis and interpretation. k. Mechanism of diseases for LEA pathology, patient history and symptoms. l. Post occlusive reactive hyperemia and photoplethysmography. m. Digital arterial pressure technique and analysis. 8. Method of Instruction a. Lectures. b. Clinical case discussions. c. Laboratory instruction in duplex scanning techniques. 9. Methods of Evaluating Student Performance a. Written quizzes and exams focused on ability to diagnose pathology based on given images, waveforms and patient symptoms for LEV reflux studies, TCD/TCI and LEA studies. . b Case assignments, journal reports, and other outside class assignments. c. Real-time digitally stored scanning assignments. d. Competency-based performance exams in duplex scanning techniques demonstrating proficiency of protocol and optimization of technique during timed CBF, LEV and LEA studies. e. Comprehensive written final exam. 10. Outside Class Assignments a. Reports on articles in current medical literature, relating the content to vascular diagnostics. b. Gather information on diagnostic criteria from different clinical sites for comparison and contrast. c. Record duplex scans for presentation and analysis. d. Gather and present cases of vascular testing for class discussion and analysis. 11. Representative Texts a. Representative Text(s): 1) Size, Gail. Inside Ultrasound Vascular Reference Guide. 1st Edition. Pasadena, CA: Davies Publishing. 2013. 2) Ridgway, Donald P. Introduction to Vascular Scanning. 4th edition. Pasadena, CA: Davies Publishing. 2012. 3) Edelman, Sydney. Understanding Ultrasound Physics, 4th Edition. Woodlands, TX: ESP, Inc., 2012. c. Supplementary texts and workbooks: None. Addendum: Student Learning Outcomes Upon completion of this course, our students will be able to do the following: Accurately and consistently demonstrate the ability to recognize and diagnose symptoms and pathology associated with cerebral vascular disease with the use of ultrasound imaging and Doppler waveform analysis, both in the clinical and classroom setting. Accurately and consistently demonstrate the ability to recognize and diagnose symptoms and pathology associated with superficial and deep venous vascular disease (including valvular insufficiency) with the use of ultrasound imaging and Doppler waveform analysis, both in the clinical and classroom setting. Perform and basic interpretation of TCD/TCI. Accurately and consistently demonstrate the foundational ability to recognize and diagnose symptoms and pathology associated with LEA and digital artery disease with the use of ultrasound imaging and Doppler aveform analysis, both in the clinical and classroom setting.   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