| Document Date: 2012-01-06 09:07:33
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Facility Limited duplex / Bilateral Upper Arterial Duplex / Unilateral Upper Arterial Duplex / Duplex of Hemodialysis Access / / MedicalCondition Carotid artery disease / Renal Artery atherosclerosis / Atheroembolism / Abdominal Pain / rupture artery disease / CELIAC / Congestive Heart Failure / Renal Artery Stenosis / peripheral pseudoaneurysm MESENTERIC / Hypertension / Aneurysm / Atherosclerosis / May-Thurner Syndrome / Chronic Deep Vein Thrombosis / Embolus/ Thrombus / Takayasu’s Disease / Vertebral artery disease / aortic aneurysm / VENOUS Phlebitis/thrombophlebitis / ESRD / Stroke / Subclavian Steal Syndrome / Pseudoaneurysm / Pain / *VC8962* PLACE PATIENT IDENTIFICATION LABEL HERE VASCULAR CENTER CLINIC VISIT AND FOLLOW-UP PLAN CEREBRAL ARTERIES INTRACRANIAL ANEURYSM / Raynaud’s Disease / Post-procedure Pseudoaneurysm / No Contrast Allergy / ulcer Varicose veins / Iliac Aneurysm / imflammation/stasis dermatitis Varicose veins / Acute Deep Vein Thrombosis / End Stage Renal Disease / Varicose Vein / Dizziness / Varicose veins / Phlebitis/thrombophlebitis / Venous insufficiency / Subclavian Artery Stenosis / / MedicalTreatment bypass / Hemodialysis / dialysis / / Organization OUTPATIENT NON-INVASIVE VASCULAR LAB / / Position Nurse / Physician / RT / Physician Assistant / / Product Coumadin / / Technology AV / CVD / MRI / dialysis / MEDICAL IMAGING / /
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*VC8962* PLACE PATIENT IDENTIFICATION LABEL HERE VASCULAR CENTER