血管超声 Vascular and Doppler Ultrasound

By the end of this module you can…

• Explain a vascular scan, the Doppler sound and the pressing.
• Position the leg, the neck and the arm for each vessel.
• Ask the questions that matter: swelling, flights, surgery, dizziness.
• Coach the moves the scan needs: bear down, keep still, don’t swallow.
• Ask a patient with a clot, in Mandarin, not to rub the leg and to wait for the doctor.

Key vocabulary

Fourteen words from this module. Tap the speaker to hear each one.

The vessels

• 血管xuè guǎnBlood vessel
• 动脉dòng màiArtery
• 静脉jìng màiVein
• 颈动脉jǐng dòng màiCarotid artery
• 下肢xià zhīLower limbs, the legs (formal)
• 血流xuè liúBlood flow
• 血栓xuè shuānBlood clot
• 斑块bān kuàiPlaque

Signs and symptoms

• 腿肿tuǐ zhǒngSwollen leg
• 静脉曲张jìng mài qū zhāngVaricose veins
• 狭窄xiá zhǎiNarrowing
• 小腿疼xiǎo tuǐ téngCalf pain
• 发红发热fā hóng fā rèRed and warm
• 一边没力气yì biān méi lì qiWeakness on one side

Ten core phrases

The lines from this module’s take-home phrase sheet. In the course you can print them on one page for your pocket.

1. 今天看看您腿的血管，看有没有血栓。Jīn tiān kàn kan nín tuǐ de xuè guǎn, kàn yǒu méi yǒu xuè shuān.Today we check the vessels in your leg for a clot.
2. 您会听到“呼呼”的声音，这是血流的声音，检查的时候都会有，不用紧张。Nín huì tīng dào “hū hū” de shēng yīn, zhè shì xuè liú de shēng yīn, jiǎn chá de shí hou dōu huì yǒu, bú yòng jǐn zhāng.You’ll hear a whooshing sound. That’s your blood flowing. It’s part of every scan, so don’t be alarmed.
3. 我要用探头压一下血管，会有一点不舒服。Wǒ yào yòng tàn tóu yā yí xià xuè guǎn, huì yǒu yì diǎn bù shū fu.I’ll press on the vein with the probe. It may be a little uncomfortable.
4. 腿肿、疼，是什么时候开始的？Tuǐ zhǒng, téng, shì shén me shí hou kāi shǐ de?When did the swelling and pain start?
5. 最近坐过长途飞机吗？Zuì jìn zuò guo cháng tú fēi jī ma?Have you been on a long flight recently?
6. 腿稍微往外转，膝盖弯一点。Tuǐ shāo wēi wǎng wài zhuǎn, xī gài wān yì diǎn.Turn your leg out a little, and bend your knee.
7. 头转向右边，下巴抬起来，别说话。Tóu zhuǎn xiàng yòu bian, xià ba tái qǐ lai, bié shuō huà.Turn your head to the right, lift your chin, and don’t talk.
8. 像解大便一样往下用力，好，放松。Xiàng jiě dà biàn yí yàng wǎng xià yòng lì, hǎo, fàng sōng.Bear down as if having a bowel movement. Good, relax.
9. 请您先别走，医生要先看一下结果。Qǐng nín xiān bié zǒu, yī shēng yào xiān kàn yí xià jié guǒ.Please don’t leave yet. The doctor needs to see the results first.
10. 先别揉腿，也别按摩。Xiān bié róu tuǐ, yě bié àn mó.Please don’t rub or massage your leg.

What’s in Module 8

1. Part 1 · Warm-UpWarm-Up: Legs, Flights and Blood Pressure
2. Part 2 · The Words for VesselsReading the Pinyin · Saying 青筋 vs. Charting 静脉曲张 · Vocabulary · Flash Cards · Which Vascular Scan?
3. Part 3 · The Vascular ScanThe Vascular Scan Script · The Sound and the Pressing · Key Patterns · Questions for Vascular Scans · Legs, Neck and Arms · Moves the Scan Needs
4. Part 4 · Pressure, Clots and ResultsBlood Pressure at Arms and Ankles · A Clot: Keep the Patient Safe · Results That Can’t Wait
5. Part 5 · Concerns & Special CasesWhat Patients Ask · Dialysis Arms · Before They Go
6. Part 6 · Role-PlayRound 1 · Guided Conversation · Round 2 · Controlled Practice · Rounds 3, 4 & 5 · Independent
7. Part 7 · Knowledge CheckModule 8 Knowledge Check
8. Part 8 · Wrap-UpModule 8 Homework · Take-Home Phrase Sheet · Module 8 Wrap-Up · 下次见