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The sonographer will evaluate complex disease states using state of the art equipment in arterial and venous testing and participate in daily maintenance and care of equipment. All examinations are performed within standard protocols on adults patients. The sonographer performs examinations in a medical group setting with portable equipment. The sonographer communicates preliminary impressions of examination results to referring physicians. Perform diagnostic vascular examinations according to standardized laboratory protocols; deviating from normal techniques when necessary to provide the best possible results. Perform diagnostic vascular examinations, recognizing the significance of all structures that are visualized, differentiating artifacts from appropriate structures, while recognizing the limitations of equipment and utilizing knowledge of anatomy and physiology. Perform venous examinations of arms and legs with Doppler and color duplex scanning using compression maneuvers and imaging, for detection of peripheral artery disease, deep vein thrombosis, and superficial thrombophlebitis and/or valvular incompetence. Perform carotid duplex examinations to evaluate blood flow and plaque characteristics in the carotid and vertebral arteries with both real time imaging and spectral analysis using color capabilities. Perform other vascular examinations using color duplex and Doppler to help the physicians assess, diagnose and treat aortic aneurysms, thoracic outlet syndrome, popliteal entrapment, Raynaud s syndrome, renal artery stenosis, bypass graft patency, dialysis fistula/graft patency and post-operative angioplasties and stentings.