Carotid artery stenosis a physician detects a carotid bruit, or murmur, over the carotid artery by listening through a stethoscope during a physical exam. For people with symptoms, the American Heart Association recommends initial screening using ultrasound (see diagnosis below). Carotid artery stenosis is usually diagnosed by color flow duplex ultrasound scan of the carotid arteries in the neck. This involves no radiation, no needles and no contrast agents that may cause allergic reactions. This test has good sensitivity and specificity. Typically duplex ultrasound scan is the only investigation required for decision making in carotid stenosis as it is widely available and rapidly
Gold Is Where You Find It Gold Is Where You Find It Gold is Where You Find It is a 1938 American romantic drama film directed by Michael Curtiz and starring George Brent, Olivia de Havilland, and Claude Rains. Based on a story by Clements Ripley, with a screenplay by Warren Duff and Robert Buckner, the film is about the rivalry between farmers and miners in the Sacramento valley 30 years after the California Gold Rush. The feud between the two factions is complicated when a man from one side and a woman from the other fall in love. This Technicolor feature film was released on