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
Where You Lead for "Where You Lead", reflecting the fact that soon after the release of "Tapestry" King came to the realization that "Where You Lead" was somewhat politically incorrect and as a result stopped performing it live, only reinstating the song in her concert setlists following its 2000 lyrical revision (see Section 3 below). Additional musicians Barbra Streisand recorded "Where You Lead" in a 21 April 1971 session which would yield seven tracks featured on the August 1971 album release "Barbra Joan Streisand", which album would include a total of three covers of "Tapestry" tracks: "Where You Lead", "Beautiful", and "You've Got