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
History of beliefs about the human body much on discourse about bodies, rather than on material bodies themselves. Drawing on Mikhail Bakhtin's 1965 "Rabelais and His World", they promoted a more materially orientated direction in the history of the body. The Ebers Papyrus is an Egyptian medical text and is the oldest known record of the human body, dating back to 3000 BC. The Ebers Papyrus describes the body by physical examination and what can be felt. Clinical investigations such as the Pulse, percussion of the body, the recognition of diseased or disordered states. “If thou examinst a swelling of the covering of his belly’s horns above