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Published Mar 17, 22
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We conclude, therefore, that NBCE's conduct does not make up State action. Nor does the complainant have a protectable residential or commercial property interest, or "genuine claim of privilege" to sitting for the NBCE's evaluation limitless times without reschooling, or to the type of review of NBCE's assessment that he looks for (Board of Regents v Roth, 408 U.S.

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Spinal bridging 2 akas for meal forrestier's dx, ankylosing hyperostosis DISH mc seen in what pop males over 50 DISH maintains disc space height and never ever includes elements DISH has a connection with what other disease DM 30% Management of DISH change them! Send out to endocrinologist if have DM Limited syndesmophytes AS Non-marginal syndesmophytes psoriatic or reiters if not DISH Conjunctivitis/uveitis, urethritis, arthritis reiters Silver scales on extensors, pitted nails psoriatic arthritis Hyperostosis with facet blend psoriatic or reiters (only time to think about these based on findings in the spinal column) Avulsion fx of ant-inf element of vert body teardrop fx Teardrop fx mc happens c2 MOI for teardrop fx hyperextension Unsteady fx that can trigger acute anterior cervical cord syndrome teardrop Think MOPIT Loss of anterior body height of 25% or more MOPIT malignancy, osteoporosis, pagets, infection, trauma Radiolucent line at base of dens dens fx, OO, agenesis of dens, mach line If majority of dens is above occiput PFT, pagets, fibrous dysplasia, trauma Chamberlains line from back of hard palate to publish aspect of foramen magnum dens ought to be no more than 7mm above Mc, Gregor's Line from back of difficult taste buds to base of occiput dens ought to disappear than 8mm above in males, 10 in females If dens is displaced, 2 possible reasons fx, unstable OO Os Odontoideum akas (2) non-union of dens, un-united dens Management for dens fx stabilize neck and send out to health center asap Modification of shape of vertebral bodies PFC- pagets, fx, congenital anomalies Bone turns whiter blastic mets, pagets Bone turns darker lytic mets, mm Blastic mets age > 40 Pagets age > 50 Ivory white vertebra in someone under 30 then and just then think hodgkins lymphoma MC cause of ivory white vertebra blastic mets Blastic mets on bone scan hot/responsive Picture frame vertebra pagets Cortical thickening pagets Subchondral sclerosis aka eburnation Subchondral sclerosis seen in djd Vacuum phenomenon djd Damage on both sides of joint infection the only thing that will do this If post.

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Can just dx deviation on APLC, but why is it deviated? V shaped opacity in ST in APLC Carotid artery calcification Mc location for carotid arteries to calcify bifurcation Single white density in ST on APLC film might be Carotid artery calcification or lymph node calcification Multiple round white densities in a vertical line on APLC carotid artery calcification Numerous round white densities scattered (not in a vert.

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djd Bilateral symmetrical lightening of iliac side of SI jt and sacral side of SI jt not affected. OCI Management of OCI adjust SI jts, pelvic/trochanteric stabilizer belt, nutrition Triangular sclerosis of SI OCI SI condition typically seen in multiparous ladies in between 20 and 40 OCI Change of shape of ilium PFF pagets, fracture, fibrous dysplasia Modification of color of ilium whiter: blastic mets or pagets, darker: lytic mets, mm, benign bone growths Line drawn across top of iliac crest must bisect L4/L5 disc Last set of ribs that point down T12 If L5 is flattened or wider than regular then referred to as spatulated TP Modification in shape of sacrum PFCF- pagets, fracture, genetic anomaly, fibrous dysplasia Mc benign growth of the sacrum giant cell growth Vertical radiolucency in sacrum spina bifida U shaped radiolucency in sacrum spina bifida Asymmetrical L5/S1 aspects facet tropism Can't have bilateral facet tropism, if both elements are sagittal then you have bilateral sagittal aspects Vertical striations in a single vertebra hemangioma If body height resembles the height of the pedicles you understand you have a crushed vertebra Ddx for crushed vertebra malignancy, infection, trauma malignancy only if no other indications of infection or trauma Winking owl indication missing out on pedicle Winking owl indication, pedicle that is present is sclerotic when compared to others surrounding agenesis of pedicle Winking owl sign, pedicle that is present looks the very same when compared to others surrounding lytic mets Crushed vertebra with no indications of injury or infection, no participation of pedicles MM MM just impacts areas with active bone marrow (skull, sternum, ribs, spine, pelvis, prox thigh, prox humerus) MM on bone scan cold Reverse A/G ratio mm Labs for MM Ig, G-M spike, reverse A/G ratio, Bence Jones Proteinuria, normocytic normochromic anemia, rouleaux development Rouleaux formation stack of coins look- on blood smear RBCs compared to each other In order to Dx TP fx without displacement, you should see a bony callous (looks like a cloud of white density surrounding bone.

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Ad, The guideline will end up being reliable in the future when the Department submits it with the Secretary of State, at a time to be identified by the Department. The IDFPR has not released an exact date at this time, however the Department has finished all the necessary steps prior to filing and is legally able to adopt the guideline at any time.

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