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We conclude, for that reason, that NBCE's conduct does not make up State action. Nor does the complainant have a protectable home interest, or "legitimate claim of entitlement" to sitting for the NBCE's evaluation unlimited times without reschooling, or to the type of evaluation of NBCE's evaluation that he seeks (Board of Regents v Roth, 408 U.S.

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Spine bridging 2 akas for DISH forrestier's dx, ankylosing hyperostosis DISH mc seen in what pop males over 50 DISH maintains disc space height and never ever includes facets meal has a connection with what other illness DM 30% Management of DISH change them! Send 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 element blend psoriatic or reiters (only time to think about these based upon 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 Unstable fx that can cause severe anterior cervical cable 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 tough palate to publish element of foramen magnum dens ought to be no more than 7mm above Mc, Gregor's Line from back of difficult palate to base of occiput dens must be no more than 8mm above in males, 10 in women 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 support neck and send to medical facility asap Modification of shape of vertebral bodies PFC- pagets, fx, genetic 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 ONLY then think hodgkins lymphoma MC cause of ivory white vertebra blastic mets Blastic mets on bone scan hot/responsive Photo 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 formed opacity in ST in APLC Carotid artery calcification Mc location for carotid arteries to calcify bifurcation Single white density in ST on APLC movie could be Carotid artery calcification or lymph node calcification Several round white densities in a vertical line on APLC carotid artery calcification Multiple round white densities scattered (not in a vert.

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djd Bilateral symmetrical bleaching 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 normally seen in multiparous ladies in between 20 and 40 OCI Alteration of shape of ilium PFF pagets, fracture, fibrous dysplasia Alteration of color of ilium whiter: blastic mets or pagets, darker: lytic mets, mm, benign bone tumors 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 larger than typical then referred to as spatulated TP Change fit of sacrum PFCF- pagets, fracture, hereditary anomaly, fibrous dysplasia Mc benign growth of the sacrum huge cell tumor Vertical radiolucency in sacrum spina bifida U shaped radiolucency in sacrum spina bifida Asymmetrical L5/S1 aspects facet tropism Can't have bilateral aspect tropism, if both elements are sagittal then you have bilateral sagittal aspects Vertical striations in a single vertebra hemangioma If body height is similar to the height of the pedicles you know you have a crushed vertebra Ddx for crushed vertebra malignancy, infection, trauma malignancy just if no other indications of infection or injury Winking owl sign missing out on pedicle Winking owl sign, pedicle that exists is sclerotic when compared to others surrounding agenesis of pedicle Winking owl sign, pedicle that is present looks the same when compared to others surrounding lytic mets Crushed vertebra without any signs of injury or infection, no involvement of pedicles MM MM only affects locations with active bone marrow (skull, breast bone, ribs, spinal column, hips, prox femur, 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 formation Rouleaux development stack of coins look- on blood smear RBCs compared to each other In order to Dx TP fx without displacement, you need to see a bony callous (looks like a cloud of white density surrounding bone.

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Ad, The rule will become 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 published an exact date at this time, however the Department has completed all the needed steps prior to filing and is lawfully able to adopt the rule at any time.