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Published Mar 11, 22
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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 property interest, or "genuine claim of entitlement" to sitting for the NBCE's assessment unlimited times without reschooling, or to the sort of evaluation of NBCE's evaluation that he seeks (Board of Regents v Roth, 408 U.S.

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Spinal bridging 2 akas for DISH forrestier's dx, ankylosing hyperostosis meal mc seen in what pop males over 50 meal protects disc space height and never ever includes aspects meal has a correlation with what other disease DM 30% Management of meal change them! Send out to endocrinologist if have DM Marginal 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 consider 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 Unstable fx that can trigger severe anterior cervical cord syndrome teardrop Believe 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, injury Chamberlains line from back of tough taste buds to post element of foramen magnum dens should disappear than 7mm above Mc, Gregor's Line from back of difficult taste buds to base of occiput dens need to disappear than 8mm above in males, 10 in women If dens is displaced, 2 possible reasons fx, unsteady OO Os Odontoideum akas (2) non-union of dens, un-united dens Management for dens fx support neck and send out to health center asap Change 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 somebody under 30 then and just then believe hodgkins lymphoma MC reason for ivory white vertebra blastic mets Blastic mets on bone scan hot/responsive Image frame vertebra pagets Cortical thickening pagets Subchondral sclerosis aka eburnation Subchondral sclerosis seen in djd Vacuum phenomenon djd Destruction on both sides of joint infection the only thing that will do this If post.

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Can just dx variance 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 could be Carotid artery calcification or lymph node calcification Numerous round white densities in a vertical line on APLC carotid artery calcification Several round white densities scattered (not in a vert.

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djd Bilateral balanced lightening of iliac side of SI jt and sacral side of SI jt not affected. OCI Management of OCI change SI jts, pelvic/trochanteric stabilizer belt, nutrition Triangular sclerosis of SI OCI SI condition normally seen in multiparous females 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 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 larger than regular then referred to as spatulated TP Modification fit of sacrum PFCF- pagets, fracture, hereditary anomaly, fibrous dysplasia Mc benign tumor of the sacrum giant cell growth Vertical radiolucency in sacrum spina bifida U formed 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 facets Vertical striations in a single vertebra hemangioma If body height is similar to 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 sign, pedicle that is present is sclerotic when compared to others surrounding agenesis of pedicle Winking owl indication, pedicle that is present looks the same when compared to others surrounding lytic mets Squashed vertebra without any indications of injury or infection, no participation of pedicles MM MM only impacts locations with active bone marrow (skull, breast bone, ribs, spinal column, hips, 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 development 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 (appears as a cloud of white density surrounding bone.

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Ad, The rule will end up being reliable in the future when the Department submits it with the Secretary of State, at a time to be figured out by the Department. The IDFPR has actually not released a specific date at this time, however the Department has finished all the necessary steps prior to filing and is lawfully able to embrace the rule at any time.