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Published Mar 12, 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 "legitimate claim of entitlement" to sitting for the NBCE's assessment unlimited times without reschooling, or to the type of review of NBCE's examination 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 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 out to endocrinologist if have DM Minimal 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 combination 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 Unstable fx that can trigger intense 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, injury Chamberlains line from back of difficult palate to post aspect of foramen magnum dens need to disappear than 7mm above Mc, Gregor's Line from back of hard palate to base of occiput dens need to be no more than 8mm above in males, 10 in women If dens is displaced, 2 possible factors fx, unsteady OO Os Odontoideum akas (2) non-union of dens, un-united dens Management for dens fx support neck and send out 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 somebody under 30 then and ONLY then believe 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 Destruction on both sides of joint infection the only thing that will do this If post.

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Can only dx deviation on APLC, however why is it deviated? V formed opacity in ST in APLC Carotid artery calcification Mc area for carotid arteries to calcify bifurcation Single white density in ST on APLC movie might 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 spread (not in a vert.

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djd Bilateral in proportion 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 usually seen in multiparous females in between 20 and 40 OCI Modification 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 ought to bisect L4/L5 disc Last set of ribs that point down T12 If L5 is flattened or broader than regular then referred to as spatulated TP Change fit of sacrum PFCF- pagets, fracture, congenital anomaly, fibrous dysplasia Mc benign tumor of the sacrum huge cell tumor Vertical radiolucency in sacrum spina bifida U shaped radiolucency in sacrum spina bifida Unbalanced L5/S1 facets facet tropism Can't have bilateral element tropism, if both elements are sagittal then you have bilateral sagittal facets Vertical striations in a single vertebra hemangioma If body height is comparable to the height of the pedicles you understand you have a crushed vertebra Ddx for crushed vertebra malignancy, infection, injury malignancy only if no other signs of infection or trauma Winking owl sign 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 trauma or infection, no participation of pedicles MM MM just impacts areas with active bone marrow (skull, breast bone, 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 formation Rouleaux formation 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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