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We conclude, therefore, that NBCE's conduct does not make up State action. Nor does the plaintiff have a protectable property interest, or "genuine claim of entitlement" to sitting for the NBCE's examination endless times without reschooling, or to the sort of review of NBCE's evaluation that he looks for (Board of Regents v Roth, 408 U.S.

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Back 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 connection with what other disease DM 30% Management of DISH change them! Send out to endocrinologist if have DM Marginal syndesmophytes AS Non-marginal syndesmophytes psoriatic or reiters if not meal Conjunctivitis/uveitis, urethritis, arthritis reiters Silver scales on extensors, pitted nails psoriatic arthritis Hyperostosis with aspect combination psoriatic or reiters (only time to think about these based on findings in the spinal column) Avulsion fx of ant-inf aspect of vert body teardrop fx Teardrop fx mc occurs c2 MOI for teardrop fx hyperextension Unsteady fx that can cause intense anterior cervical cable syndrome teardrop Think MOPIT Loss of anterior body height of 25% or more MOPIT malignancy, osteoporosis, pagets, infection, injury 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 taste buds to publish aspect of foramen magnum dens must disappear 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 factors fx, unsteady OO Os Odontoideum akas (2) non-union of dens, un-united dens Management for dens fx support neck and send to hospital 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 think 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 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 could be Carotid artery calcification or lymph node calcification Numerous 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 symmetrical bleaching 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 usually seen in multiparous ladies 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 tumors Line drawn throughout top of iliac crest need to bisect L4/L5 disc Last set of ribs that point down T12 If L5 is flattened or broader than normal then referred to as spatulated TP Change fit 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 formed 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 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, injury malignancy just 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 sign, 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 affects 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 formation Rouleaux development stack of coins appearance- 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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Advertisement, The rule will become efficient 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 not released an exact date at this time, but the Department has actually finished all the required steps prior to filing and is lawfully able to embrace the rule at any time.