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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 entitlement" to sitting for the NBCE's assessment unlimited times without reschooling, or to the kind of review of NBCE's evaluation that he seeks (Board of Regents v Roth, 408 U.S.

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Back bridging 2 akas for DISH forrestier's dx, ankylosing hyperostosis DISH mc seen in what pop males over 50 DISH protects disc area height and never ever involves facets DISH 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 fusion 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 occurs c2 MOI for teardrop fx hyperextension Unstable fx that can trigger acute anterior cervical cable syndrome teardrop Believe 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 bulk of dens is above occiput PFT, pagets, fibrous dysplasia, trauma Chamberlains line from back of difficult taste buds to post aspect of foramen magnum dens need to disappear than 7mm above Mc, Gregor's Line from back of tough palate to base of occiput dens should disappear 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 to healthcare facility asap Alteration 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 ONLY 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 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 location for carotid arteries to calcify bifurcation Single white density in ST on APLC film might be Carotid artery calcification or lymph node calcification Several 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 bleaching of iliac side of SI jt and sacral side of SI jt not impacted. OCI Management of OCI change SI jts, pelvic/trochanteric stabilizer belt, nutrition Triangular sclerosis of SI OCI SI condition normally seen in multiparous women 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 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 Modification fit of sacrum PFCF- pagets, fracture, congenital anomaly, fibrous dysplasia Mc benign growth of the sacrum huge cell growth Vertical radiolucency in sacrum spina bifida U shaped radiolucency in sacrum spina bifida Unbalanced L5/S1 elements facet tropism Can't have bilateral element tropism, if both facets are sagittal then you have bilateral sagittal elements 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 signs of infection or trauma Winking owl sign missing out on pedicle Winking owl indication, pedicle that exists 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 with no signs of trauma or infection, no participation of pedicles MM MM just impacts areas with active bone marrow (skull, sternum, ribs, spine, 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 appearance- on blood smear RBCs stacked up against each other In order to Dx TP fx without displacement, you must see a bony callous (appears as a cloud of white density surrounding bone.

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Ad, The rule will become effective in the future when the Department submits it with the Secretary of State, at a time to be determined by the Department. The IDFPR has not published a specific date at this time, but the Department has actually completed all the needed steps prior to filing and is legally able to embrace the guideline at any time.