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We conclude, therefore, that NBCE's conduct does not make up State action. Nor does the complainant have a protectable property interest, or "legitimate claim of entitlement" to sitting for the NBCE's examination unlimited times without reschooling, or to the sort of evaluation of NBCE's assessment 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 meal mc seen in what pop males over 50 meal protects disc area height and never ever includes aspects DISH has a correlation with what other disease DM 30% Management of meal change them! Send 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 element combination 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 Unsteady fx that can cause 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 hard taste buds to publish element of foramen magnum dens must 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 reasons 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 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 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 discrepancy 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 scattered (not in a vert.

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djd Bilateral balanced whitening of iliac side of SI jt and sacral side of SI jt not impacted. OCI Management of OCI adjust SI jts, pelvic/trochanteric stabilizer belt, nutrition Triangular sclerosis of SI OCI SI condition usually seen in multiparous women in between 20 and 40 OCI Alteration 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 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 normal then described as spatulated TP Alteration fit of sacrum PFCF- pagets, fracture, genetic 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 elements facet tropism Can't have bilateral element tropism, if both aspects are sagittal then you have bilateral sagittal facets Vertical striations in a single vertebra hemangioma If body height resembles 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 injury Winking owl sign missing pedicle Winking owl indication, pedicle that exists 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 Squashed vertebra without any indications of trauma or infection, no involvement of pedicles MM MM just impacts locations 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 development Rouleaux formation stack of coins appearance- on blood smear RBCs stacked up versus each other In order to Dx TP fx without displacement, you must see a bony callous (looks like a cloud of white density surrounding bone.

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Advertisement, The guideline will become effective in the near future when the Department files it with the Secretary of State, at a time to be determined by the Department. The IDFPR has actually not published a specific date at this time, however the Department has actually completed all the necessary steps prior to filing and is lawfully able to adopt the rule at any time.