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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 privilege" to sitting for the NBCE's assessment limitless times without reschooling, or to the sort of evaluation 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 DISH mc seen in what pop males over 50 DISH preserves disc space height and never ever includes facets DISH has a correlation with what other illness 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 think about these based on findings in the spine) 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 severe anterior cervical cord 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 majority of dens is above occiput PFT, pagets, fibrous dysplasia, trauma Chamberlains line from back of hard palate to post element of foramen magnum dens ought to be no more than 7mm above Mc, Gregor's Line from back of difficult taste buds 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 out to hospital asap Alteration of shape of vertebral bodies PFC- pagets, fx, hereditary 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 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 discrepancy on APLC, but why is it deviated? V shaped 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 Several 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 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 between 20 and 40 OCI Modification 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 tumors Line drawn across top of iliac crest need to bisect L4/L5 disc Last set of ribs that point down T12 If L5 is flattened or larger than regular then described as spatulated TP Alteration fit of sacrum PFCF- pagets, fracture, congenital 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 Asymmetrical L5/S1 elements facet tropism Can't have bilateral facet 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 signs of infection or trauma Winking owl sign missing 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 without any signs of trauma or infection, no involvement of pedicles MM MM just affects locations with active bone marrow (skull, breast bone, 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 formation stack of coins appearance- on blood smear RBCs stacked up versus each other In order to Dx TP fx without displacement, you need to see a bony callous (appears as a cloud of white density surrounding bone.

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Advertisement, The guideline will end up being reliable in the near future when the Department files it with the Secretary of State, at a time to be identified by the Department. The IDFPR has actually not published a specific date at this time, but the Department has completed all the required actions prior to filing and is lawfully able to adopt the guideline at any time.