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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 privilege" to sitting for the NBCE's assessment endless times without reschooling, or to the sort of evaluation 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 maintains disc area height and never involves aspects meal has a connection with what other illness DM 30% Management of meal adjust them! Send to endocrinologist if have DM Limited 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 aspect blend psoriatic or reiters (only time to think about these based upon findings in the spine) Avulsion fx of ant-inf aspect of vert body teardrop fx Teardrop fx mc occurs c2 MOI for teardrop fx hyperextension Unstable fx that can trigger intense 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, injury Chamberlains line from back of tough taste buds to post aspect of foramen magnum dens ought to disappear than 7mm above Mc, Gregor's Line from back of tough taste buds to base of occiput dens need to be no more than 8mm above in males, 10 in females 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 medical facility asap Change of shape of vertebral bodies PFC- pagets, fx, genetic abnormalities 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 believe hodgkins lymphoma MC cause of 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 only dx discrepancy on APLC, however why is it deviated? V shaped opacity in ST in APLC Carotid artery calcification Mc location for carotid arteries to calcify bifurcation Single white density in ST on APLC film 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 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 impacted. OCI Management of OCI adjust SI jts, pelvic/trochanteric stabilizer belt, nutrition Triangular sclerosis of SI OCI SI condition normally seen in multiparous ladies between 20 and 40 OCI Modification of shape of ilium PFF pagets, fracture, fibrous dysplasia Change of color of ilium whiter: blastic mets or pagets, darker: lytic mets, mm, benign bone tumors Line drawn throughout top of iliac crest should bisect L4/L5 disc Last set of ribs that point down T12 If L5 is flattened or larger than regular then referred to as spatulated TP Alteration in shape of sacrum PFCF- pagets, fracture, congenital anomaly, fibrous dysplasia Mc benign tumor of the sacrum giant cell tumor Vertical radiolucency in sacrum spina bifida U formed radiolucency in sacrum spina bifida Unbalanced L5/S1 elements facet tropism Can't have bilateral aspect tropism, if both aspects are sagittal then you have bilateral sagittal aspects Vertical striations in a single vertebra hemangioma If body height resembles the height of the pedicles you know you have a crushed vertebra Ddx for crushed vertebra malignancy, infection, trauma malignancy only if no other indications of infection or injury Winking owl indication missing pedicle Winking owl sign, pedicle that exists is sclerotic when compared to others surrounding agenesis of pedicle Winking owl indication, pedicle that exists 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 affects locations with active bone marrow (skull, breast bone, ribs, spinal column, 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 stacked up against each other In order to Dx TP fx without displacement, you should see a bony callous (appears as a cloud of white density surrounding bone.

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Ad, The rule will end up being 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 actually not published a precise date at this time, however the Department has actually finished all the needed actions prior to filing and is lawfully able to adopt the guideline at any time.