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We conclude, for that reason, that NBCE's conduct does not constitute State action. Nor does the complainant have a protectable property interest, or "legitimate claim of entitlement" to sitting for the NBCE's assessment unlimited times without reschooling, or to the sort of review of NBCE's assessment that he seeks (Board of Regents v Roth, 408 U.S.

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Spinal bridging 2 akas for DISH forrestier's dx, ankylosing hyperostosis DISH mc seen in what pop males over 50 meal protects disc space height and never ever involves elements meal has a correlation with what other illness DM 30% Management of DISH adjust them! Send out 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 element combination psoriatic or reiters (only time to think about 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 Unsteady fx that can cause intense anterior cervical cord 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 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 ought to be no more than 7mm above Mc, Gregor's Line from back of tough palate to base of occiput dens should be no more than 8mm above in males, 10 in females If dens is displaced, 2 possible reasons fx, unstable OO Os Odontoideum akas (2) non-union of dens, un-united dens Management for dens fx support neck and send to medical facility asap Alteration of shape of vertebral bodies PFC- pagets, fx, congenital 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 just 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 variance on APLC, however 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 spread (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 affected. OCI Management of OCI adjust 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 Alteration 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 growths Line drawn throughout top of iliac crest must 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 Change fit of sacrum PFCF- pagets, fracture, genetic 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 aspects facet tropism Can't have bilateral element tropism, if both elements are sagittal then you have bilateral sagittal elements 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, injury malignancy just if no other indications of infection or trauma Winking owl indication missing out on pedicle Winking owl indication, pedicle that exists is sclerotic when compared to others surrounding agenesis of pedicle Winking owl sign, pedicle that exists looks the exact same when compared to others surrounding lytic mets Squashed vertebra without any indications of injury or infection, no involvement of pedicles MM MM only affects areas with active bone marrow (skull, sternum, ribs, spinal column, pelvis, 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 development Rouleaux development stack of coins look- 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 end up being effective in the future when the Department files it with the Secretary of State, at a time to be figured out by the Department. The IDFPR has not published a precise date at this time, however the Department has completed all the necessary steps prior to filing and is lawfully able to adopt the rule at any time.