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34. Bone scans illustrating normal variants of the sternum. These include a variant showing a cold area that can be confused with cold metastases (arrow) (Courtesy of Dr. Shah Sayed with thanks) 29 30 1 Basic Sciences of Bone and Joint Diseases 2. The lower anterior part of the neck may show increased uptake which may be due to normal cervical lordosis and/or uptake in the thyroid cartilage. 3. An altered gait resulting from pain is frequently associated with diffuse increased accumulation in the asymptomatic lower extremity, particularly the foot.

A The vascular communication between the metaphysis and epiphysis. b When the growth plate is present it acts as a barrier and the vessels turn on themselves, forming loops a b Fig. 10a, b. a The growth plate acting as a barrier for the extension of infection from the epiphysis, making the involvement of the joint less likely than the case when the growth plate does not constitute a barrier (b) in neonates and also after closure of the growth plate when the infection extends more easily to the joint Fig.

Various classifications of osteomyelitis Basis of classification Forms of osteomyelitis Presentation I. Acute II. Chronic Route of infection I. Hematogenous II. Direct extension (non-hematogenous) Age I. Infantile (including neonatal) II. Juvenile III. Adult Causative organism I. Pyogenic II. Nonpyogenic Location of infection I. Appendicular skeleton osteomyelitis: Metaphyseal Epiphyseal Diaphyseal II. Axial skeleton osteomyelitis (examples: vertebral and bony pelvis osteomyelitis) Prior pathology I.

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Dispersion Process During Rapid Transients - Al-Based Nuclear Fuel Plates

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