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Internet Scout Project
The latest Energy Outlook report was released in late December by the Department of Energy, looking at key factors of change over the last year and offers projections of change to 2020. The report contains specific information on energy issues, prices, use, production, and more, including graphs and tables (when applicable) that relate to the nation as well as specific regions.
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A Birthday Basket For Tia
This lesson will provide your students with an opportunity to brainstorm, predict, and check for understanding throughout this wonderful story about a little girl, Cecilia, who is preparing a special birthday gift for her 90 year-old Aunt Tia. Cecilia collects objects that represent her favorite memories with her aunt. Many uses of technology are suggested to integrate math and science with language and reading.
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Posterior Fossa Tumor - Cranial Nerves Exam - Olfactory (CN I) Nerve Sub-exam - Patient 9
Patient is a 58-year-old white male with a history of acoustic neuroma that was resected in 1990. He has residual cranial nerve palsies on the right side and experiences tremors, ataxia and disequilibrium. His wife reports that she has noticed an increase in right hand tremor for the past year or so. The tremor worsens as the day progresses and occurs with activity. Patient reports an increase in balance problems while standing over the past 4 months. He has noticed that he staggers a step or t
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Multiple Sclerosis - Sensory Exam - Deep Sub-exam - Patient 18
Ed is a 57-year-old Caucasian male with a 15-year history of neurological disability that was diagnosed after his initial attack as multiple sclerosis. Lumbar puncture demonstrated the presence of numerous oligoclonal bands and MRI later showed multiple white matter plaques. He suffers from a significant dysarthria, as well as tremor and ataxia.
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Parkinson Disease - Station and Gait Exam - Gait Sub-exam - Patient 10
The patient is a 68-year-old Caucasian male admitted to the VA on February 27, 2002, because of severe tremors and inability to walk due to chronic Parkinson Disease. This gentleman had been living with Parkinson Disease for many years and apparently, in spite of prescribed medications, had not improved or was getting worse. He experiences tremors, drooling, an inability to walk, and difficulty swallowing. Recently he had been unable to take the full dose of his carbidopa/levodopa medication du
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Spastic Paraplegia - Reflexes Exam - Abnormal (Pathological) Sub-exam - Patient 5
This video features a 54-year-old white male with a history of spastic paraplegia (diagnosed in 1994) and no previous history of heart disease or cardiac workup. He presented to the Emergency Room complaining of three days on-and-off retrosternal chest pain. Patient presented to the ER complaining of three days on-and-off retrosternal chest pain, rated 3/10, lasting approximately 30 minutes, occurring multiple times daily at rest or during activity. The first episode occurred three days before
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Multiple Sclerosis - Coordination Exam - Upper Extremities Sub-exam - Patient 20
Janie is a 39-year-old Caucasian female who initially presented with weakness and L'Hermitte’s phenomena at the age of 35. Initially mistaken as a TIA, MRI of the brain revealed numerous plaques in the white matter suggesting Multiple Sclerosis. Her lumbar puncture initially failed to demonstrate the presence of oligoclonal bands, but since progression of the disease over the past few years bands have developed.
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Multiple Sclerosis - Cranial Nerves Exam - Trigeminal (CN V) Sub-exam - Patient 20
Janie is a 39-year-old Caucasian female who initially presented with weakness and L'Hermitte’s phenomena at the age of 35. Initially mistaken as a TIA, MRI of the brain revealed numerous plaques in the white matter suggesting Multiple Sclerosis. Her lumbar puncture initially failed to demonstrate the presence of oligoclonal bands, but since progression of the disease over the past few years bands have developed.
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Parkinson Disease - General Observations Exam - Opening Interview Sub-exam - Patient 10
The patient is a 68-year-old Caucasian male admitted to the VA on February 27, 2002, because of severe tremors and inability to walk due to chronic Parkinson Disease. This gentleman had been living with Parkinson Disease for many years and apparently, in spite of prescribed medications, had not improved or was getting worse. He experiences tremors, drooling, an inability to walk, and difficulty swallowing. Recently he had been unable to take the full dose of his carbidopa/levodopa medication du
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Multiple Sclerosis - Motor Exam - Muscle Strength Sub-exam - Patient 20
Janie is a 39-year-old Caucasian female who initially presented with weakness and L'Hermitte’s phenomena at the age of 35. Initially mistaken as a TIA, MRI of the brain revealed numerous plaques in the white matter suggesting Multiple Sclerosis. Her lumbar puncture initially failed to demonstrate the presence of oligoclonal bands, but since progression of the disease over the past few years bands have developed.
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Stroke - Mental Status Exam - Calculation Sub-exam - Patient 19
This video features a 65-year-old right-handed white male. He was in the Air Force from 1962 until his retirement in 1982. The veteran reported that in 1995 he was diagnosed with inclusion body myositis. He first reported a problem in the early 1990s when carrying his briefcase. He noted problems lifting his right leg up to step onto the bus. Falls began around1994, prompting him to seek medical attention. The initial evaluation showed primarily lower motor neuron findings. He underwent several
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Multiple Sclerosis - Motor Exam - Screening Tests Sub-exam - Patient 20
Janie is a 39-year-old Caucasian female who initially presented with weakness and L'Hermitte’s phenomena at the age of 35. Initially mistaken as a TIA, MRI of the brain revealed numerous plaques in the white matter suggesting Multiple Sclerosis. Her lumbar puncture initially failed to demonstrate the presence of oligoclonal bands, but since progression of the disease over the past few years bands have developed.
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Parkinson Disease - Motor Exam - Screening Tests Sub-exam - Patient 10
The patient is a 68-year-old Caucasian male admitted to the VA on February 27, 2002, because of severe tremors and inability to walk due to chronic Parkinson Disease. This gentleman had been living with Parkinson Disease for many years and apparently, in spite of prescribed medications, had not improved or was getting worse. He experiences tremors, drooling, an inability to walk, and difficulty swallowing. Recently he had been unable to take the full dose of his carbidopa/levodopa medication du
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Parkinson Disease - Motor Exam - Muscle Tone Sub-exam - Patient 10
The patient is a 68-year-old Caucasian male admitted to the VA on February 27, 2002, because of severe tremors and inability to walk due to chronic Parkinson Disease. This gentleman had been living with Parkinson Disease for many years and apparently, in spite of prescribed medications, had not improved or was getting worse. He experiences tremors, drooling, an inability to walk, and difficulty swallowing. Recently he had been unable to take the full dose of his carbidopa/levodopa medication du
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Stroke - General Observations Exam - Opening Interview Sub-exam - Patient 19
This video features a 65-year-old right-handed white male. He was in the Air Force from 1962 until his retirement in 1982. The veteran reported that in 1995 he was diagnosed with inclusion body myositis. He first reported a problem in the early 1990s when carrying his briefcase. He noted problems lifting his right leg up to step onto the bus. Falls began around1994, prompting him to seek medical attention. The initial evaluation showed primarily lower motor neuron findings. He underwent several
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Parkinson Disease - Reflexes Exam - Muscle Stretch Sub-exam - Patient 10
The patient is a 68-year-old Caucasian male admitted to the VA on February 27, 2002, because of severe tremors and inability to walk due to chronic Parkinson Disease. This gentleman had been living with Parkinson Disease for many years and apparently, in spite of prescribed medications, had not improved or was getting worse. He experiences tremors, drooling, an inability to walk, and difficulty swallowing. Recently he had been unable to take the full dose of his carbidopa/levodopa medication du
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Primary Lateral Sclerosis - Sensory Exam - Deep Sub-exam - Patient 14
This video features a 54-year-old white male who presented for evaluation of progressive spastic paraparesis. He stated that symptoms first started in 1997 when "things were different with my legs" (i.e., leg weakness, imbalance, and speech problems). Symptoms started in his left foot, when he couldn't keep time to music. His feet started dragging and he also noticed problems with balance. In 1999, he started falling and sought medical attention. He was diagnosed with spastic paraparesis after
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Essential Tremor - Mental Status Exam - Language Sub-exam - Patient 12
The patient is a 70-year-old Caucasian female who first noticed voice and head tremor about 15 years ago. She has had a gradual progression of this tremor that now causes her head to shake, her voice to tremor and her bilateral arm to tremor. The tremor is most noticed when the limbs maintain a posture or are in motion. Her writing is affected especially when she attempts to write small. Fine motor tasks have become more effortful as the years have passed. The tremor is worsened by fatigue. She
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Myotonic Muscular Dystrophy - Mental Status Exam - Copy Design, Draw Clock Sub-exam - Patient 2
Patient is a 52-year-old African-American male with a known diagnosis of myotonic muscular dystrophy. His neuromuscular symptoms began in the early 1990s with poor dexterity in the hands, dropping objects, and clumsiness with fine motor weakness. He is very slow buttoning clothes, putting on his shoes, brushing his teeth, shaving, and other similar activities. He has trouble in ambulation and falls frequently. He has trouble getting up from a chair or sofa and climbing stairs. He also reports co
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Primary Lateral Sclerosis - Cranial Nerves Exam - Facial Nerve (CN VII) Sub-exam - Patient 14
This video features a 54-year-old white male who presented for evaluation of progressive spastic paraparesis. He stated that symptoms first started in 1997 when "things were different with my legs" (i.e., leg weakness, imbalance, and speech problems). Symptoms started in his left foot, when he couldn't keep time to music. His feet started dragging and he also noticed problems with balance. In 1999, he started falling and sought medical attention. He was diagnosed with spastic paraparesis after
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