april, 2006 angela scheuerle, m.d.angela … 2006 angela scheuerle, m.d.angela scheuerle, ... april,...

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April, 2006 April, 2006 Angela Scheuerle, M.D. Angela Scheuerle, M.D. TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAG TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAG CTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATA CTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATA TTTTTTTTTTT TTTTTTTTTTT

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April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

ProceduresProcedures

What they tell you What they tell you and and

What they donWhat they don’’tt

Angela Scheuerle, M.D.Angela Scheuerle, M.D.Tesserae Tesserae GeneticsGenetics

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

Think outside the boxThink outside the box

The Stroop Effect

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

Advertising tricksAdvertising tricks

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

Open envelope #1Open envelope #1Close your eyesClose your eyes

Feel the objectFeel the object

What What ““colorcolor”” is itis it

What does it What does it ““tastetaste”” like?like?

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

Open the little tube and take a sniff.Open the little tube and take a sniff.

Describe the Describe the ““colorcolor”” of the smell.of the smell.

Describe the Describe the ““texturetexture”” of the smell.of the smell.

What does it What does it ““soundsound”” like?like?

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

ConceptsConcepts

Physical ExamPhysical ExamInspectionInspection

What do you see?What do you see?AuscultationAuscultation

What do you hear?What do you hear?PalpationPalpation

What do you feel?What do you feel?

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

RashRash

InspectionInspectionAuscultationAuscultation

PalpationPalpationOpen Envelope #2Open Envelope #2

What does the rash feel like?What does the rash feel like?

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

XraysXrays

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

UltrasoundUltrasound

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

Computed Tomography (CT)Computed Tomography (CT)

CoronalCoronalCrossCross--sectionsection

3-D

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

Magnetic Resonance ImagingMagnetic Resonance Imaging

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

HeadHead

Physical ExamPhysical Exam

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

HeadHeadXrayXray

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

HeadHeadUltrasoundUltrasound

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

HeadHead

CT and MRICT and MRI

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

HeadHead

CT and MRICT and MRI

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

Head Head -- HydrancephalyHydrancephaly

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

ChestChest

Physical ExamPhysical Exam

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

ChestChest

XrayXray

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

ChestChest

CT and MRICT and MRI

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

Chest Chest -- Diaphragmatic HerniaDiaphragmatic Hernia

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

AbdomenAbdomen

Physical ExamPhysical Exam

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

AbdomenAbdomen

XrayXray

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

AbdomenAbdomenUltrasoundUltrasound

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

AbdomenAbdomen

CT and MRICT and MRI

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

AbdomenAbdomen

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

HipHip

Physical ExamPhysical Exam

OrtolaniOrtolaniBarlowBarlow

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

HipHip

XrayXray

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

HipHipUltrasoundUltrasound

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

HipHip

CT and MRICT and MRI

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT

HipHip

Pavlik Pavlik HarnessHarness

April, 2006April, 2006 Angela Scheuerle, M.D.Angela Scheuerle, M.D.

TACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGTACATGAGGTTCCGCTAGACTAGCTACTCACTAGCTATGTCTCGGTYACGATCTATACGCGGAGCTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATACTAGGCCTTATCTATCTTACTTCGAGCTATGGACTTCAGAAGAACTCAGACTAGCACGCTTATATTTTTTTTTTTTTTTTTTTTTT