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A potpourri of ASC-H and related interpretations- Introductory slides

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A potpourri of ASC-H and related interpretations- Problem based learning Vinod B. Shidham , MD, FRCPath, FIAC Medical College of Wisconsin, Milwaukee, WI Mamatha Chivukula , MD Magee-Womens Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA R. Marshall Austin , MD, PhD Magee-Womens Hospital of University of Pittsburgh Medical Center, Pittsburgh, PA Introduction (Nov 11, 2008, 1.30 to 1.35)

Upon conclusion of this presentation, participants will be able to … 1. Describe cytomorphological spectrum of ASC-H. 2. Define LSIL-H with review of literature. 3. Differential diagnosis of hyperchromatic crowded groups. 4. Discuss application of ancillary tests. Educational objectives

A potpourri of ASC-H and related interpretations- Problem based learning Shidham VB 1.35 to 2.15 (35 minutes + 5 minutes Q/A) Morphological Evaluation of Twilight Zone in Cervical Cytology. Chivukula M. 2.15 to 1.55 (35 minutes + 5 minutes Q/A) Study cases and application of two-color immunochemistry Austin RM. 2.55 to 3.30 (30 minutes + 5 minutes Q/A) Quality Improvement, Ancillary HPV testing, and Medicolegal aspects

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SIOP ® Lesson Plan Template 2 © 2008 Pearson Education, Inc. STANDARDS: THEME: LESSON TOPIC: OBJECTIVES: Language: Content: LEARNING STRATEGIES: KEY VOCABULARY: MATERIALS: MOTIVATION: (Building background) PRESENTATION: (Language and content objectives, comprehensible input, strategies, interaction, feedback) PRACTICE AND APPLICATION: (Meaningful activities, interaction, strategies, practice and application, feedback) REVIEW AND ASSESSMENT: (Review objectives and vocabulary, assess learning) EXTENSION: (Reproduction of this material is restricted to use with Echevarria, Vogt, and Short, 2008. Making Content Comprehensible for English Learners: The SIOP ® Model.) SPINE Volume 28, Number 1, pp 52–62 ©2003, Lippincott Williams & Wilkins, Inc. Reliability and Diagnostic Accuracy of the Clinical Examination and Patient Self-Report Measures for Cervical Radiculopathy LtCol Robert S. Wainner, PhD, PT, OCS, ECS,* Julie M. Fritz, PhD, PT, ATC,† James J. Irrgang, PhD, PT, ATC,† Michael L. Boninger, MD,‡ Anthony Delitto, PhD, PT, FAPTA,‡ and COL Stephen Allison, PhD, PT, ECS§ Study Design. A blinded, prospective diagnostic test study was conducted. Objectives. To assess the reliability and accuracy of individual clinical examination items and self-report in- struments for the diagnosis of cervical radiculopathy, and to identify and assess the accuracy of an optimum test- item cluster for the diagnosis of cervical radiculopathy. Summary of Background Data. Although cervical radiculopathy remains largely a clinical diagnosis, the reliability and diagnostic accuracy of clinical examination items, individually or in combination, for cervical radiculopathy is largely unknown. Methods. Patients with suspected cervical radiculopathy or carpal tunnel syndrome received standardized elec- trophysiologic examination of the symptomatic upper quarter followed by a standardized clinical examination by physical therapist examiners blinded to diagnosis. Di- agnostic properties were assessed using a neural impair- ment reference criterion standard. Results. The study involved 82 patients. More than two thirds of 34 clinical examination items had reliability coefficients rated at least fair or better, and 13 items had likelihood ratio point estimates above 2 or below 0.50. A single diagnostic test item cluster of four variables was identified and produced a positive likelihood ratio point estimate of 30.3. The 95% confidence intervals for all likelihood ratio point estimates in this study were wide. Conclusions. Many items of the clinical examination were found to be reliable and to have acceptable diagnostic properties, but the test item cluster identified was more useful for indicating cervical radiculopathy than any single test item. Upper limb tension Test A was the most useful test for ruling out cer.

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