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06-10-2011

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#1

USMLE-Syndrome
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High Yield Images for Step 2 CK

High Yield images for the Step 2 CK exam I will be adding more to this thread. If you know more please post your replies and add to the list. Sarcoidosis

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Lobar Pneumonia (Stept Pneumonia)

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Lyme Disease (Erythema Chronicum Migans)

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Hypertensive Retinopathy

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Key distinguishing features are “copper wiring” (increased retinal arteriole light reflex), and arteriovenous (AV) nicking (arteriolar-venular crossing defects). Cotton wool spots and hemorrhages are seen in both diabetic retinopathy and hypertensive retinopathy.

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06-10-2011

#2 Steps History: C K Only Posts: 476 Threads: 39 Thanked 303 Times in 165 Posts Reputation: 326

1TA2B

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corkscrew sign in midgut volvulus!

Corkscrew Sign of midgut volvulus

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__________________ Skill+Hardwork+Preparation=Success

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06-10-2011 #3 Steps History: C K Only Posts: 476 Threads: 39 Thanked 303 Times in 165 Posts Reputation: 326

1TA2B

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Good collection!

This post is useful too! Pediatric Radiological Signs __________________ Skill+Hardwork+Preparation=Success

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06-11-2011 #4 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842

USMLE-Syndrome
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Sturge-Weber syndrome

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The bilateral port wine stain involves the V1, V2, and V3 regions and the right V3. Adenoma Sebaceum

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Adenoma sebaceum in patient with tuberous sclerosis

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06-13-2011 #5 Steps History: C K Only Posts: 476 Threads: 39 Thanked 303 Times in 165 Posts Reputation: 326

1TA2B

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NF-cafe' au lait spots!

There are two main types of Neurofibromatosis known as NF1 and NF2. The former also goes under the name of Von Recklinghausen’s disease and the latter as bilateral acoustic NF. Of the two NF1 is the most common. The symptoms for NF1 will usually present in early childhood and one of the telltale signs is the appearance of coffee coloured birthmarks commonly referred to as café-au-lait spots. These spots are actually present when the child s born but increase in size, number and pigmentation during the first few years of the child’s life.

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__________________ Skill+Hardwork+Preparation=Success

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06-13-2011 #6 Steps History: C K Only Posts: 476 Threads: 39 Thanked 303 Times in 165 Posts Reputation: 326

1TA2B

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Axillary freckling! NF-1!

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__________________ Skill+Hardwork+Preparation=Success

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06-16-2011 #7 Steps History: C K Only Posts: 476 Threads: 39 Thanked 303 Times in 165 Posts Reputation: 326

1TA2B

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Kayser-Fleischer ring Wilson's disease!

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__________________ Skill+Hardwork+Preparation=Success

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06-17-2011 #8 Steps History: C K Only Posts: 476 Threads: 39 Thanked 303 Times in 165 Posts Reputation: 326

1TA2B

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Oral surgeon-herpetic whitlow! Treatment-topical acyclovir!

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__________________ Skill+Hardwork+Preparation=Success

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07-01-2011 #9 Steps History: Not yet Posts: 101 Threads: 13 Thanked 196 Times in 45 Posts Reputation: 208

amirh899

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Some other images

Corneal enlargement in congenital glaucoma

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Anterior dislocation of the shoulder (Humeral head out of glenoid)

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Hereditary hemorrhagic telangectasia (Osler Weber Rendu syndrome) with small telangectasias in the mouth, on the tongue and lips

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Viral conjunctivitis (with conjunctival injection without purulent discharge)

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Testicular appendix torsion with a blue spot at the anterosuperior aspect of the testis

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07-14-2011 #10 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842

USMLE-Syndrome
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Failure to pass meconium should suggest the presence of either meconium ileus or Hirschsprung disease. The barium enema reveals a dilated proximal colon and a sudden transition to a narrow distal colon, which is highly suggestive of Hirschsprung disease

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07-14-2011 #11 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842

USMLE-Syndrome
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The X-ray reveals the classic double-bubble appearance of duodenal atresia. One bubble is caused by the gas-filled stomach and the other is caused by a dilated proximal duodenum.

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07-15-2011 #12 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842

USMLE-Syndrome
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The peripheral blood smear shows hypochromic, microcytic red blood cells (RBCs) consistent with iron deficiency

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07-15-2011 #13 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842

USMLE-Syndrome
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Talipes Equinovarus,a common form of clubfoot. Manipulation and serial casting is the mainstay of treatment for this congenital deformity

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USMLE-Syndrome
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Newborn with large right hydrocele Physical findings: Scrotal distention (testicle may be impossible to palpate) Transillumination

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07-20-2011 #15 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842

USMLE-Syndrome
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several mongolian spots. They are often confused with the bruises of child abuse, but unlike bruises, mongolian spots take months to years to fade. They classically are described as flat blue or gray macules with variable margins
Last edited by USMLE-Syndrome; 07-20-2011 at 01:52 PM.

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07-20-2011

#16

USMLE-Syndrome
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Tension pneumothorax

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07-21-2011
#17

USMLE-Syndrome
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nonbullous impetigo, a superficial bacterial infection transmitted by direct contact. Nonbullous impetigo is caused by group A β-hemolytic Streptococcus pyogenes

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07-25-2011 #18 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842

USMLE-Syndrome
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Gastroschisis

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Gastroschisis The defect is in the abdominal wall and results in protrusion of abdominal viscera without protective sac. The defect is always right sided and the umbilical ring is normal.

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07-25-2011 #19 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842

USMLE-Syndrome
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trisomy 18 (Edwards syndrome)

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The characteristically clenched overlapping fingers seen in the image are highly specific for trisomy 18 (Edwards syndrome)

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USMLE-Syndrome
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Infant with hyaline membrane disease. Note the granular lungs, air bronchogram, and air-filled esophagus. Anteroposterior (A) and lateral (B) roentgenograms are needed to distinguish the umbilical artery from the vein catheter and to determine the appropriate level of insertion

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USMLE-Syndrome
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Radiograph of tibial Ewing sarcoma showing periosteal elevation or "onion-skinning.

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07-28-2011 #22 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842

USMLE-Syndrome
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The X-ray reveals bowel loops in the left hemithorax. This is pathognomonic of a congenital diaphragmatic hernia.

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USMLE-Syndrome
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chest radiograph showing hyperexpansion, marked peribronchial shadowing, bronchial wall thickening, and ring shadows all strongly indicate a diagnosis of cystic fibrosis

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USMLE-Syndrome
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Henoch-Schönlein Purpura

HSP due to an immune vasculitic reaction typically presents with a rash on the lower extremities and buttocks

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USMLE-Syndrome
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Voiding cystourethrogram (VCUG) showing grade IV right vesicoureteral reflux with intrarenal reflux. grade 4 involves more dilitation and tortuosity of the ureters and more calyceal blunting than grade 3.

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07-28-2011

#26 Steps History: --Posts: 1,207 Threads: 180 Thanked 828 Times in 425 Posts Reputation: 842

USMLE-Syndrome
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acute bronchiolitis, the chest radiograph shows hyperinflation of the lungs with flattening of the diaphragm, horizontal ribs, and increased hilar bronchial markings. RSV is the most commonly isolated agent

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USMLE-Syndrome
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sarcoidosis

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USMLE-Syndrome
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rickets. The ends of the radius and ulna are expanded, rarefied, and cup shaped and the bones are poorly mineralized

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USMLE-Syndrome
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a single palmar crease in a newborn is most closely associated with Down syndrome.

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USMLE-Syndrome
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Basal Cell Carcinoma In contrast to SCCs and actinic keratoses, there is no precursor skin lesion for BCCs. These lesions may have an appearance that varies from nodules in the skin to a large nonhealing sore with drainage and crusting. In comparison to SCCs, they have a slow growth rate,

which can lead to a delay in diagnosis.

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USMLE-Syndrome
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Barium enema in patient with cecal volvulus. The contrast stops abruptly at the proximal end of the hepatic flexure (arrowhead). The dilated, air-filled cecum crosses the midline of the abdomen toward the left upper quadrant (arrows)

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USMLE-Syndrome
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The X-ray demonstrates a greenstick fracture of both the radius and ulna. A greenstick fracture occurs when the bone is bent and only one side of the bone fractures, leaving the other side cortically intact.

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USMLE-Syndrome
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hepatic abscess

CT is the imaging modality of choice for detecting a hepatic abscess and demonstrates low attenuation ill-defined lesion(s). Air-fluid levels may also be present.

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USMLE-Syndrome
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child has a retinoblastoma, the most common ocular tumor in children. It presents with leukokoria, a white pupillary reflex that replaces the usual red reflex

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USMLE-Syndrome
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utaneous melanoma warrants a biopsy, and a punch biopsy is the most accepted method. The critical factor in performing a biopsy with a suspicion of melanoma is assessment of the depth of invasion. A punch biopsy is the better choice when compared to a shave biopsy.

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08-07-2011

#36

USMLE-Syndrome
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EEG of hypsarrhythmia in infantile spasms. There is a chaotic background of slow-wave activity with sharp components. This is pathognomonic for infantile spasms.

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08-07-2011
#37

USMLE-Syndrome
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child has idiopathic avascular necrosis (Legg-Calve-Perthes disease) of the left hip. It usually affects boys 5–10 years of age and presents with the insidious onset of limp and antalgic gait, and loss of internal rotation and abduction of the hip.

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USMLE-Syndrome
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Anteroposterior radiograph of the right hip of an 8-yr-old boy with Legg-Calvé-Perthes disease. There is a collapsed yet dense capital femoral epiphysis with early fragmentation. The small medial triangle of the capital femoral epiphysis is uninvolved in the disease process.

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Pelvic radiographs demonstrating development dysplasia of the left hip. A, The Hilgenreiner method for identification of dysplasia of the hip before ossification of the capital femoral epiphysis; α' is greater than α, indicating greater obliquity of the acetabular roof. d', is greater than d, indicating lateral displacement of the femur. h is greater than h', indicating cephalad displacement of the femur. These relationships indicate dysplasia of the patient's left hip. B, Developmental dislocation of the left hip. The bony roof of the left acetabulum is quite oblique, and there is the beginning of a false acetabulum above its most lateral aspect. The left femur is displaced laterally and superiorly. The ossification center of the left capital femoral epiphysis is smaller than that of the right.

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USMLE-Syndrome
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candidal fungal infection, as in this figure showing pseudohyphae with prominent cell walls characteristic of the organism.

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USMLE-Syndrome
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The chest radiograph shows loops of bowel in the chest and displacement of the mediastinum indicating diaphragmatic hernia. Upon first suspicion of a diagnosis of diaphragmatic hernia, a nasogastric tube should be passed to decompress the stomach and to avoid visceral distention.

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USMLE-Syndrome
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children gestated during untreated maternal hypothyroidism.

Macroglossia and coarse facial features are seen. These findings along with hyperreflexia and a slow return phase are typical for children gestated during untreated maternal hypothyroidism.

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USMLE-Syndrome
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This child is exhibiting the dramatic harlequin color change. It is a benign event and lasts anywhere from a few seconds to half an hour. The pathogenesis is unknown, but occurs more frequently in preterm infants. Thus, it is hypothesized that it is the result of the

The pathogenesis is unknown, but occurs more frequently in preterm infants. Thus, it is hypothesized that it is the result of the immaturity of the autonomic nervous system and its regulation of cutaneous blood flow.

sharply demarcated erythematous zone on the dependent side with blanching of the skin on the nondependent side

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USMLE-Syndrome
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. Autoimmune congenital heart block is the most probable diagnosis. As the name implies, mothers of children with this syndrome have an increased incidence of certain autoimmune disorders. Anti-Ro antibodies are present in more than 90% of mothers of newborns with isolated heart block, and approximately 5% of children born to mothers with anti-Ro antibody have heart block.

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USMLE-Syndrome
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staphylococcal scalded skin syndrome (SSSS)

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08-09-2011

#46

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Osteogenesis imperfecta , a condition resulting from abnormal type I collagen that manifests as fragile bones. This newborn likely has Type I, which presents at birth with blue sclera, in utero fractures, moderate bone fragility, conductive hearing loss and mild short stature.

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08-12-2011
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the crescentic shape of a subdural hematoma. Subdural hematomas are more common in the elderly because the superficial bridging

the crescentic shape of a subdural hematoma. Subdural hematomas are more common in the elderly because the superficial bridging vessels have a greater distance to travel because of brain atrophy and consequently, are easier to rupture

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Kayser-Fleischer ring. It is the result of deposition of copper in Descemet membrane and is present in many cases of Wilson disease. Wilson disease is an autosomal recessive disorder of copper metabolism and results in accumulation of copper in the liver and brain. Laboratory evaluation reveals low serum copper, low serum ceruloplasmin and elevated copper stores on liver biopsy.

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Congenital melanocytic nevi are present in approximately 1% of newborn infants. These nevi have been categorized by size: giant congenital nevi are more than 20 cm in diameter (adult size), small congenital nevi are less than 2 cm in diameter, and intermediate nevi are in between in size.

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drlmorice

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Please keep them coming. Great revision aid when tired of starring at books

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