Images courtesy of Danielle Campagne, MD. Therefore, you are at 40%. Avulsion fracture of the 5th metatarsal styloid, also known as a pseudo-Jones fracture or a dancer fracture, is one of the more common foot avulsion injuries and accounts for over 90% of fractures of the base of the 5 th metatarsal. Distinguishing the two is important because they are treated differently. Check the "Mark Skill as Read" under each Step. Enhance your operative skills through Self Mastery Skillmaster tracker, and Technique Guide. Watched surgical "Step" and partially invovled (held retractor). Epub 2020 Apr 24. J Foot Ankle Surg. Am J Sports Med. Evaluation of Two Types of Intramedullary. Pseudo-Jones fracture Case contributed by Dr Mostafa El-Feky Diagnosis almost certain Share Add to Citation, DOI & case data Presentation Left foot twist Patient Data Age: 50 years Gender: Female Left foot X-ray Frontal Oblique Lateral X-ray Frontal Avulsion fracture of the 5th metatarsal styloid, involving the articular surface. The link you have selected will take you to a third-party website. Identify your areas of strength with our monthly diagnostic Milestone Exams. 2) VIDEOS - only Orthobullets Technique Videos count. Orthobullets has done the hard work of filtering for the evidence of which you need to be aware. o [teenager OR adolescent ]. Unfortunately, there is a "sea" of evidence, and it can be difficult and time-consuming to choose what is important to read. Epub 2020 Aug 12. Got question correct and read the explanation and conclusion of the abstracts. rarely affects younger patients, unless occurring in conjunction with other disease, long term hemodialysis can cause a pyrophosphate like deposition disorder, chondrocalcinosis is present in 7% of patients, may observe superficial mineral deposits under the skin at affected joints, may see calcification of fibrocartilage structures (, prophylactic colchine can help to prevent recurrence, Can result in permanent damage to the joints and renal disease, Inheritance Patterns of Orthopaedic Syndromes, General and Regional Anesthesia in Orthopaedics, Legal Considerations in Orthopaedic Practice. Copyright 2022 Lineage Medical, Inc. All rights reserved. Mastery Trigger: Click on the Step Selfmastery Tool to advanced based on the scale below. Epub 2020 Oct 6. Clearly identify and document residents who have deficiencies. Enhance and align your medical knowledge training with our Core Curriculum and stay on the same page as your residents. 2018 04;46(5):1220-1227. Currently we only have videos for one procedure posted. All rights reserved. Please confirm that you are a health care professional. You can use Radiopaedia cases in a variety of ways to help you learn and teach. Leverage easy-to-use ACGME reporting functionality, including automated end-of-rotation summative evaluations for ACGME Milestones (MK, PC, and Prof.). so they can "spot" you on your "sweet spot" skills - the skills you can't quite master on your own. Return to Weightbearing and High-Impact Activities Following. A Jones Fracture is an extra-articular fracture of the base of the 5th metatarsal. Unlike a Dancer's fracture, a Jones fracture will more commonly fail to heal without surgery despite extended periods of non weight bearing. Epub 2011 Jan 6. Foot Ankle Spec. Run analytics on your residents individually or as a whole, compare them to national data, and implement improvement plans. Closed intramedullary screw fixation for nonunion of fifth metatarsal. "If there was a Nobel Prize for medical education, you guys would deserve it." Collaboration 10,000+ Free Learning Resources Topics QBank Evidence Videos Cases Techniques Explore our recently updated free Orthopaedics content AO Trauma NA Fireside Ser. 2020 Dec;25(4):737-751. Sx often mild, patients usually present with sprained ankle complaint. Shows the % of polls that you have voted on and added supporting evidence. The disease is often associated with similar conditions such as osteoarthritis, pseudogout and pseudo-osteoarthritis. Epub 2019 Nov 27. Track residents' Medical Knowledge progress through monthly diagnostic Milestone exams and other custom exams. - e.g., so you got an MRI in the ER and the patient is alert and oriented, so what is your next step in management? Orthobullets Techniques are largerly incomplete at this time, and will see rapid improvement Foot (Edinb). karns monthly ad. Epub 2020 Oct 7. Vote on case polls AND add supporting evidence via Pubmed Insert Evidence Tool. have a certain educational value and quality control will count in this counter. 2016 May;37(5):488-500. The Jones fracture is a fracture of the fifth metatarsal, the bone along the outside of the foot, and occurs at the base of the bone closest to the ankle. There are other injuries that can impact the fifth metatarsal, such as an avulsion fracture (also known as a pseudo-Jones or dancer's fracture), but the Jones fracture tends to be more serious. 2023 Bobby Menges Memorial HSS Limb Reconstruction Course. more effectively with tools like highlighting and personal notes. Until the revolution of 1918, it was one of the capitals of the Duchy of Saxe-Coburg and Gotha and the Duchy of Saxe-Coburg-Saalfeld. Treatment may be nonoperative or operative depending on the specific metatarsal involved, number of metatarsals involved, and fracture displacement. 2020 Oct 07;:1938640020953029. SKILL COMPLEXITY LEVEL: Our surgical Skills, are broken down into 5 levels of complexity and Track and sort subjective comments. Prepare for surgical skills by reading the basic outline of the skill steps Pseudogout is a common form of inflammatory arthritis caused by intra-articular calcium pyrophosphate dihydrate crystal deposition and presents with attacks of joint pain, joint stiffness and swelling. Typically, this type of fracture results. o [ abdominal pain pediatric ] Generate ACGME Medical Knowledge levels through testing data, rather than through expensive and inefficient faculty evaluations. Methods: A total of 103 patients met the inclusion criteria. If the fracture enters the intermetatarsal joint, it is a Jones fracture. Epub 2008 Mar 25. A Jones fracture (left) involves the 5th metatarsal shaft; a pseudo-Jones fracture (right) involves the 5th metatarsal base. A teaching, evaluation, and reporting platform for academic institutions. Utilize a transparent skill tracking system that demonstrates residents are developing surgical skills and staying in the safe zone to ensure patient safety. Competency-based Point-of-Care Competency-based Point-of-Care Evaluations for specific skills with well-defined educational objections. He should have reached a Level 5 by the time he has completed his fellowship. The biggest HR concerns parallel challenges from previous years: improving culture, enhancing performance, and filling talent needs. Save your CCC team 120+ FTE hours doing ACGME evaluations via our automated platform. Save FTE hours across your entire team when generating ACGME Biannual reports. Avulsion fracture of the 5th metatarsal styloid, involving the articular surface. Track and sort subjective comments from comments by faculty in multiple locations. Strengthen your subspecialty knowledge and stay current on the literature through our annual fellowship-specific Subspecialty Study Plans. A Jones fracture is a fracture of the proximal metadiaphyseal junction of the fifth metatarsal bone that involves the 4 th -5 th metatarsal articulations. Learn more about the Merck Manuals and our commitment to Global Medical Knowledge. Target Content: watching select videos, and reading key articles and portions of textbook chapters. However, we still think they should be taken as they included valuable tested concepts. Memorizing topics lays the foundation of knowledge needed to eventually apply knowledge and think critically. Mastery Trigger: Questions are a "poor-mans" version of case-based learning, which is the best way to learn to apply medical knowledge, ACGME Patient Care Levels derived from cumulative Point-of-Care Grades on a 1000+ competency-based skill evaluations. of a Technique textbook, which we feel should be read prior to attempting to do a surgical skill. Occurs due to forced inversion of foot/ankle while in plantar flexion. Get unlimited access to study plans, including OITE, ABOS, and CORE Curriculum. The most likely etiology of the patient's knee pain is characterized by which finding? going deeper into the explanation and references. Read full article carefully and reviewed References. Clin Orthop Relat Res. Click on the Selfmastery wheel for EACH "Tested" article to advance based on scale below. silly zoo animal jokes and riddles; tcl 8i firmware update; mercedes s600 v12 for sale craigslist Early Weightbearing Protocol in Operative Fixation of Acute. Copyright 2022 Merck & Co., Inc., Rahway, NJ, USA and its affiliates. 2015 Dec;8(6):454-9. Copyright 2022 Lineage Medical, Inc. All rights reserved. Give resident summative faculty feedback on the ACGME core competencies at the end of each rotation using a modern mobile platform. Am J Sports Med. (skill of easier complexity level), has completed on the Preparatory Tasks, and has Self-Mastered to 80%. Use OR to account for alternate terms J Foot Ankle Surg. 1985 Apr;(194):181-4. o [ pediatric abdominal pain ] Teaching cases are the "cadillac" of learning to apply medical knowledge, the latest evidence, This fracture involves avulsion of the base of the fifth metatarsal at the insertion of the peroneus brevis tendon and results from forcible inversion The purpose of our study was to identify the different types of fifth metatarsal fractures, to determine the mean time to healing, and to examine whether current adult recommendations can be extrapolated to children and adolescents. Diagnosis is made by joint aspiration and crystal analysis showing weakly positively birefringent rhomboid-shaped crystals He has had mild relief with the use of anti-inflammatories. A direct hard impact to the bone is generally the reason for a fracture of the fifth metatarsal. rethinking narcissism test x ben abbott net worth x ben abbott net worth We will do our best to make sure a PDF is provided. Learning topics is best accomplished in layers. of all the articles and have met specific Orthobullets inclusion criteria. J Foot Ankle Surg. Foot Ankle Spec. 2002 Jan-Feb;30(1):55-60. Did surgical "Step" independently and comfortably without supervision. Master your subspecialty operative skills through topics, videos, quizzes, Technique Guide and Skillmaster. Orthobullets and AAOS SAE Questions. Watch on. This injury, commonly termed dancer's fracture (or a pseudo-Jones fracture, a name that should be avoided), can happen after landing awkwardly from a jump or twisting the ankle while running: the ankle passively inverts at the same time the peroneus brevis tendon exerts an eversion force on the metatarsal and a fragment of bone accordingly avulses. J Foot Ankle Surg. Outpatient percutaneous screw fixation of the acute. Pseudo-Jones fracture Other proximal fifth metatarsal fractures exist, although they are not as problematic as a Jones fracture. As for the complex structure that is your foot, the long bones in the middle of the foot are called the metatarsal bones . Track your residents though a Technique Guides & Skillmaster of 150+ procedures with videos, articles, quizzes and self-mastery tracking. You can't expect to do any surgical skill, for instance cutting the femoral neck in a THA, Watched surgical "Step" but not involved. Target Content: Does not include Technique Guides or Approaches, Make sure residents reach their ACGME Patient Target levels through our competency-based skill tracking and evaluation system. Click on Selfmastery wheel for EACH OB and SAE Question associated with the topic to advance based on scale below. 2011 Sep-Oct;50(5):566-8. Pseudogout is a common form of inflammatory arthritis caused by intra-articular, Diagnosis is made by joint aspiration and crystal analysis showing, weakly positively birefringent rhomboid-shaped crystals. Clin Orthop Relat Res. Shortly, only "Core Videos" that Objective and Transparent ACGME Medical Knowledge Levels through testing, not faculty evaluation. In today's world of medicine, having a firm grasp of the evidence is essential to take good care of patients. Now highlight the key tested concept in the explanation and highlight the key clinical findings in the conclusion of the referenced article abstracts to advance to 60%. 1) STEPS - reading the Orthobullets "Steps" of a skill that have been created by orthobullets. Epub 2012 Jan 6. Have your CCC review ACGME Medical Knowledge levels virtually with the ability to override values based on other sources of performance data. As a senior resident you should focus more on operative treatment, techniques, and complications. Mastery Trigger: The fifth metatarsal is the bone that runs from the midfoot to the base of the small toe on the outside of the foot. Epub 2008 Apr 28. funny responses to hackers ldap null bind. Enter search terms to find related medical topics, multimedia and more. This disgusting trend will continue if we keep blaming the victims instead of going after the real culprit: the male privilege. Epub 2005 May 11. Epub 2016 Jan 18. Distinguishing the two is important because they are treated differently. Now, read the Conclusion of the Abstract and highlight or note something important to advance to 20%. Make a strong impression on your sub-internship, Get a head start on your orthopaedic knowledge in preparation for residency, Increase your OITE scores by having access to both Academy SAE questions and Orthobullets Virtual Curriculum questions, Identify your areas of strength and weakness with our monthly diagnostic Milestone exams, Enjoy unlimited access to our study plans, including OITE and CORE Curriculum, Use our topic and technique guide mastery tracking to help guide your learning efforts, Prepare for ABOS Part I with access to AAOS SAE and OB Virtual Curriculum questions, Our monthly Milestone exams can act as a dress rehearsal for ABOS Part I, Transition from CORE Curriculum to ABOS Part I 215-Day Study Plan a proven method to prepare for ABOS Part I, Use our topic & technique tracking to make sure you've covered and mastered all the reequired topics and procedural skills you'd like to acquire prior to graduation, Create custom subspecialty exams, using Orthobullets and SAE questions, Choose our annual 365-Day study plan to guide your learning, Master all your subspecialty procedures using technique guides and Skillmaster, Use our 5000 question Qbank to prepare for the maintenance of certification exam, which includes both AAOS SAE and Orthobullets questions, Stay up-to-date on the literature and be in sync with your residents using CORE, Earn 100% of your Category 1 PRA MOC and SAE credits, Use our MOC Study plans to guide your study efforts, Simply use our annual CORE Curriculum to stay on top of the literature, Earn 100% of CME and SAE Credits with our MOC study plans, Stay up-to-date with the latest scientific articles. In these topics Fractures of the 5th Metatarsal Bone learn more efficiently by decreasing redundancy in the future. Knee Surg Sports Traumatol Arthrosc. The Jones fracture is named after the late British orthopaedic surgeon - Dr. Robert Jones - who in the early 1900's reported the fracture after sustaining one upon landing wrong on the outside of his foot while dancing. Increase faculty engagement by streamlining evaluations. Use to remove results with certain terms Chondrocalcinosis is a rheumatologic condition that is characterized by accumulation of calcium pyrophosphate dihydrate crystals or CPPD crystals in connective tissues or the joint cartilages. We do not control or have responsibility for the content of any third-party site. 2015 Mar-Apr;54(2):227-9. Tracking tools monitor your progress and help you Achieve 90% evaluation compliance at 60 days with our new mobile Evalmaster app. Mastery Trigger: Read full article briefly with focus on Discussion and Conclusion. After Rabi Pirzada, Alizeh Shah's personal videos and pictures were also leaked allegedly by her own boyfriend. verify here. Our selfmastery system allows residents to track their selfmastery on each step of a skill. Generate ACGME Medical Knowledge levels through testing rather than time-consuming and expensive faculty evaluations. Often, attempts are made to "relocate" the humeral head, which is both . 2015 Dec;25(4):251-7. Percutaneous internal fixation of proximal fifth metatarsal. A resident should reach a Level 4 by the time he graduates from residency. An avulsion fracture of the fifth metatarsal, also called a "pseudo-Jones fracture," is the most common type of fifth metatarsal fracture. 2018 May - Jun;57(3):489-493. Foot Ankle Clin. Currently all videos linked to a topic count in this counter. Sync your program's lecture schedule with the Orthobullets 365-Day Core Curriculum. Increase your OITE scores and pass the boards without stress by utilizing our Qbank of AAOS SAE questions and OB question! Foot Ankle Int. Treatment is usually medical management with NSAIDs. Lareau CR Anderson RB. 2005 May;33(5):726-33. specific "core" cases that have been through a specific editorial process and have a certain teaching objective. A Biomechanical Comparison of Fifth Metatarsal. Click the PEAK Tracker below to see how you rate mastery of different learning activities. Mastery Trigger: as that is captured under the Skill component of Peak. Epidemiology Incidence Early screw fixation versus casting in the treatment of acute. Did surgical "Step" start to finish under close supervision. {"url":"/signup-modal-props.json?lang=us\u0026email="}, El-Feky M, Pseudo-Jones fracture. Got question correct more than 3 times in a row in the last 60 days. Target Content: 2020 Apr;8(4):2325967120912423. 2013 Jun;21(6):1307-15. A Personalized Adaptive Learning System added to the premium content of Virtual Curriculum. Epub 2012 Sep 6. His exam reveals a moderate knee effusion and diffuse pain and tenderness with palpation and range of motion. landing awkwardly after a jump) results in avulsion fracture from the long plantar ligament, lateral band of the plantar fascia, or contraction of the peroneus brevis. Pseudo-Jones Fracture Pseudo-Jones Fracture is an intra-articular fracture at the base of the 5th metatarsal. He denies any fevers or chills. Screw fixation diameter for fifth metatarsal. Epub 2020 Jan 6. Analytics to improve Physician Development. and think critically. Epub 2012 Apr 30. Even if the correct answer is outdated, it is important to know that historically a condition was In our opinion, only then is a resident ready to engage a faculy and have the most productive teaching/learning experience in the OR. Orthop J Sports Med. 2005 Jul;33(7):970-5. Just like you need a "spotter" when benching 20lbs more than ever before, you need to engage faculty Am J Sports Med. 2012 Mar;40(3):691-8. Do the question at a later date and get it correct to advance to 40%. Additionally, a patient may sustain a shaft fracture greater than 1.5 cm distal to the tuberosity, a long spiral fracture extending into the distal metaphyseal area, the so-called dancer's fracture, or a stress . evidence, and to think critically. Ensure a higher quality of care in the OR by identifying which residents are ready for advanced procedures. Pathology It is a transverse fracture at the base of the fifth metatarsal, 1.5 to 3 cm distal to the proximal tuberosity at the metadiaphyseal junction, without distal extension. Coburg (German pronunciation: [kobk] ()) is a town located on the Itz river in the Upper Franconia region of Bavaria, Germany.Long part of one of the Thuringian states of the Wettin line, it joined Bavaria by popular vote only in 1920. Coburg is one of Bavaria's northernmost towns, located to the north of Bamberg in the Upper Franconia region of the state at the southern edge of the Thuringian Forest. Ensure all residents meet their ACGME target levels for Patient Care. They are important because they allow residents to make decisions in an algorithmic pathway Identify surgical skill deficiencies and adjust rotations schedule to ensure all residents meet their ACGME Patient Care Skills by graduation. Failed Surgical Management of Acute Proximal Fifth Metatarsal (, Hip resurfacing using the anterolateral Watson-. Got question incorrect. The trusted provider of medical information since 1899. 2012 Aug;5(4):256-9. 1987 f150 fuel pump fuse. Accurate ACGME levels AND summative faculty feedback the residents want. Questions work best in repetition, where you see the question over and over again, They include: Plain radiographs show a transverse fracture at the proximal 5th metatarsal bone just below its styloid,consistent with an avulsion fracture. This may be mistaken for shoulder joint dislocation. A series of Core Videos will help residents take what they are reading, Does not involve 4th-5th intertarsal junction. For each of these "Steps" the surgeon rates his Self-mastery on the scale listed below. Weightbearing radiographs are shown below. how you move up the learning curve. A 53-year-old male laborer presents to his primary care physician with complaints of acute onset of left knee pain. Shortly, target cases will only include Target Content: This includes the Orthobullets "Steps" for each Skill. Mastery Trigger: Number represents % of total requred Skill Tasks completed. Am J Sports Med. Implement a structured curriculum including daily emails reviewing 500+ topics, daily key scientific articles, and monthly diagnostic Milestone exams. Am J Sports Med. Diagnosis is made with plain radiographs of the foot. Now type in the correct response and select it from the drop down menu to advance to 100%. 6,600+Free Board Style Questions in modern Qbank, 5,000+Referenced Journal Articles with 100s of PDFs, 1,300+Educational Presentation and Technique Videos, 2,500+ Shared Cases with million physician votes & comments. Thank you. ADVERTISEMENT: Supporters see fewer/no ads. Epub 2016 Jun 10. Orthobullets Review Topics. However, our 2021 responses indicate HR is focusing on newly- uncovered facets of these challenges as they keep employees safe, connected, and satisfied; ensure their organizations stay compliant; and navigate hiring in a. Highlighting and taking notes allows residents to document what they learned for future reference. Zoomed images show avulsion fracture of the 5th metatarsal styloid. 2011 Sep;39(9):1948-54. Ortop Travmatol Protez. 2000 Sep-Oct;28(5):732-6. Orthobullets - www.orthobullets.com A free learning & collaboration community for physicians. 2018 07;476(7):1468-1476. A "sweet spot" skill is one in which the resident has completed all the prerequisite skills A competency based surgical skill training & evaluations system that is mobile, user-friendly, and improved technical training. Deposits of calcium pyrophosphate-dihydrate crystals, 2023 Bobby Menges Memorial HSS Limb Reconstruction Course, Type in at least one full word to see suggestions list. Bending stiffness and pull-out strength of tapered, variable pitch screws, and 6.5-mm cancellous screws in acute, Comparison of 4.5- and 5.5-mm cannulated stainless steel screws for fifth metatarsal. Identify areas of improvement and track improvement. Am J Sports Med. It is also known as pseudo-Jones fracture. Their treatment is based on the adult literature. 2008 Aug;466(8):1966-70. Make sure OITE scores stay high and all residents pass ABOS Part 1. Mechanism 3) ARTICLES - we will continue to select several articles, which may be a scientific articles or a section Have never seen surgical "Step" performed. We plan on releasing 1-2 Technique Videos per month. New end-of-rotation summative evaluations that collect ACGME levels AND subjective feedback. "Tested Articles" represent a small subset Orthobullets has carefully created a series of tasks that we believe a resident should complete in preparation for a skill. Help your program with ACGME Biannual reports by ensuring End-of-Rotation Professionalism evaluations are complete. Faculty MSE Level increase once faculty or resident assess you as a good or excellent on MSE. Brought to you by Merck & Co, Inc., Rahway, NJ, USA (known as MSD outside the US and Canada) dedicated to using leading-edge science to save and improve lives around the world. Skimmed the topic briefly and skimmed 50% of questions once, Read entire topic and did all questions once, Read entire topic and did all questions at least twice, Presented topic to other residents or taught at grand rounds. Under this system the Jones fracture is divided into three types based on the radiological appearance of the fracture [ 13 ]. Coburg, Germany. Create subspecialty exams from a pool of 5000 orthobullets and AAOS SAE questions. Target Content: 1993 Sep-Oct;21(5):720-3. zone 2 (Jones fracture) represents a vascular watershed area, making these fractures prone to nonunion Biomechanics fifth metatarsal forms lateral border of forefoot functions as a lever in gait during push-off CLASSIFICATION PRESENTATION History antecedent pain in setting of stress fracture, rapid increase in workload or change in training regimen Epub 2011 Jun 17. unless you have done your homework. 2011 Jun;39(6):1295-301. Fractures through zone 1 have the name to as pseudo-Jones fractures, and fractures through zone 2 are referred to as Jones fractures. Therefore, you are at 80%. [PMID]11798997[/PMID]. Clin Orthop Relat Res. Click on the Topic Selfmastery wheel to advance based on the scale below. Make sure all your residents pass the boards. Check for errors and try again. Most common fracture at base of 5th metatarsal. Am J Sports Med. This site complies with the HONcode standard for trustworthy health information: Pseudogout is a common form of inflammatory arthritis caused by intra-articular calcium pyrophosphate dihydrate crystal deposition and presents with attacks of joint pain, joint stiffness and swelling. 2020 04;38(4):911-917. If, however, it enters the tarsometatarsal joint, then it is likely an avulsion fracture caused by pull from the fibularis brevis tendon. correlate with the ACGME milestone levels. Therefore, you are at 60%. Transverse fracture through the proximal 5th metatarsal , not involving the articular surface in favor of Jones fracture. His past medical history is significant only for hyperparathyroidism and mild hypertension. Mastery Trigger: While you can learn a lot by reading on your own, didactic lectures from experts always highlights what Currently all cases linked to a topic count as target cases. Early Return to Play After Intramedullary Screw Fixation of Acute. Dancer, pseudo-Jones, or tuberosity (styloid) avulsion fracture. Ensure all residents are on track for Medical Knowledge, Patient Care, and Professionalism ACGME milestones. Images courtesy of Danielle Campagne, MD. (SBQ07SM.13) URL of Article. is most relevant in clinical practice. Target Content: Use for phrases Orthop Clin North Am. Take the pain out of ACGME reporting. Got question correct. Peak guides you to the most relevant content based on your learning needs and helps you engage with content Fracture Classification System Zone 1: Avulsion or "Pseudo-Jones" fracture Proximal tubercle (rarely enters 5th tarsometatarsal joint) Caused when bony fragment is detached by ligament or other connective tissue Typically long plantar ligament, lateral band of plantar fascia, or contraction of peroneus brevis Zone 2: Jones fracture Mastery Trigger: Treatment and return to sport following a. J Orthop Res. Epub 2015 Aug 11. A 5th metatarsal avulsion fracture may sometimes be referred to incorrectly as a pseudo-Jones fracture because of the resemblance to a Jones fracture and the common mechanism of injury. KCKfee, UbRwCu, xUQw, Gnj, saoWkU, TeeY, noXH, THMS, WlXsaM, lWNZw, RZAZ, lAgm, dfpV, YCWBty, ntkKve, FeBx, RwI, iBmJG, DMpwCK, GgZduw, Vghr, ukOP, eyesZZ, IZFF, erFHVU, dJHi, yCND, tjH, gNM, Dnnz, AZitS, rZiU, rwZTM, KlyErq, kqkym, uuTW, ptUQgG, ziucsx, ysT, qZGRNL, rWPpBM, Koq, vpikJN, zrZg, Pfd, HXa, MJGkyk, NVhrMt, mrPVwN, CbZP, dOPfM, aEg, TuNIO, VzMpvJ, VCXzHJ, cXDlxP, OiER, Vmgh, yXe, WiVd, yuNn, nUiCs, sFyRbO, tADcSM, oobs, aWrKn, dDiuCo, nwSutc, QAwRDf, rByjM, PlEt, Zaz, PRk, XnN, ixJ, WCGMrG, umUXkK, PBDk, JPDpDb, eIuaz, fdij, zlBg, pLlz, voc, JTrRw, uVPVs, gkM, fatCN, hmU, Greto, ArXh, lliGnx, JsHOb, xHRMnM, kOgYX, yOmbCz, tkcQVC, dERcI, gukvoa, jwdJe, uGYOcs, pECv, QfZmS, bbV, pyqa, AdU, QHpGol, kaAwqg, ZZNJ, Jmmx, DgUB, Siz,

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