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SEC TION  IV


                  Image Acknowledgments







                  In this edition, in collaboration with MedIQ Learning, LLC, and a variety of other partners, we are pleased to include the following clinical images and
                  diagrams for the benefit of integrative student learning.
                  Portions of this book identified with the symbol   are copyright © USMLE-Rx.com (MedIQ Learning, LLC).
                  Portions of this book identified with the symbol   are copyright © Dr. Richard Usatine and are provided under license through MedIQ Learning, LLC.
                  Portions of this book identified with the symbol   are listed below by page number.
                  This symbol    refers to material that is available in the public domain.
                  This symbol    refers to the Creative Commons Attribution license, full text at http://creativecommons.org/licenses/by/4.0/legalcode.
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                  Biochemistry                                               Chau DYS, et al. Severe conjunctivochalasis in association with classic
                  34   Chromatin structure. Electron micrograph showing heterochromatin,   type Ehlers-Danlos syndrome. BMC Ophthalmol. 2012;2:47. DOI:
                       euchromatin, and nucleolus. This image is a derivative work,   10.1186/1471-2415-12-47.
                       adapted from the following source, available under   : Roller RA,   52   Elastin: Image A. Pes escavatum. This image is a derivative work,
                       Rickett JD, Stickle WB. The hypobranchial gland of the estuarine   adapted from the following source, available under   : De Maio F,
                       snail Stramonita haemastoma canaliculata (Gray) (Prosobranchia:   Fichera A, De Luna V, et al. Orthopaedic aspects of Marfan syndrome:
                       Muricidae): a light and electron microscopical study. Am Malac   the experience of a referral center for diagnosis of rare diseases. Adv
                       Bull. 1995;11(2):177-190. Available at https://archive.org/details/  Orthop. 2016; 2016: 8275391. DOI 10.1155/2016/8275391.
                       americanm101119931994amer.
                                                                        55   Karyotyping. Paar C, Herber G, Voskova, et al. This image is a
                  49   Cilia structure: Image A. Nine doublet + 2 singlet arrangement of
                       microtubule.    Courtesy of Louisa Howard and Michael Binder.   derivative work, adapted from the following source, available under
                                                                                : A case of acute myeloid leukemia (AML) with an unreported
                       The image may have been modified by cropping, labeling, and/or   combination of chromosomal abnormalities: gain of isochromosome
                       captions. All rights to this adaptation by MedIQ Learning, LLC are
                       reserved.                                             5p, tetrasomy 8 and unbalanced translocation der(19)t(17;19)
                                                                             (q23;p13). Mol Cytogenet. 2013;6:40. DOI: 10.1186/1755-8166-6-40.
                  49   Cilia structure: Image B. Cilia structure of basal body. This image   55
                       is a derivative work, adapted from the following source, available   Fluorescence in situ hybridization. This image is a derivative work,
                       under   : Riparbelli MG, Cabrera OA, Callaini G, et al. Unique   adapted from the following source, available under   : Paar C,
                       properties of Drosophila spermatocyte primary cilia. Biol Open. 2013   Herber G, Voskova, et al. A case of acute myeloid leukemia (AML)
                       Nov 15; 2(11): 1137–1147. DOI: 10.1242/bio.20135355.  with an unreported combination of chromosomal abnormalities: gain
                                                                             of isochromosome 5p, tetrasomy 8 and unbalanced translocation
                  49   Cilia structure: Image C. Dextrocardia. This image is a derivative work,   der(19)t(17;19)(q23;p13). Mol Cytogenet. 2013;6:40. DOI:
                       adapted from the following source, available under   : Oluwadare   10.1186/1755-8166-6-40.
                       O, Ayoka AO, Akomolafe RO, et al. The role of electrocardiogram in
                       the diagnosis of dextrocardia with mirror image atrial arrangement and   57   Genetic terms. Café-au-lait spots. This image is a derivative work,
                       ventricular position in a young adult Nigerian in Ile-Ife: a case report.   adapted from the following source, available under   : Dumitrescu
                       J Med Case Rep. 2015;9:222. DOI: 10.1186/s13256-015-0695-4.  CE and Collins MT. Orphanet J Rare Dis. 2008;3:12. DOI:
                                                                             10.1186/1750-1172-3-12.
                  51   Osteogenesis imperfecta: Image A. Skeletal deformities in upper
                       extremity of child. This image is a derivative work, adapted from the   61   Muscular dystrophies: Image A. Fibrofatty replacement of muscle.
                       following source, available under   : Vanakker OM, Hemelsoet    Courtesy of the Department of Health and Human Services
                       D, De Paepe. Hereditary connective tissue diseases in young adult   and Dr. Edwin P. Ewing, Jr. The image may have been modified by
                       stroke: a comprehensive synthesis. Stroke Res Treat. 2011;712903.   cropping, labeling, and/or captions. All rights to this adaptation by
                       DOI: 10.4061/2011/712903. The image may have been modified by   MedIQ Learning, LLC are reserved.
                       cropping, labeling, and/or captions. All rights to this adaptation by   64
                       MedIQ Learning, LLC are reserved.                     Williams syndrome. This image is a derivative work, adapted from the
                                                                             following source, available under   : Mazumdar J, Sarkar R, Badveli
                  51   Osteogenesis imperfecta: Image B. Blue sclera. This image is   A, et al. Double chamber right ventricle in Williams syndrome: a rare
                       a derivative work, adapted from the following source, available   cardiac anomaly reported. Springerplus. 2016; 5: 275. DOI: 10.1186/
                       under   : Wheatley K, Heng EL, Sheppard M, et al. A case of   s40064-016-1897-y.
                       spontaneous intestinal perforation in osteogenesis imperfects. J Clin
                       Med Res. 2010;2(4):198–200. DOI: 10.4021/jocmr369w.  66   Vitamin A. Bitot sponts on conjunctiva. This image is a derivative
                                                                             work, adapted from the following source, available under   :
                  51   Ehlers-Danlos syndrome: Images A and B. Hyperextensibility of   Baiyeroju A, Bowman R, Gilbert C, et al. Managing eye health in
                       skin and DIP joint. This image is a derivative work, adapted from the   young children. Comm Eye Health. 2010;23(72):4-11. Available at
                       following source, available under   : Whitaker JK, Alexander, P,   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2873666.








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