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Case Review Diagnosis The diagnosis for this case is a left sided subarticular L5 disc extrusion. This means that a portion of the L5 disc's jelly like center has extruded (or pushed out) Degenerative cervical myelopathy: Cervical spondylotic myelopathy Severe DIP Joint Osteoarthritis When pain limits function, fusion can restore comfort and stability This patient presented with severe osteoarthritis of the 2nd and 3rd distal interphalangeal (DIP) joints the joints Efficacy of different routes of vitamin B12 supplementation for the treatment of patients with vitamin B12 deficiency: A systematic review and network meta analysis Irish Journal of Medical Science (1971 )

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