Problem-Based
                 Learning Initiative

Electronic Problem-Based Learning Modules (ePBLMs) are actual patient cases in CD format that permits free inquiry. The learner can ask any question of the patient in any sequence and get the patient's response and perform any item of the physical examination in any sequence and learn the result as in the real clinical situation. Any laboratory and diagnostic test can be ordered in any sequence as well. Whatever can be done with the actual patient on history and physical and the ordering of laboratory tests can be done with the ePBLM. A separate "User's Guide" provided with each ePBLM can be used with any of the ePBLMs in the series and provides the key for free inquiry.

ePBLM System Requirements: The ePBLM will work on any OS that is running a web browser with java script enabled. It will run from the CD, a directory on your computer hard drive, or a directory on a file server. Please see readme file for more information.

A single user case is available to download and try before you buy. Download the ISO file here and save it to your computer, burn the file to a CD, and then the case will be ready to run from the CD, or you can download the zip file here.

ePBLMs are copyrighted and cannot be reproduced.

All ePBLM cases are priced as follows: (shipping and handling included in U.S.)

Users Price
1 User with media $150.00
5 Users with 1 media $675.00
10 Users with 1 media $1,200.00
Unlimited Users with 1 media $1,500.00
Additional Media $10.00/ea

The Tutorial Process DVD set demonstrates proper use of a PBLM in a tutor group.

Cardiovascular

Jack Frederick:  A moderately obese 54-year-old man is referred to you by his primary care physician for further evaluation and treatment of his hypertension.

Ellis Hale:  A 63-year-old Caucasian male, in no acute distress, presents complaining of a recent episode of chest pain.

Shandra Harris:  A 12-year-old child who has been referred to the clinic for a suspected heart murmur detected in a school physical.

William Hodgson:  A 52-year-old man presents to emergency department with complaints of mental confusion and inability to express thoughts and ideas verbally for one day.

Tyrell Johnson:  A 65-year-old man was brought in to the emergency department by ambulance personnel and accompanied by his sister, Gloria Johnson. Ms. Johnson states that she found the patient slouched in a chair in the kitchen, confused and disoriented. Ms. Johnson is the historian.

Beth Newberry:  A 13-year-old young woman presents to the clinic on a referral from Sports Medicine for abnormal heart sounds. She is accompanied by her mother.

Mary Padgett:  A 65-year-old woman presents to office complaining of fever, chills, nausea, vomiting and shortness of breath.

James Rhodes:  A 74-year-old man presents to the emergency department via rescue squad in transfer from a referring hospital, where he went this morning complaining of weakness, chest pain and shortness of breath. He is receiving oxygen via nasal cannula and intravenous fluids with Dopamine.

Central and Peripheral Nervous System

Carolyn Ramey:  A 39-year-old woman presents to the clinic with complaints of a jabbing sensation in her posterior scalp and sharp headaches. She has been referred by her primary care physician. Mrs. Ramey underwent a lumbar laminectomy 6 weeks prior to this visit for a herniated disk. She experienced balance difficulties and hyperreflexic bladder post-operatively.

Central Nervous System

Kevin Tucker:  A 35-year-old man presents to the Emergency Department with headache, mental status changes and history of syncopal episode.

Endocrine

Linda Boyd:  A 27-year-old woman presents to the morning clinic complaining of a sensation of a lump in her throat.

John Habib:   Mother of an 11-year-old diabetic brings son to pediatrician's office following previous day's spell of weakness and dizziness.

Bessie Hall:   A 70-year-old woman who receives regular care for hypertension. During a routine examination she was found to have a fasting blood sugar of 342.

Ginger Hayes:  A 25-year-old woman hospitalized following recent surgery. You are called to patient's room because she complains of numbness and tingling in her hands and difficulty moving her arms.

Merry Dee Miller:  A 5-year-old child is brought to the emergency department by her parents. She is very lethargic and somewhat unresponsive.

Endocrine / Musculoskeletal

John Cale:   A very large 60-year-old man arrives by ambulance to your ED. He reportedly had a seizure and is spitting up blood. He is on a cart with cervical and back immobilization with his right arm hyperabducted. He appears quite uncomfortable.

Endocrine / Neurologic

Richard Barrister:   A 47-year-old man presents to the clinic with a complaint of peculiar sensations in his hands and feet.

Endocrine / Obstetrics

Deborah Murphy:   A 20-year-old woman presenting at 34-weeks gestation for prenatal care. She has just moved from another city and brings her previous medical records with her.

Endocrine / Reproductive

William Armstrong:   A very alert, somewhat dehydrated, 75-year-old man, appearing quite pale. He presents with complaint of an urge to urinate and suprapubicpressure with continuous slow dribbling of urine.

Anne Campbell:   A 53-year-old woman states, "I have changed insurance and I need to become established with my new doctor. I'm concerned because as I get older my back is beginning to curve."

Edna Mae Hamilton:   A 36-year-old woman presents with a lump in her breast.

Sarah Marshall:   A 50-year-old Caucasian woman in today for her yearly physical. States she has been feeling very well. Only complaint is discomfort in left breast which has been a long-standing problem.

Susan Owens:   A 50-year-old woman presents to the office with complaint of prolonged vaginal bleeding, indigestion and states "I think I feel a lump in my belly."

Ricardo Quirova:   A 56-year-old man is brought in by ambulance. He was found at home by his daughter, semiconscious and minimally responsive. He does not respond verbally. His Medic Alert bracelet indicates that he is diabetic.

Allen Sollman:   A 49-year-old gentleman presents to this clinic for an evaluation of hair loss.

Laura Straw:   A 36-year-old woman who is 14-weeks pregnant, presents for her routine visit complaining of headaches and "just not feeling very well."

Gus Triever:   A 25-year-old Caucasian male presents with increasing obesity and dyspnea on exertion.

Gastrointestinal

Elizabeth Adler:  A 20-day-old woman presents to the clinic accompanied by her mother with a complaint of constipation.

Helen Bartlett:  A 54-year-old woman presents complaining of upper abdominal pain.

Martin Burton:  A 65-year-old married man who presents to your outpatient clinic today for an annual health maintenance exam. His only complaint is that he has been "more tired than usual" lately.

Oscar Clinton:  A 69-year-old man presents complaining of persistent nausea and abdominal pain.

Kelly Dawson: A 28-year-old female comes to your Family Practice clinic with complaints of diarrhea and stomach cramps for one week.

Whitney Grey:  A 21-year-old woman presents to the ED with complaint of severe upper abdominal pain.

Michelle Kempf:  A 33-year-old woman presents to your clinic complaining of severe abdominal and back pain.

Elio Martinez:  A 51-year-old man presents to the clinic with a complaint of rectal bleeding.

Clare Mitchell:  A 24-year-old woman presents with an eight day history of nausea, vomiting, abdominal pain and fever.

Nicole Patterson:  A 10-month-old infant is brought to the Emergency Department by her mother with complaint of fever, vomiting, diarrhea and lethargy.

Kate Smith:  A 50-year-old woman presents to the clinic with a complaint of chronic diarrhea and left lower quadrant pain.

Frank Trin:  A 31-year-old Asian male presents to your office with diarrhea.

Casey Whitman:  A 22-year-old woman is a new patient who presents with abdominal pain.

Gastrointestinal / Psychiatry

Marcia Cass:  A 23-year-old woman presents in an outpatient clinic with complaints of weakness and lethargy.

Genitourinary

Sally Dunn:  A 65-year-old woman is brought to the Emergency Department by her husband. She is complaining of shortness of breath.

James Rolle :  A 47-year-old man sitting in bed, in no obvious distress. Complains of shortness of breath, swollen legs, pain and tenderness in left ankle.

Geriatrics / Depression

Marie Johnson:  An 85-year-old woman is brought to the emergency department by her daughter. Her daughter found her semiconscious, lying on the kitchen floor where she had been incontinent and appeared to have been lying for some time.

Hematologic

Terry Brooks:  The mother of a three-year-old child complains that he has pain in all four limbs (especially his right leg), a swollen right eye, loss of appetite, and increased irritability.

Sylvia Gallagher:  A 43-year-old woman presents to physician's office complaining of fatigue and dizziness.

Sean McNeal:  A one-day-old 37-week infant presents with transient tachypnea of the newborn during the first twelve hours of life. Heel sticks were obtained to check blood gases and CBC's. The child responded to oxygen therapy for the tachypnea, but prolonged oozing for 12 hours following the heel sticks was noted. The mother, age 26, gravida 1, para 0, had an uneventful pregnancy.

Frank Natali:  A 43-year-old man presents to the clinic to establish care and for evaluation of existing polycythemia.

Hematologic / Cardiologic

Roger Hargrave:  A 63-year-old man presents to a general internal medical clinic complaining of fatigue and shortness of breath.

Hematologic / Immunologic

Rene Cook:  A six-year-old child comes to your office for a follow-up visit complaining of fatigue, intermittent fevers and back pain. The patient is accompanied by her mother.

Beatrice Robbins:  A 41-year-old woman presents to the emergency department complaining of aching joints, intermittent fever and shortness of breath.

Immunologic

Ruth Bell:  A 68-year-old woman is brought to the emergency department by a friend. She is complaining of fever, chills, headache, cough, dizziness, weakness and shortness of breath.

John Hyatt:  A 76-year-old man presents to the emergency department complaining of shortness of breath. He is accompanied by his son. Patient appears quite ill, but is able to cooperate thoroughly with history and physical although he must stop often to catch his breath. He was receiving 2 L O2 via nasal cannula and portable O2 tank upon arrival in emergency department.

Rosemary Kelly:  A 32-year-old woman presents complaining of joint pain, fever and fatigue.

William Retter:  A small 13-year-old young man who does not appear to be in any acute distress. The patient has been hospitalized for re-evaluation because of failure to make a satisfactory recovery after his discharge from the hospital four weeks earlier following treatment for bacterial pneumonia.

John Richards:  A 34-year-old man who is being seen in the office for a complaint of difficulty swallowing.

Immunologic / Musculoskeletal

Melissa Watson:   A 37-year-old woman presents complaining of increased fatigue. The patient was evaluated by her PMD and was noted to have severe anemia with a hemoglobin around 4 and hematocrit of 15.

Immunologic / Respiratory

Jessica Neal:  A 21-year-old woman has been transferred here from the emergency department of a hospital in a small town 25 miles from here. She appears acutely ill with IV dopamine running to maintain her blood pressure. She is accompanied by her college roommate, who gives most of the history.

Intergumentary / Respiratory

Monica Johnson:  An 18 month-old child brought to the Emergency Department with burns to arms, back, buttocks, thighs, posterior aspect of scalp and ears.

Lymphatic

Diana Barry:  A 22-year-old pregnant woman presents in the Urgent Care Center on a Saturday afternoon complaining of continual coughing.

Multi-system

Ben Drake:  Ms. Drake brings her nine-month-old son to the Pediatrics Clinic. He has been referred by his pediatrician from a small town for investigation of chronic cough.

John James:  A six-month-old infant is brought to the emergency department with a 12-hour history of fever and poor oral intake.

Ken Selser:  A flushed, fatigued-looking 19-year-old college student who has come to see you because of a sore throat.

Musculoskeletal

Wilma Birch:  A 64-year-old woman presents complaining of a feeling of fullness in her head, dizziness, fatigue and weakness.

Henry Dewitt:  A 14-year-old young man presents with back pain which he first experienced during a football game while blocking an opponent.

Larry Yearse:  A 48-year-old man, s/p MVA with paraplegia presents with decubitus ulcers.

Musculoskeletal / Endocrine

Frank Bowman:  An 87-year-old man who presents complaining of "weakness."

Musculoskeletal / Neurologic

Patrick Rice:  A 26-year-old man is four-days post-trauma from a 30-foot fall off a cliff while rock climbing. He has suffered a comminuted fracture of his right distal tibia and a small laceration on his scalp. He has dismissed his orthopedic physician and requests your service.

Musculoskeletal / Reproductive

Ilene Falstaff:  A 54-year-old woman presents with lower back stiffness and soreness.

Cheryl Riordan:  A 45-year-old woman presents to the Emergency Department with a complaint of left hip pain.

Neurologic

Bernard Camden:  A 44-year-old man presents complaining of pain and decreased strength in his right hand and wrist.

Anna Childs:  A 68-year-old Caucasian female presents with increasing difficulty climbing stairs.

Edward Clayton:  A 74-year-old man presents with tremor in his left hand.

Norma Jean Coleman:  A 22-year-old woman awoke this morning unable to move her legs. She was brought in by ambulance.

Donna Foster:  A 35-year-old married woman presents with a hot spot on her tongue for a few months which won't go away. The spot "moves around."

Roger Greenlee:  A 64-year-old man presents to your clinic. His history is given by his wife and daughter who accompany him.

Ada Gurenski:  A 23-year-old woman is transferred from outlying hospital with a right hemiparesis and difficulty talking.

Damien Hoover:  A single, 36-year-old Caucasian male presents to the dermatologist for a follow-up appointment.

Betsy Howard:  A 63-year-old Caucasian female comes in for evaluation of previously diagnosed Parkinson's Disease.

Avery Newton:  A 69-year-old man presents 10-days-post window surgery for chronic sinusitis. He complains of lightheadedness, nausea, vomiting and diarrhea.

Charles Selvaggio:  A 72-year-old man presents with memory loss.

Jane Smith:  A 66-year-old woman presents with unsteadiness in walking.

Mary Lou VonBehren:  An anxious-appearing 16-year-old young woman presents complaining of nausea, vomiting and inability to swallow.

Shirley White:  A 40-year-old woman comes to Neurology Clinic for "migraine" headaches.

Neurologic / Endocrine

Fred Moore:  A 79-year-old man presents to neurology clinic after referral from his family practice physician. The patient had been generally healthy until the past six to eight months.

Neurologic / Gastrointestinal / Genitourinary

David Sprague:  A 42-year-old man has come to see you for chronic headache because it is interfering with his work. He is concerned that he is taking too much medication.

Neurologic / Musculoskeletal

Janet Harder:  A 21-year-old woman presents to the doctor's office complaining of numbness and weakness on her right side.

Perry Silverman:  A 3-year-old child presents to the hospital clinic at 9 AM with his mother and maternal grandmother. Perry is sitting quietly on the floor preoccupied with a storybook he brought from home. Mother and grandmother appear quite anxious.

Neuromuscular

Sabrina Ewing:  A 10-month-old infant presents to the clinic accompanied by her grandmother for developmental delay.

Neurovascular

Edward Riefler:  A 58-year-old man presents to an outlying hospital today after acute onset of aphasia and right arm weakness while at work.

Psychiatric

Ann Overstreet:  A 17-year-old young woman is brought to the Emergency Department by her mother because she has been crying uncontrollably for several hours and states that she wants to die.

Francis Rapps:  A 27-year-old man has voluntarily admitted himself to the hospital. He complains of his right hand hurting and indicates that he has been drinking which causes his nerves to be "up."

William Speer:  A 27-year-old married man was seen earlier in the day at a mental health center where arrangements were made to admit the patient on an emergency basis to the psychiatric unit that day.

Pulmonary

Edna Browning:  The nurses call the resident on call STAT on Edna Browning as they have found her ashen in color, hypotensive and short of breath.

Matilde Gibson:  A 27-year-old woman presents to the emergency department appearing to be in distress, complaining of severe left-sided chest pain. (same as Matt Gibson)

Matt Gibson:  A 27-year-old man presents to the emergency department appearing to be in distress, complaining of severe left-sided chest pain. (same as Matilde Gibson)

Sherman Wilcox:  A 60-year-old man presents with a two-hour history of shortness of breath and difficulty breathing.

Renal

Victoria Barnes:  A 75-year-old woman presents to hospital at 0700 with increased shortness of breath on exertion and paroxysmal nocturnal dyspnea. Patient is also anemic with a hemoglobin of 9.7 differing from a normal hemoglobin three years prior to admission.

Anita Brown:  A 38-year-old woman is admitted to the Emergency Department with a complaint of weakness. She is conscious but unable to move.

Mary Hailsham:  A 32-year-old woman is admitted for evaluation of severe hypertension of eight years' duration.

Trevor Jarvis:  A 5-year-old male presents after being admitted by his family doctor for evaluation of hematuria.

Ethel Montague:  A 58-year-old woman is brought to the Emergency Department by ambulance. She is accompanied by her husband. She has experienced "flu-like" symptoms for four days. This evening she had a seizure. Husband is informant.

Mary Thompson:  A 21-year-old woman presents to the office at 10:30 AM with a two-year history of blood in her urine.

Amy Williams:  A 7-year-old child comes in with her mother. Her mother states that she has been leaking urine.

Renal / Psychiatric

Charles Metz:  A 36-year-old man is brought to the Emergency Department by his brother. He states he "doesn't want to live anymore" so he cut his right wrist.

Reproductive

Bert Jones:  A 40-year-old man presents at your office for an infertility investigation. In the course of an on-going infertility investigation by his spouse's gynecologist he was reported as being azoospermic.

Lashawn Jones:  A 19-year-old young woman presents to the clinic with complaints of vaginal discharge, a rash and pelvic pain.

Gerry Saunders:  A 45-year-old woman presents to the clinic with a complaint of lower abdominal discomfort.

Allison Tate:  A 31-year-old married woman has made an appointment with you to discuss a "personal problem"; she has not been able to become pregnant.

Respiratory

Herbert Chapman:  A 52-year-old man presents to his family physician with a two-month history of increasing shortness of breath. He was admitted for further work-up.

Donald Farris:  This six-week-old infant boy is held in mother's arms quietly while father sits in next chair. They bring him in for well-child check. The baby was pre-term and has a heart monitor.

Sam Ferguson:  A 19-year-old young man presents with a six-week history of non-productive cough and slightly decreased energy level and a one-week history of fever at times as high as 102 F.

Elizabeth Guernsey:  A 50-year-old woman presents to the Emergency Department with a chief complaint of shortness of breath.

Norma Jean Meadows:  A 48-year-old woman presents to the Emergency Department at 8 PM complaining of increasing shortness of breath.

Allen Schmidt:  A 65-year-old man complaining of shortness of breath.

Roger Short:  A 51-year-old man comes to see you at the Family Practice Clinic about his excessive daytime drowsiness.

Flora Williams:  A 77-year-old woman presents to the Emergency Department with worsening shortness of breath and weakness. She is known to have pulmonary fibrosis.

Respiratory / Cardiovascular

Andrew Redmond:  A 70-year-old man complains of pain and swelling in left groin.

Respiratory / Genetic

T.J. Edmons:  A 15-year-old young man with a history of cystic fibrosis has recently noticed an increase in his chronic cough.

Respiratory / Hematologic / Immunologic

Samuel Kinsey:  A 36-year-old man comes to the clinic today complaining of feeling very tired and weak and being short of breath. He is accompanied by his wife.

Miscellaneous

Freda Adkins:  A weak and dehydrated 51-year-old female is admitted to the hospital with a 5-day history of severe diarrhea and an infected leg wound.

Jasmine Bailey:  A 28-year-old woman presents to Family Practice Center with a chief complaint of lower abdominal pain and vaginal discharge of two-three weeks' duration. She is completely covered in Islamic dress and is accompanied by her husband.

Patricia Clay:  A 68-year-old woman presents to the clinic with a complaint of lower abdominal pain.

Cleland Ferris:  A married 45-year-old man presents for his five-year physical examination. Mr. Ferris has been a long-term patient of yours. You view this as one of your most effective doctor-patient relationships.

James Fillmore:  A 35-year-old man presents to the emergency department with his brother. He claims that he is almost unable to walk due to unremitting low back pain.

Kaitlyn Fletcher:  A 6-year-old girl presents to the doctor's office accompanied by both her parents. They complain that she is physically aggressive to her peers, disruptive and will not follow direction.

Helen Forsythe:  A 55-year-old woman presents with the complaint of "pelvic uncomfortableness" for one year.

Alta Givens:  A 81-year-old woman is sent by her primary physician for a consultation visit. Her daughter has driven her to this appointment.

Janet Halsted:  Voluntary, direct admission of a 19-year-old single young woman to the psychiatric unit for evaluation of behavioral decompensation, referred by neurology. Patient's mother, who is her guardian, accompanies her.

Harold Harms:  A 55-year-old resident of a nearby shelter, is a new patient. The shelter made the appointment because of his complaints of weakness and feet/leg pain.

Wanda Henderson:  A 89-year-old woman presents to the ED after falling.

Lloyd Howard:  A 38-year-old man is brought to the Emergency Department by the County Deputy Sheriff. He was arrested earlier in the day for assault and battery of his father.

Mary Beth Hoyer:  A 17-year-old young woman states that her school nurse told her that she had a high blood pressure.

Jonah Johnson:  A 4-year-old boy is brought to the emergency department by his parents who say that he has pain in his limbs and does not want to walk.

Terry Johnson:  A 60-year-old woman presents to the emergency department complaining of chest and abdominal pain. She is concerned because she noticed blood in the stool.

Huang Kahn:  A 63-year-old woman presents to the family practice office for a physical exam with questions regarding bone density screening.

Alan Kearnes:  The mother of four-day-old Alan has called your office today. She thinks the baby looks yellow and is sleeping all of the time.

Candace Kelly:  A 17-year-old young woman presents for her first gynecological visit.

Aaron Kessinger:  A 16-year-old young man, is brought in by ambulance to the ED. He is complaining of neck and shoulder pain.

Brett Lafferty:  A five-day-old infant has been transferred from an outlying hospital for surgical correction of congenital vesicoureteral reflux. You have been asked to evaluate the patient prior to surgery. He is accompanied by his parents.

Gary Lowell:  A 70-year-old man, presents complaining of increased urinary frequency and hesitancy.

Anthony Macelli:  A 73-year-old man is admitted to the hospital for urinary tract infection. A neurology consult is requested for possible history of Parkinson's Disease.

Sarah McCormick:  An 80-year-old woman presents to the doctor's office after being referred by her home health nurse. Her left breast has increasing swelling and heaviness with some pain and discomfort.

Andrea McGregor:  A 25-year-old woman, presents to the clinic with complaints of a rash and fatigue.

Matilda Merker:  A 52-year-old married woman is referred to the Psychiatric Out Patient Clinic by her family physician for evaluation.

Jennifer Mills:  A 15-year-old young woman is brought to the Family Clinic by her mother for a school physical.

James Monarch:  A 51-year-old man presents to the clinic for the first time for an acute visit on a Wednesday afternoon at approximately 2:00 pm. He was sent to the clinic by an orthopedic physician in the office above the clinic. This physician was evaluating him for an injury to his left calf sustained while golfing two days ago. During this evaluation his blood pressure was 220/110.

Heather Mutzbauer:  A 40-year-old woman presents to the emergency department with complaints of shortness of breath, cough and fever.

Molly Oswald:  An 11-year-old child presents to the office with her mother complaining of a "bad headache and trouble breathing." While the nurse is asking her questions she becomes tearful and tells her mother she just doesn't feel good.

Betty Parker:  A 62-year-old woman presents to the doctor's office stating that she was referred to you because she has a spot on her liver.

Julie Pearle:  A 34-year-old female presents to the primary care office with a 3-day history of abdominal pain. She is grimacing secondary to pain.

Maria Portitos:  An 18-year-old young woman with a recent history of headache, cough, chills, also complains of body aches, leg pain and emesis x1 last night.

Susan Powell:  A 28-year-old woman presents complaining of headache.

Charlie Russell:  A 44-year-old male presents to the ED after being struck by a car as he walked along a highway around 11:30 pm. He has a history of heavy alcohol abuse.

Mark Smith:  A 34-year-old man presents to Family Practice Center on Monday afternoon and wishes to become an established patient.

Cindy Snowden:  A 43-year-old woman presents to the outpatient clinic on referral from her family physician for evaluation of chronic cough and hoarseness.

Rene Spencer:  A 33-year-old woman presents to the Family Practice Center with a chief complaint of "I moved here from Pennsylvania and I need to get established with the Clinic. My headaches are getting worse; I'm anxious all the time and now I'm getting chest pain."

Robert Stone:  A 44-year-old man presents to the doctor's office with a spot on his left groin area that has started to bleed.

Clara Sweet:  A 69-year-old woman, presents to the emergency department complaining of increasing shortness of breath over the past week.

Paul Sykes:  A 23-day-old infant presents to the office at 4:30 PM Thursday afternoon with parents stating that the infant has had episodes of vomiting with difficulty taking Pedialyte. Parents have been giving Pedialyte for 24 hours and the last wet diaper was approximately 10 PM last evening.

Burt Thomas:  A 34-year-old man presents in the office complaining of diarrhea of approximately six weeks' duration.

James Underwood:  A 60-year-old man presents with complaint of urinary frequency.

Martha Wainwright:  A 31-year-old woman presents to the Family Practice Clinic for prenatal care. Her husband Paul accompanies her.

Ron Wiseman:  A 72-year-old man presents to the ED complaining of acute onset of diffuse anterior chest pain. He is accompanied by his wife.

ePBLMs are copyrighted and cannot be reproduced

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