medical education neurological newborn ghai paediatrics medical student reflexes paediatric presentation gallants reflex final mbbs newborn systemic rooting reflex sucking reflex plantar grasp palmar grasp landau reflex paediatrics moro reflex treatment ortho presentation mbbs final intercondylar distance apleys maheswari intermalleolar gap plumb line test bone orthopaedics medicine tibiofemoral angle ortho blounts disease osteotomy knock knees bow legs genu varum genu valgum neonatology newborn reflexes newborn examination
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