HEALTH ASSESSMENT OR EXAMINATION OF SKIN, HAIR AND NAILS WITH THE HELP OF METHODS OF HEALTH ASSESSMENT: INSPECTION, ASCULTATION, PALPATION AND PERCUSSION TECHNIQUES.
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
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As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
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5. HEAD
Parts
•Skull & Face
•Eyes & Vision
•Ears and Hearing
•Nose and Sinuses
•Mouth and Oropharynx
Techniques
Inspection
Palpation
Auscultation
6. EYES AND VISION
Assessment of eye includes, •
Equipments
•External eye structures
Cotton tip applicator
•Gauze square
•Clean gloves
•Millimeter ruler
•Penlight
•Snellen’s or E chart
•Opaque card
7.
8.
9. Eye lids
• Surface characteristics
• Position in relation to the cornea
• Ability to blink and frequency o f blinking
• Lesions/edema/stye/signs of infection
Eye brows
• Hair distribution and alignment
• Symmetry
• Skin quality
• Movement
Eye lashes
• Evenness of distribution
• Direction of curl
10. Bulbar conjunctiva and palpebral conjunctiva
• Color
• Texture
• Presence of lesions
Lacrimal gland , lacrimal sac and
nasolacrimal duct
• Edema
• Tenderness and Evidence of tearing
Cornea
• Clarity and texture
• Perform corneal sensitivity test
11. Pupils
• Color/shape/symmetry of size
• PERRLA (pupils are round and
react to light and accommodation)
Anterior chamber
• Transparency
• Depth
12. active errors
Myopia
• Nearsightedness
Hyperopia
• Farsightedness
Presbyopia
• Loss of elasticity of the lens and thus loss of ability
to see close objects
Astigmatism
• An uneven curvature of the cornea that prevents horizontal
and vertical rays from focusing on the retina
13. Hordeolum (sty)
• Redness swelling and tenderness of the hair follicle
and gland that empty at the edge of the eye lids
Iritis
• Iflammation of the iris
Inflammation
Conjunctivitis
• Inflammation of the bulbar and palpebral conjunctiva
Dacryocystitis
• Inflammation of the Lacrimal sac
14. Contusions or hematomas
• “Black eyes” resulting from injury
Glaucoma
• A disturbance in the circulation of aqueous fluid
which causes an increase in intra ocular pressure.
Cataracts
• Opacity of lens and its capsule
17. Auricle (Inspection)
Deviation
• Lesions
• Flaky ,scaly
skin
• Tenderness
Characteristics Normal
Cerumen
Tympanic membrane
(color, and gloss)
Distal third contains hair
follicles and glands
Dry cerumen, grayish
tan color ;sticky wet
cerumen in various
shades of brown
Pearly gray color,
semitransparent
color
Normal
• Same as facial
skin
Deviation
• Cyanosis
• Pallor
• Excessive redness
symmetry of
size
Normal
• symmetrical
Deviation
• Asymmetry
Position
Normal
• Auricle aligned
with outer
canthus of eye
about 10 degree
from vertical
Deviation
• Low set ears
(down syndrome)
18.
19. NOSE AND SINUSES
Assessment includes,
Nose and nasal cavities
Facial sinuses
Techniques
Inspection
Palpation
Equipment
•Nasal speculum
•Flashlight/penlight
20. • Inspect for nose for any deviations in
Shape, size, color and flaring or discharge from the nares.
• Lightly palpate the external nose for
Tenderness, masses and displacement of bone and cartilage.
• Determine patency of both nasal cavities
• Inspect the nasal cavities using nasal speculum
Observe mucosa for redness , swelling, growths, and
discharges.
• Inspect the nasal septum between the nasal
champers
NOSE
22. MOUTH AND OROPHARYNX
Assessment include
Lips and Buccal mucosa
Teeth and Gums
Tongue / floor of mouth
Salivary glands
Palates and uvula
Oropharynx and tonsils
Equipments
Clean gloves
Tongue depressor
Gauze pads
Penlight
Techniques
•Inspection
•Palpation
23. Lips and buccal mucosa
• Inspect outer lips for
– Symmetry ,contour, color and texture, ability to purse lips
Normal
• Uniform pink color & soft ,moist and smooth texture
• Symmetry of contour
• Able to purse lips
Deviation from normal
• Pallor ,cyanosis
• Blisters, swelling, scaling
• Inability to purse lips
24. Lips and buccal mucosa
• Inspect and palpate inner lips and buccal mucosa for
– Color , moisture, texture and presence of lesions
Normal
• Uniform pink color & soft ,moist, smooth , glistening and elastic
texture.
Deviation from normal
• Pallor; leukoplakia (white patches) , red, bleeding
• Excessive dryness
• Mucosal cysts ;irritation from dentures , abrasions, ulceraions
;nodules.
25. Teeth and gums
Normal
• 32 adult teeth
• Smooth, white, shiny tooth enamel
• Pink gums
• Moist firm texture to gums
• No retraction of gums
Deviation from normal
• Missing teeth ;ill fitting dentures
• Brown or black discoloration of the enamel (dental caries)
• Excessively red gums
• Spongy texture ; bleeding; tenderness
• Receding; atrophied gums ; swelling that partially covers the teeth
26. Tongue/ floor of the mouth
Inspect the surface of the tongue for
• Position, color, and texture.
Normal
• Central position
• Pink color
• Smooth, lateral margins ; or no lesions
• Raised papillae ( taste buds)
Deviation from normal
• Deviated from centre
• Smooth red tongue
• Dry, furry tongue (fluid deficit) , white coating (yeast infection)
• Nodules , ulcerations, discolorations and areas of tenderness
27. Tongue/ floor of the mouth
• Inspect the tongue movement
• Insect the base of the tongue the mouth floor and frenulum
• Palpate the tongue and floor of the mouth
Normal
• Moves freely no tenderness
• Smooth tongue with prominent veins
• Smooth , no palpable nodules
Deviation from normal
• Swelling and ulceration
• Nodules
28. Salivary glands
• Inspect salivary duct openings for
– swelling or redness
Normal
• Same as color of buccal mucosa
and floor of the mouth
Deviation from normal
• Inflammation
(redness and swelling)
29. Palates and uvula
• Inspect the hard and soft palate for the
– Color , shape ,texture and presence of bony prominences
• Inspect the uvula for
– Position and mobility
31. Oropharynx and tonsils
• Inspect the Oropharynx for the
– Color and texture
Normal : Pink and smooth posterior wall.
Deviation from normal : Reddened or edematous, presence of
lesions.
• Inspect the tonsils
– Color, discharge, and size
Normal : Pink color and smooth texture, no discharge, normal size.
Deviation from normal :Inflamed , presence of discharge, swollen.
• Elicit the gag reflex
34. Neck muscles
• Inspect the neck muscles
• Observe head movements
– Move chin to the chest (sternocleidomastoid)
– Move the head so that the ear is moved toward the shoulder on
each side (sternocleidomastoid)
– Turn the head to the right and to the left (sternocleidomastoid)
– Move head back so that the chin points upward (Trapezius)
• Assess the muscle strength
35. • Palpate the entire lymph node for enlargement
Lymph nodes
37. Trachea
Palpate the trachea for
lateral deviation
• Normal :
Central placement in
midline of neck
•Deviation from
normal:
Deviation to one side
(neck tumor, thyroid or
lymph node
enlargement)
38. Thyroid gland
Inspect the thyroid gland
Normal :
Not visible on inspection
Deviation from
normal :Local
enlargement
39. Thyroid gland
Palpate the thyroid gland for
smoothness note any areas of
enlargement, masses and
nodules.
Posterior approach
Anterior approach
Normal :
Lobes may not be palpated
Deviation from normal:
Solitary nodules
40. Thyroid gland
If enlargement of the gland is suspected , auscultate over
the thyroid area for bruit (a soft rushing sound created by
turbulent blood flow)