This document provides guidance on examining the ears, nose, throat, and neck. It describes the steps to examine each area, including positioning the patient, inspecting structures, and evaluating for any abnormalities. The ear examination involves inspecting the pinna, external auditory canal, tympanic membrane, and testing hearing. The nose examination includes inspecting internally and externally for lesions or abnormalities. The throat examination consists of assessing speech, inspecting the oral cavity and larynx. Finally, the neck examination outlines palpating and inspecting lymph nodes and other structures for signs of infection, masses or tenderness.
Nose and paranasal sinuses according to new reference 1 /certified fixed ort...Indian dental academy
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Nose and paranasal sinuses according to new reference 1 /certified fixed ort...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
ear assessment is the examination of the ear and related diagnosis evaluation for ear which all nurses can use for their learning purpose and can use as a tool for assessment for detection and diagnosis of all the disease condition related to ear
In this PPT description of various basic instruments, anterior rhinoscopy, Posterior rhinoscopy, septum examination, nasal valve patency examination, paranasal sinus examination, etc.
This is ppt for patient to know about their child's agony .
what agonises their child?
What are the appropriate measures for it..to reach a disease free state.
Endodontic implications of maxillary sinus/prosthodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
ear assessment is the examination of the ear and related diagnosis evaluation for ear which all nurses can use for their learning purpose and can use as a tool for assessment for detection and diagnosis of all the disease condition related to ear
In this PPT description of various basic instruments, anterior rhinoscopy, Posterior rhinoscopy, septum examination, nasal valve patency examination, paranasal sinus examination, etc.
This is ppt for patient to know about their child's agony .
what agonises their child?
What are the appropriate measures for it..to reach a disease free state.
Endodontic implications of maxillary sinus/prosthodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
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.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
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.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Couples presenting to the infertility clinic- Do they really have infertility...
ENT.examination.ppt
1. Examination of the Ears, Nose,
Throat, and Neck
Dr. Doina Chiaburu-Chiosa
2. Examination of the Ears, Nose, and
Throat
Curriculum statement 15.4 ENT and Facial
Problems
3.
4. Examination of the Ear
1) Introduction
2) Position the patient
3) Start with the better ear
4) Inspect the pinna
5) Inspect the mastoid
6) Inspect the external
auditory meatus
7) Otoscopic examination
8) Fistula test
9) Free field testing
10) Tuning fork tests
11) Facial nerve
12) Post nasal space
5. Examination of the Ear
1) Introduce yourself to the patient
Any deafness?
Communication
6. Examination of the Ear
2) Position the patient
Away from the wall
In chair
Can walk around patient
7. Examination of the Ear
3) Start with the better side
Start with the dry side
Remove hearing aids
8. Examination of the Ear
4) Inspect the pinna
Front and behind
Skin condition
Lesions
Scars
Pre-auricular area (common place for sinus)
Condition of cartilage
9.
10.
11.
12.
13.
14.
15. Examination of the Ear
5) Inspect the mastoid
Mastoiditis is very, very rare
Post auricular lymph nodes
Scars
BAHAs and Cochlear implants
16.
17.
18.
19. Examination of the Ear
6) Inspect the external auditory meatus
Pull pinna upwards, outwards and backwards
In infants downwards and backwards
In children pull backwards
Otorrhoea and otomycosis
Canal stenosis
Exostoses and osteomas
20.
21.
22.
23. Examination of the Ear
7) Otoscopic examination
The lateral process and handle of the malleus lie
towards the centre of the tympanic membrane
Four quadrants
Perforation
Central or marginal
What can be seen through it
Mastoid cavity
Dry
Wet, inflamed
24.
25.
26.
27.
28.
29.
30.
31.
32. Examination of the Ear
8) Fistula test
A test for ENT doctors!
Warn the patient
A cholesteatoma has erroded part of a semi-circular
canal
Pressure in the EAM causes conjugate deviation of
the eyes
33. Examination of the Ear
9) Free field testing
Start with the better ear
Use masking, such as a tragal rub
Whispered voice, conversation voice, and shouted
voice at 60cm
Use double number fingers or bisyllable words
34. Examination of the Ear
10) Tuning fork tests
Traditionally 512Hz (256Hz may be better)
Rinne and Weber (they were both German)
Help differentiate between conductive and
sensorineual hearing loss
Limited reliability (around 80%)
For Weber, incisors > vertex > forehead
35. Examination of the Ear
11) Facial nerve
Otoneurological conditions affect the cranial nerves
closest to the vestibulocochlear nerve
Cholesteatoma
Malignant otitis externa (osteomyelitis)
Vestibular Schwannoma (formerly acoustic neuroma)
Other skull-base tumours
36. Examination of the Ear
12) Post nasal space
Conditions affecting the middle ear can sometimes
affect the post nasal space
Hopkins rod, flexible endoscope, or angled mirror
usually needed
Massive lesions can sometimes be seen through
the nose, or behind the soft palate
37.
38. Examination of the nose
1) Introduce yourself
2) Position patient
3) Inspect the external nose
4) Inspect the nasal tip,
vestibule, and nasal
airways
5) Anterior rhinoscopy
6) Oral examination
7) Post nasal space
examination
8) Neck examination
41. Examination of the nose
2) Position the patient
Head-mirror or headlight?
42. Examination of the nose
3) Inspect the external nose
Compare nose to rest of face
Size and shape
Skin
Swelling, bruising, ulcers
Profile
43.
44.
45.
46. Examination of the nose
4) Examine the nasal tip, vestibule, and assess
the nasal airways
Nasal tip
Nostrils and air flow
Mist test
Condition of mucosa inside vestibule
47.
48. Examination of the nose
5) Anterior rhinoscopy
Thudichum’s speculum vs otoscope
Obvious lesions
Mucosa
Septum
Turbinates (and osteomeatal complex)
49.
50.
51.
52.
53.
54.
55. Examination of the nose
6) Oral examination
Rotten teeth
Alveolar process of the maxilla
Palate and uvula
56. Examination of the nose
7) Post nasal space examination
With mirror, Hopkins rod, or nasendoscope
Not easy outside of ENT clinic
Large masses, such as an antrochoanal polyp
57.
58. Examination of the nose
8) Neck examination
Anterior nose drains to submandibular region
Posterior drains to middle deep cervical
59.
60. Examination of the throat
1) Introduce yourself
2) Position the patient
3) Assess speech
4) Oral examination
5) Nasopharynx
6) Indirect laryngoscopy
7) Examine the neck
62. Examination of the throat
2) Position the patient
Headlamp, mirror or other light source
Seated in chair with space to examine from all sides
63. Examination of the throat
3) Assess speech
Stridor
Hoarseness
Hot potato
Any other dysphonia
64.
65. Examination of the throat
4) Oral examination
Lips, perioral lesions
1 or 2 tongue depressors (or finger)
Inspect tongue, buccal mucosa and oropharynx
Salivary duct orifaces
Say ‘Ahhh’
Finger examination of tongue, floor of mouth, cheeks
and back of throat
66.
67.
68.
69.
70.
71.
72. Examination of the throat
5) Nasopharynx
Unless large lesion, will need mirror, Hopkins rod or
nasendoscope
73.
74. Examination of the throat
6) Indirect laryngoscopy
With mirror or nasendoscope
Can assess nasal cavity, nasopharynx, oropharynx,
hypopharynx and larynx
Can assess movement of cords, especially with
strobe
75. Examination of the throat
7) Examination of neck
Head and neck cancers metastasise to neck nodes
and to the lungs
Tonsillar infections are the commonest cause of
enlarged lymph nodes
76. Examination of the neck
1) Skin
2) Swallow
3) Voice
4) Examine from behind
5) Anterior triangle
6) Airway
7) Thyroid
8) Posterior triangle
9) Sternocleidomastoid
77. Examination of the neck
1) Skin
Skin lesions
Ulceration
Scars and wounds
Stoma
Obvious large masses
78. Examination of the neck
2) Swallow
Larynx should rise
A goitre may rise, too
80. Examination of the neck
4) Examine from behind
Let patient know what you are doing
Tender areas
Gentle
One side at a time
81. Examination of the neck
5) Anterior Triangle
Mastoid
Mental process
Sternal notch
Ramus and border of
mandible
Midline
Upper edge of SCM
82. Examination of the neck
6) Airway
Trachea
Larynx
Trotter’s sign
Hyoid bone
Thyroglossal cyst (around half move with tongue
protrusion)
83. Examination of the neck
7) Thyroid
Moves on swallowing
Two lobes
Describe any lumps
Percuss the sternum
84. Examination of the neck
8) Posterior Triangle
Mastoid
Medial end of clavicle
Junction of trapezius
and clavicle
Lower edge of SCM
Border of trapezius
Clavicle
85. Examination of the neck
9) Sternocleidomastoid
As well as traditional
names of nodes, can be
described as I to VI
Easier to remember, and
more relevant to
metastatic spread