The document provides an overview of the anatomy of the head and neck region, including the bones, muscles, glands, blood vessels and lymphatics. It describes how to inspect, palpate and auscultate each area as part of a physical exam, noting normal findings as well as potential abnormalities. Developmental variations and considerations for different populations are also outlined.
Gross appearance of cerebellum
Structure of cerebellum
The functional division of the cerebellum
Afferent & efferent pathways
Clinical
MCQ’s
Clinical Vignettes
Gross appearance of cerebellum
Structure of cerebellum
The functional division of the cerebellum
Afferent & efferent pathways
Clinical
MCQ’s
Clinical Vignettes
osteology of head and neck and its applied aspectsSwetha Srivani
knowing the correct anatomy and applied aspect of osteology helps in accurate diagnosis.this ppt provides insight into different bones of head and neck and their applied aspects through images.
aA brief ppt description about mammary gland which may be necessary for teaching for first year mbbs bds and paramedical students, hope i may be usefull
1. Head and Neck (HUSSEIN AL SARAF) (1330385)
2. Head and Neck &Regional Lymphatics Review and locate – The Skull (bones of the cranium and the face)
3. Note the location of the CRANIAL BONES Frontal, Parietal, Occipital & Temporal
4. Note the location of the sutures. Coronal, Sagittal, Lambdoid Unite adjacent cranialbones
5. Note facial bones. Nasal, Lacrimal, Maxilla,Sphenoid & Zygomatic bones. Mandible (moves up, down, sideways)
6. Head-facial muscles Facial expressions are formed by facial muscles Facial structures should be symmetric. Facial muscles are innervated by cranial nerve VII
7. Note major Neck muscles.Sternocleidomastoids and trapezii muscles (each side of neck form 2 triangles- anterior & posterior cervical )
8. Thyroid gland and other landmarksThyroid gland - largest endocrine gland -secretes T3 & T4 to regulate cellular metabolism -flattened butterfly shape structure - 2 lateral lobes connected by isthmus - isthmus rest on trachea, inferior to the criocoid cartilage (highest point Adam’s Apple)
9. Note location of lymphatics 1. Preauricular, 2. post. auricular, 3. occipital, 4. submental, 5. submandibular, 6. Jugulodigastric or tonsillar, 7. superficial cervical chain, 8. deep cervical chain, 9. post. cervical, 10. supraclavicular.
10. Lymph Nodes Usuallyless than 1 cm round or ovid in shape smooth in consistency when enlarged or tender - assess for infection or maligancy and the area the node drains ( see p322 example)
11. BLOOD SUPPLY Major arteries to head and neck – common carotids bifurcate into –internal & external carotids Major veins from head and neck – internal an external jugular veins – and subclavian veins
12. Head and Neck &Regional Lymphatics Health History Subjective Data
13. Head and Neck & Regional Lymphatics- Health Hx• facial or neck surgery• history of headaches or dizziness• allergies• Neck pain, limitation of movement• Lumps or swelling, difficulty swallowing or chewing, history of smoking• head injuries
14. Head: Inspect andpalpate the skull Objective Data
15. Head: Inspect and palpate the skullSize and Shape (I)Normocephalic: round, symmetric and approximated to body size. (P)Shape: symmetric and smooth, no tenderness reported. – Use finger pads on scalp & palpate all surfaces – Assess contour, masses, depressions,tenderness – Note deformities lumps and tenderness.
16. Head: Inspect and palpate the scalp (I) Scalp should be shiny, intact and without lesions or masses. – Part hair repeatedly and inspect scalp (P)palpate with finger pads on the scalp for lesions or masses
17. Head: Inspection of the face (I) Symmetry of facial features: – Observe facial expression, shape and symmetry of nose, eyes, eyebrows, mouth, ears (I) Shape and features of face – Note shape of face – Note swelling (edema) , abnormal features, disproportionate structures (stroke, Bell’s Palsy = cranial nerve 7 damage -facial nerve), and involuntary movement (the presence of tics -norm
assessment head, neck and mouth in critical care assessment contain anatomy way of assess, normal finding and abnormal by Dr Rezq Mansour Alqetwi critical care nursing master
a very short and concise head and neck anatomy presentation; an overview of head and neck anatomy prepared for a mixed audience from different backgrounds
-General Usual weight, recent weight change, weakness, fatigue, or fever
-Skin Rashes, lumps, sores, itching, dryness, changes in color, changes in hair or nails, changes in size or color moles
-Head, Eyes, Ears, Nose, Throat (HEENT):
-
Head: Headache, head injury, dizziness, lightheadedness.
Eyes: Vision, glasses or contact lenses, pain, redness, excessive tearing, double or blurred vision, spots, specks, flashing lights, glaucoma, cataracts.
Ears: Hearing, Tinnitus, Vertigo, earaches, infection, discharge, If hearing is decreased, use or nonuse of hearing aids,
Nose and Sinuses: Frequent colds, nasal stuffiness, discharge, or itching, hay fever, nose- bleeds, sinus trouble.
Throat (
or mouth and Pharynx): Condition of teeth and gums, bleeding gums, dentures, if any, and how they fit, sore tongue, dry mouth, frequent sore throats, hoarseness.
-Neck “Swollen Glands,” goiter, lumps, pain, or stiffness in the neck.
-Breast Lumps, pain, or discomfort, nipple discharge
-Respiratory Cough, sputum (color quantity; presence of blood or hemoptysis), shortness of breath (dyspnea), wheezing, pain with a deep breath (Pleuritic pain).
-Cardiovascular “Heart trouble”; high blood pressure; rheumatic fever; heath murmurs; chest pain or discomfort; palpitations; shortness of breath; need to use pillows at night to ease breathing (orthopnea); need to sit up at night to ease breathing (paroxysmal nocturnal dyspnea) swelling in the hands , ankles, or feet (edema).
-Gastrointestinal Trouble swallowing, heartburn, appetite, nausea. Bowel movements, stool color and size, change bowel habits, pain constipation, diarrhea. Abdominal pain, food intolerance, excessive belching or passing of gas. Jaundice, liver, or gallbladder trouble.
-Peripheral Vascular Intermittent leg pain with exertion (Claudication); leg cramps; varicose veins; past clots in the veins; past clots in the veins; selling in claves, legs, or feet; color change in fingertips or toes during cold weather; selling with redness or tenderness.
-Urinary Frequency or urination, polyuria, nighttime urination (nocturia), urgency, burning or pain during urination, blood in the urine (hematuria), urinary infections, kidney or flank pain, kidney stones, ureteral colic, suprapubic pain, incontinence; in males, reduced caliber or force of the urinary stream, hesitancy, dribbling.
-Genital
Male: Hernia, discharge from or sores on the penis, testicular pain or masses, scrotal pain or swelling, history of sexually transmitted infection and their treatments. Sexual interest (Libido), function, satisfaction
Female: Menstrual regularity, frequency, and duration of periods, amount of bleeding; bleeding between periods or after intercourse, dysmenorrhea, premenstrual tension. Menopausal symptoms, post-menopausal bleeding. Vaginal .
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
9. Head-facial muscles
Facial expressions are formed by
facial muscles
Facial structures should be
symmetric.
Facial muscles are innervated by
cranial nerve VII
10. Note major Neck
muscles.
Sternocleidomastoids and
trapezii muscles
(each side of neck form
2 triangles- anterior &
posterior cervical )
11.
12. Thyroid gland and
other landmarks
Thyroid gland - largest endocrine gland
-secretes T3 & T4 to regulate cellular
metabolism
-flattened butterfly shape structure
- 2 lateral lobes connected by isthmus
- isthmus rest on trachea, inferior to
the criocoid cartilage (highest point
Adam’s Apple)
13.
14. Note location of lymphatics
1. Preauricular,
2. post. auricular,
3. occipital,
4. submental,
5. submandibular,
6. Jugulodigastric or tonsillar,
7. superficial cervical chain,
8. deep cervical chain,
9. post. cervical,
10. supraclavicular.
15. Lymph Nodes
Usuallyless than 1 cm
round or ovid in shape
smooth in consistency
when enlarged or tender - assess for
infection or maligancy and the area
the node drains ( see p322 example)
16.
17. BLOOD SUPPLY
Major arteries to head and neck
– common carotids bifurcate into
– internal & external carotids
Major veins from head and neck
– internal an external jugular veins
– and subclavian veins
18. Head and Neck &
Regional Lymphatics
Health History
Subjective Data
19. Head and Neck & Regional
Lymphatics- Health Hx
• facial or neck surgery
• history of headaches or dizziness
• allergies
• Neck pain, limitation of movement
• Lumps or swelling, difficulty
swallowing or chewing, history of
smoking
• head injuries
21. Head: Inspect and palpate the
skull
Size and Shape
(I)Normocephalic: round, symmetric
and approximated to body size.
(P)Shape: symmetric and smooth, no
tenderness reported.
– Use finger pads on scalp & palpate all surfaces
– Assess contour, masses, depressions,tenderness
– Note deformities lumps and tenderness.
22. Head: Inspect and palpate the
scalp
(I)
Scalp should be shiny, intact and
without lesions or masses.
– Part hair repeatedly and inspect scalp
(P)palpate with finger pads on the
scalp for lesions or masses
23. Head: Inspection of the face
(I) Symmetry of facial features:
– Observe facial expression, shape and
symmetry of nose, eyes, eyebrows, mouth,
ears
(I) Shape and features of face
– Note shape of face
– Note swelling (edema) , abnormal features,
disproportionate structures (stroke, Bell’s Palsy
= cranial nerve 7 damage -facial nerve), and
involuntary movement (the presence of tics
-normally none occur)
(I) Facial expression: emotions
– Note appropriateness to verbal and nonverbal
24. Head: Palpate and
Auscultation of Mandible
Temporal Area
(P)Temporal artery: above the cheek bone, between
the eye and the top of ear.
– Palpate with finger pads for pulse
(P)Temporomandibular joint: articulates smoothly
with no limitation, no crepitus, no clicking
– use index and middle finger to palpate anterior to
tragus of ear on both sides
– ask pt to open & close mouth
– observe smoothness of movement, any discomfort
– clicking/crepitus could indicate arthritis or
dislocation
26. The Neck- Inspect and palpate
What position do you ask the client to
assume while you inspect the neck?
Head erect and still, sitting up
straight, head at your eye level
27. The Neck- Inspect and palpate
Symmetry
Head position: centered, midline, erect, still
Symmetry of the Sternocleidomastoid & trapezii
muscles
ROM of neck (flexion, lateral rotation, lateral
bending, extension, test muscle strength:Touch chin
to chest, ear to shoulder
Turn head left to right
Extend head backwards
Motions should be smooth and controlled.
resists movement of shoulder shrug and head turn side to
side
limited ROM with meningitis, muscle spasm, osteoarthritis
28. The Neck- Inspect and palpate
(P) Muscles - should be symmetrical &
without palpable masses or spasms
– palpate Sternocleidomastoid and trapezii muscles
for tenderness, masses, spasms
– spasms due to infections, trauma, chronic
inflammation, neoplasm
29. The Neck- Inspect and palpate
Lymph Nodes
(P) Lymph nodes - should not be palpable, but
small discrete , movable nodes are often
present
Begin with preauricular lymph nodes and proceed
in a systematic fashion (1 to 10)
Use gentle pressure
Deep cervical chain: tip head toward side
Supraclavicular Node: hunch shoulders & elbows
forward
tender nodes = inflamed due to infection
firm, non movable nodes may be = malignancy
30.
31. The Neck- Inspect and palpate
Trachea
Midline normal (note deviations)
Palpate for tracheal shift: space
should be symmetric on both sides.
32. The Neck- Inspect, palpate,
auscultate
Thyroid Gland
inspect for swelling using lamp (ask to
sip and swallow water)
– thyroid tissue moves up with swallowing
observe for goiter - enlarged thyroid
palpate -anterior/posterior approaches
– have pt slightly lower head to relax neck muscles
– palpate isthmus for nodules, masses, tenderness or
enlargement while swallowing
– then displace/stabilize lobe on one side and palpate the
other side while pt swallows
gland is smooth, soft, & no tenderness/enlrgmt/masses
33. The Neck- Inspect, palpate,
auscultate
auscultate lobes for bruit
– (use bell)
– no bruit should be present
bruits indicate blood supply r/t tumor or toxic
goiter.
34.
35. Developmental Considerations
Infant/Children
Skull and fontanels
Pregnant Female
Cholasma on face = pregnancy mask
Aging Adult
Temporal arteries twisted and visible
Rhythmic tremor of head may be present
Perform ROM slowly to prevent dizziness