The cervical lymph nodes are arranged in a collar around the neck from below the chin to the back of the head. They can be divided into superficial and deep groups. The deep cervical nodes form a chain along the internal jugular vein and receive lymph from all other cervical nodes. Enlarged cervical lymph nodes can indicate infection or cancer in structures that drain to those nodes, such as the tonsils, tongue, or pharynx. Examination of cervical nodes helps locate potential pathological sources.
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.for more details please visit
www.indiandentalacademy.com
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.for more details please visit
www.indiandentalacademy.com
A simple Presentation Created by me in 2008, titled Intra-oral Examination.
its light heart-ed and fun to watch...
It contains some images of the most common lesions you might face during oral examination.
Resin bonded fpd /certified fixed orthodontic courses by Indian dental academy 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
Detailed discussion on surgical anatomy of salivary glands with special focus on major glands. Relationship of facial nerve and its branhes to parotid gland is also discussed. Complications are also discussed. Surgical approaches are also discussed.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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
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.
1. Lymph nodes of head & neck
Superficial Cervical lymph nodes
Deep Cervical Nodes
Innermost (waldeyer’s)or tonsillar ring
2. Cervical lymph nodes
• Superficial Cervical lymph nodes:
• The lymph nodes of the head and neck are arranged as a
regional collar that extends from below the chin to the back of
the head.
• Deep Cervical Nodes:
• The deep cervical nodes form a vertical chain along the course
of the internal jugular vein within the carotid sheath. They
receive lymph from all the groups of regional nodes. The
jugulodigastric node, which is located below and behind the
angle of the jaw, is mainly concerned with drainage of the tonsil
and the tongue. The jugulo-omohyoid node, which is situated
close to the omohyoid muscle, is mainly associated with
drainage of the tongue.
• The efferent lymph vessels from the deep cervical lymph nodes
join to form the jugular trunk, which drains into the thoracic duct
or the right lymphatic duct.
3. Superficial group
• Superficial group is situated
around the junction of head &
neck.
• These drain superficial structures
of head & some deep parts. Most
of efferents lymph vessels pass to
deep.
4. Deep group
• Deep group occurs in a chain & are
arranged along internal jugular vein from
digastic to root of neck within the carotid
sheath.
• These are divided into upper & lower
groups by omohyoid. They receive lymph
from all the groups of regional nodes
These also receive lymph from
behind_pharynx : retropharyngeal nodes.
5. Upper deep group
• Is situated in angle between the lower
border of mandible & SCM itself.
• These are related to IJV & posterior belly
of digastric_jugulodigastric nodes.(one of
these is called Tonsillar lymph node)
8. Lower deep group
• Is found in posterior triangle of neck in angle
between SCM & clavicle lying partially deep
to SCM.
• These are called called jugulo-omohyoid or
supraclavicular nodes. These receive lymph
from upper cervical group of breast & enter
in structure in thorax & abdomen. The
efferent from this form jugular trunk leading
to thoracic duct/right lymphatic duct.
10. The occipital lymph nodes
• Lie on upper end of trapezius & on fascia
at apex of posterior triangle, These are
situated over the occipital bone on the
back of the skull.
• They receive lymph from the back of the
scalp & back of neck. Drain to upper deep
cervical group.
11. The postauricular
(retromandibular/ mastoid) lymph nodes
• Lie on superior end of SCM,posterior to
auricle. These lie behind the ear over the
mastoid process.
• They receive lymph from the scalp above
the ear, the auricle, and the external
auditory meatus. Drain to upper deep
cervical lymph nodes.
12. The Parotid lymph nodes
• Scattered through parotid gland. Drain
auricle, external auditory meatus, from the
scalp above the parotid gland, deep group
drain temporal & infratemporal fossa, the
middle ear, auditory tube, upper molar
teeth, & gums.
• Efferents drain to lower pole of parotid
gland to deep upper cervical lymph nodes
on external jugular vein.
13. The buccal lymph nodes
• Lie on buccinator. One or two nodes lie in
the cheek over the buccinator muscle.
They drain lymph that ultimately passes
into the submandibular nodes
14. The submental lymph nodes
• These lie in the submental triangle just
below the chin on fascia covering
myelohyoid between anterior bellies of
digastric. These drain lymph from a wedge
shaped zone which include incisor teeth &
gums & anterior part of floor of mouth.
Drain to deep cervical lymph nodes.
15. The submandibular lymph nodes
• Lie along submandibular gland mainly under
cover of mandible just below the lower margin of
the jaw.Receive lymph vessels from area below
the line joining the medial angle of eye & angle
of mandible. Deeper lymph vessels drain
submandibular & submenatal, the side of
tongue, gums, part of palate, anterior part of
walls of nasal cavity, the frontal, maxillary, and
ethmoid sinuses.
• Drain to submandibular lymph nodes to deep
cervical lymph nodes.
16. The infrahyoid lymph nodes
• Lying in relation to larynx on thyrohyoid &
cricothyroid membrane.
• Drain structures in the middle of neck.
17. The paratracheal lymph nodes
• Lying between trachea & oesophagus.
• Drain middle of neck to upper & lower
deep cervical lymph nodes.
18. The retropharyngeal lymph nodes
• Lie on fascia of posterior wall of upper
pharynx at level of mastoid process.
• Drain oral & nasal parts of pharynx,
palate, nose, PNS, auditory tube & middle
ear cavity.
19.
20.
21.
22. Waldeyer's ring
• Waldeyer's ring is a circumpharyngeal ring of
mucosa-associated lymphoid tissue which
surrounds the openings into the digestive and
respiratory tracts.
• It is made up
– anteroinferiorly by the lingual tonsil,
– laterally by the palatine and tubal tonsils,
– posterosuperiorly by the nasopharyngeal tonsil
– smaller collections of lymphoid tissue in the inter-
tonsillar intervals.
23. Clinical Significance of the Cervical Lymph Nodes
• Knowledge of the lymph drainage of an organ or region
is of great clinical importance.
• Examination of a patient may reveal an enlarged lymph
node.
• For example, an enlarged submandibular node can be
caused by a pathologic condition in the scalp, the face,
the maxillary sinus, or the tongue. An infected tooth of
the upper or lower jaw may be responsible. Often a
physician has to search systematically the various areas
known to drain into a node to discover the cause.
24. Examination of the Deep Cervical Lymph Nodes
• Lymph nodes in the neck should be
examined from behind the patient.
• The examination is made easier by asking the
patient to flex the neck slightly to reduce the
tension of the muscles. The groups of nodes
should be examined in a definite order to avoid
omitting any.After the identification of enlarged
lymph nodes, possible sites of infection or
neoplastic growth should be examined, including
the face, scalp, tongue, mouth, tonsil, and
pharynx.
25. Carcinoma Metastases in the Deep Cervical Lymph Node
• In the head and neck, all the lymph ultimately drains
into the deep cervical group of nodes. Secondary
carcinomatous deposits in these nodes are common.
The primary growth may be easy to find. e.g. larynx,
the pharynx, the cervical part of the esophagus, and
the external auditory meatus, the bronchi, breast, and
stomach. In these cases, the secondary growth has
spread far beyond the local lymph nodes.
• When cervical metastases occur, the surgeon usually
decides to perform a block dissection of the cervical
nodes. This procedure involves the removal en bloc of
the internal jugular vein, the fascia, the lymph nodes,
and the submandibular salivary gland. The aim of the
operation is removal of all the lymph tissues on the
affected side of the neck. The carotid arteries and the
vagus nerve are carefully preserved.