Assessment4_SkinHairNails

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Author:
vanwin
ID:
215989
Filename:
Assessment4_SkinHairNails
Updated:
2013-04-26 19:40:44
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Assessment
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Nursing
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  1. Skin, Hair, Nails Subjective Data
    • skin changes
    • puritis: itching/ prickling sensation
    • bruising
    • rashes
    • hairloss
    • nails
    • fam hx of asthma, allergies, skindisease
  2. Objective Data; skin hair & nails
    • Color
    • mobility
    • temperature
    • moisture
    • vascularity & bruising
  3. Objective Data; skin hair & nails - color
    • pale: anemic, shock
    • dark skined people: check mucous membranes, lips, nails
  4. Macule
    • 1cm or less
    • discolorred
    • flat
    • could be freckle/mole
  5. Papule
    • 1cm or less
    • solid
    • elevation
  6. Vesicle
    • 1cm or less
    • elevation with liquid inside
    • - chicken pox/ contact dermatitis
  7. Patches
    • flat discoloration larger than 1 cm
    • could be birth mark/ vitiligo
  8. plaque
    • solid discolorations larger than 1cm
    • -psoriasis
  9. Builae:
    • larger than 2cm
    • fluid filled
    • -burns/blisters
  10. pustule
    • purulent content
    • -fire ant bite
  11. Wheal
    • allergic reaction, raised area
    • when they come together they become hives
  12. Secondary skin lesions caused by
    primary problems
  13. Types of secondary skin lesion
    • crust
    • fissure
    • schelosis
    • ulcers
    • scar
    • exoriation
    • errosion
    • scale
    • keloid
    • impetigo
  14. crust
    dried exudate - scab
  15. fissure
    linear crack with abrupt edges - athlete's foot
  16. scale
    dead flakes of skin - dermatitis/psoriasis/ dry skin
  17. erosion
    scooped out shallow depression
  18. cheliosis
    cracks at corner o mouth
  19. Common shapes & configurations of skin lesions
    • annular/ circular
    • confluent; running together
    • linear: lines
    • zosterform: along nerves
  20. Lesions ABCDE's
    • asymmetry
    • border
    • color
    • diameter
    • elevation/ enlargement
  21. clubbing of nails
    chronic hypoxia
  22. parronychia
    local skin infections
  23. Hirsutism
    excess hair

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