Hair, Skin, Nails

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Author:
servinggod247
ID:
262625
Filename:
Hair, Skin, Nails
Updated:
2014-02-18 15:26:51
Tags:
health assessment
Folders:
health assessment
Description:
health assessment Exam 2
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  1. Palpate skin surfaces for
    • Moisture
    • Temperature
    • Texture
    • Turgor
    • Mobility
  2. Inspect Hair for
    • Color
    • Distribution
    • Quantity
  3. Inspect nails for
    • pigmentation of nail and beds
    • length 
    • symmetry
    • ridging, beading, pitting, peeling
  4. Nail base angle should be
    160 degrees
  5. Inspect and palpate proximal and lateral nail folds for
    • redness
    • swelling
    • pain
    • exudate
    • warts, cysts, tumors
  6. Palpate nail plate for
    • texture 
    • firmness
    • thickness
    • uniformity
    • ADHERENCE TO NAIL BED
  7. When taking a PMH for skin, ask about __________ diseases
    systemic
  8. When taking a PMH, ask about sensitivity to
    sensory stimuli
  9. Wood's lamp is used to
    view fluorescing lesions
  10. Skin is examined by
    inspection and palpation
  11. The most important tools when assessing the skin are
    your own eyes and powers of observation
  12. ________ provides the best illumination for determing color variations, particularly jaundice
    daylight
  13. _________ lighting is helpful in assessing contour
    Tangential
  14. Another name for mole
    Nevi
  15. ___________ moles tend to occur on the upper back in men and on the legs in women
    dysplastic
  16. Use the _______ surface of your hands or fingers to assess skin temperature
    dorsal
  17. _________ skin lesions occur as initial spontantious manifestations of a pathologic process
    primary
  18. those skin lesions that result from later evolution of or external trauma to a primary lesion
    secondary
  19. Skin lesions with a stalk
    pedunculated
  20. skin lesions without a stalk
    sessile
  21. Acriform lesion
    bow-shaped
  22. annular lesion
    rings
  23. Measure skin lesions by
    hight width and depth when possible
  24. __________ may be used to determine the presence of fluid in cysts and masses
    transillumination
  25. Fluid-filled lesions will transilluminate with a ______ glow, whereas solid lesions will not
    red glow
  26. __________ can be used to evaluate epidermal hypopigmented or hyperpigmented lesions, and to distinguish fluorescing lesions.
    wood's lamp
  27. Fine _____ hair covers the body
    vellus
  28. Coarse _________ hair occurs on the scalp, pubic, and axillary areas, on the arms and legs, and in the beard of men.
    terminal
  29. hirsutism
    growth of terminal hair in a male distribution pattern on the face, body, and pubic area of women
  30. hirutism in women may be sign of an ___________ disorder
    endocrine
  31. Hair loss in the feet and toes may indicate
    poor circulation or nutritional deficit
  32. 9 Functions of the skin
    • 1. Protect against microbial and foreign substance invasion and minor trauma
    • 2. Retard body fluid loss by providing a mechanical barrier
    • 3. Regulate body temp through radiation, conduction, convection, and evaporation
    • 4. Provide sensory perception via free nerve endings and specialized receptors
    • 5. Produce vitamin D from precursors in the skin
    • 6. Contribute to blood pressure regulation through constriction of skin blood vessels
    • 7. Repair surface wounds by exaggerating the normal process of cell replacement
    • 8. Secrete sweat, urea, and lactic acid
    • 9. Express emotions
  33. Layers of skin
    • epidermis- stratum corneum, stratum germinativum, stratum lucidum
    • dermis
    • hypodermis
    • adispose
  34. water proofing protein of the skin
    keratin
  35. capillary refil
    less than three seconds
  36. turgor
    less than three seconds
  37. clubbing of nails
    • 180 degress
    • COPD, thyroid disease
  38. moles are typically less than ___ mm
    6
  39. typically how many moles on person
    10-40
  40. nail color can determine
    • toxicity
    • cyanosis
  41. petechia
    • red purple nonblanchable discoloration less than 0.5 cm diameter
    • cause: intravascular defects, infection
  42. Ecchymoses
    • red-puple nonblanchable discoloration of variable size 
    • cause: vascular wall destruction, trauma, vasculitis
  43. purpura
    red-purple nonblanchable discoloration greater than 0.5 cm diameter

    cause: intravascular defects, infection
  44. A flat, circumscribed area that is a change in the color of the skin; less than 1 cm in daimeter
    macule
  45. an elevated, firm, circumscribed area; less than 1 cm in diameter
    papule

    wart (verruca), evated moles, lichen planus
  46. decubitis ulcer is the same as
    pressure ulcer

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