Skin, Hair and Nails

What are some examples of skin hx questions

hx of ezama, dermatitis, psoriasis, tattoos or moles

What should a nurse ask when obtaining a hx on psoriasis

what areas cause pain or itching

Which type of hair loss is abnormal

sudden

Alopecia

hair loss

Hirtsuism

excessive hair growth

Where can a nurse find lighter skin tones on dark skin pt

palms of hands, lips and nailbeds

Where to look for pallor on darker skin pt

mucous membranes or nailbeds

What is the first sign of jaundice

yellow soft palate

Where does cyanosis typically show

shown on face; around lips or nose

What is an abnormal skin texture

firm and hard

Annular

circular; ex. ringworm

Confluent

lesions run together; ex hives

Discrete

distinct individual lesions

Groups

lesions group together but do not run together

Gyrate

snake like lesion

Linear

straight lesion; ex contact dermatitis

Polycylitic

lesions grouped and run together; ex psorasis

Target

bulls eye appearence; ex. lyme disease

Zosteriform

linear cluster along nerve route; ex shingles

Non palpable skin lesions

macule and patch

How many cm is a macule

less than one

How many cm is a patch

greater than one

Palpable skin lesions

papule and plaque

How many cm is a papule

less than one

How many cm is a plaque

greater than one

How many cm is a nodule

greater than one

How many cm is a tumor

greater than three

Nevus

mole

Nevi

multiple moles

Does tumor mean cancer

no

Macularpalpular

macules and palpules

Vesicilopustular

vesicle filled with pus; infection

Abcess

large pustule

Ecchymosis

bruising; non palpable

Hematoma

raised bruise

Purpura

purple spots; typically older people

Vitiligo

patches; white areas have no melanin production

Skin tags

overgrowth of skin cells

Tinea

fungus

Onychomycosis

fungus of the nail

ABCDE of malignant skin lesions

Asymmetry, Border irregularity, Color variation, Diameter >6mm, Elevation or Evolution

What shape is this lesion

annular

What shape is this lesion

confluent

What shape is this lesion

discrete

What shape is this lesion

grouped

What shape is this lesion

gyrate

What shape is this lesion

linear

What shape is this lesion

polycylic

What shape is this lesion

target

What shape is this lesion

zosteriform

What type of primary skin lesion is this

macule

What type of primary skin lesion is this

patch

What type of primary skin lesion is this

papule

What type of primary skin lesion is this

plaque

What type of primary skin lesion is this

nodule

What type of primary skin lesion is this

tumor

What type of primary skin lesion is this

vesicle

What type of primary skin lesion is this

bulla

What type of shape is a wheal

discrete

What type of shape is urticaria

confluent

What type of primary skin lesion is this

wheal

What type of primary skin lesion is this

urticaria

What type of secondary skin lesion is this

ulcer

What type of secondary skin lesion is this

erosion

What type of secondary skin lesion is this

exoriation

What type of secondary skin lesion is this

fissure

What type of secondary skin lesion is this

scar

What type of secondary skin lesion is this

keloid

What type of secondary skin lesion is this

crust

What type of secondary skin lesion is this

scale

What stage is this pressure ulcer

stage 1

What stage is this pressure ulcer

stage 2

What stage is this pressure ulcer

stage 3

What stage is this pressure ulcer

stage 4

What is this common skin finding

ecchymosis

What abnormality

hirsutism

What stage is this pressure ulcer

decrease skin turgor

What is this skin lesion

open comedones

What is this skin lesion

closed comedones

What is this skin lesion

skin tags

What is this skin lesion

seborrheic keratosis

What is this skin lesion with aging

lentigines

What is this skin lesion with aging

cherry angioma

What type of tinea infection is this

tinea capitis

What type of tinea infection is this

tinea corporis

What type of tinea infection is this

tinea pedis

What common skin lesion is this

contact dermatitis

What common skin lesion is this

allergic drug reaction

What common skin lesion is this

herpes zoster

What common skin lesion is this

petechiae

What common skin lesion is this

psoriasis

What is this lesion

malignant lesion

What is this abnormal finding of the nails

onychomycosis

What is this abnormal finding of the nails

linear pigmentation

What is this abnormal finding of the nails

leukonychia striata

What is this abnormal finding of the hair

alopecia areata

What is this abnormal finding of the hair

trichotillomania

What is this abnormal finding of the hair

traction alopecia