Exam 4- Skin, Hair and Nails- Examination and Findings

Examination of the skin is performed by?

Inspection and palpation

The most important tools for skin inspection are?

Eyes and own power of observation

What provides the best illumination for determine color variations, particulars jaundice on the skin?

Daylight

What lighting is best for assessing contour on the skin?

Tangential lighting

What is the most common thing we'll see on inspection of the skin?

Nevi (moles)

What is the scientific name for moles

Nevi

Nevi (moles) are more frequent in?

Light skinned people

Nevi (moles) are most common on the _________ in men and ________ in women

Men= upper back

Women= legs

When palpating temperature, what part of your hand do you use?

Dorsal surface

What do you feel for on palpation

Moisture

Temperature

Texture

Turgor

Mobility

What is the ability of the skin to snap back into place after pinching it?

Turgor

What type of skin lesion occurs as initial spontaneous manifestations of a pathological process? Give an example

Primary

-poison ivy

What type of skin lesion is the result from later evolution of or external trauma to a primary lesion/

Secondary

What is the name for when a skin lesion has a stalk?

Pedunculated

What is the name for when a skin lesion does not have a stalk

Sessile

What are the exudates of skin lesion

Color

Odor

Amount

Consistency

What are the configurations of a skin lesion

Annular (rings)

Grouped

Linear

Arciform (bow-shaped)

What is a discrete distribution of a skin lesion

Individual spot

What is a confluent distribution of a skin lesion

Spots are coming together

What type of hair covers the entire body?

Fine vellus hair

What type of hair is on the scalp, pubic and axillary regions, arms and legs and beard of men?

Cora's terminal hair

What do you look for when inspecting hair of women?

Hirsutism

What is the growth of terminal hair in a male distribution pattern on the face body and pubic area of a female?

Hirsutism

-may be sign of endocrine disorder

Inspect the feet and toes for hair loss because?

May indicate poor circulation or nutritional deficit

Palpate the scalp hair for?

Dryness and brittleness that could indicate systemic disorder

Nail edges should be?

Smooth and rounded

For infants and children you pinch the skin to test for?

Turgor

What are flat, evenly pigmented spots that are light brown to dark brown or black in dark skinned folks?

Cafe` au lait spots (birth marks)

What are stretch marks

Striae gravidarum

What is the thing to look for on inspection of older adults

Breakdown over bony prominences

What are cherry angioma

Non-problematic marks on the skin that appear typically after 40

What are brown spots seen in sun exposed areas of older adults

Lentigo

-just a sign of sun damage in the past, no cancerous

What is the absence of melanin producing patches of pure white skin and hair?

Vitiligo

Vitiligo is more common in?

Females