1.3.3.2 PHYSICAL EXAMINATION

ILLUMINATED ROOM

• DIRECT EXAMINATION OR VISUAL INSPECTION OF LESION MUST BE PERFOMED.

NATURAL DAYLIGHT

• IDEAL LIGHTING

UNDRESSED

• OVERALL LESION DISTRIBUTION CAN BE VISUALLY INSPECTED WITH PATIENT

ULTRAVIOLET LIGHT

• SOME DISEASES CAN BE INSPECTED.

WOODS LAMP

• MAXIMUM OUTPUT: 365 nm

• HELPS DIAGNOSING TINEA CAPITIS

DERMATOSCOPY

• CAN BE HELPFUL IF IDENTIFYING MINUTE LESION,

PALPATION

• IS IMPORTANT FOR CHECKING A LESION’S MOBILITY AND STABILITY.

• URTICARIA PIGMENTOSA

  • COMMONLY SEEN IN INFANTS CAN BE DIAGNOSED BY DARIERS SIGN.

• DARIER’S SIGN

  • INVOLVES RUBBING OR SCRATCHING THE LESION.

VISUAL INSPECTION

• POSSIBLE CONSIDERATION FOR VISUAL INSPECTION

  • LESION’S COLOR

  • SHAPE

  • SPATIAL ARRANGEMENT

  • DISTRIBUTION

PALPATION

• IS FOR ASSESSING THE SKIN HUMIDITY, TEMPERATURE, TEXTURE, LEVEL OF TENSION, MOBILITY, DEPRESSION AND ELEVATION.

• KERATINOUS LESIONS

  • OCCUR ESPECIALLY WHEN TEXTURE OF THE WHOLE BODY BECOMES ROUGH.

• PALMOPLANTAR KERATINIZATION

  • DEVELOPS AS A RESULT OF SYSTEMIC REACTION TO TOXIC CHEMICAL.

END OF LESSON 10(;