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Transcript of Copyright © 2000 by W. B. Saunders Company. All rights reserved. Assessment Physical Examination of...
![Page 1: Copyright © 2000 by W. B. Saunders Company. All rights reserved. Assessment Physical Examination of the Skin By Sharon Kerr MSN, RN Spring 2010 MENU.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649eea5503460f94bfbc49/html5/thumbnails/1.jpg)
Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Assessment Physical Examination of the Skin
By
Sharon Kerr MSN, RN
Spring 2010
MENU
![Page 2: Copyright © 2000 by W. B. Saunders Company. All rights reserved. Assessment Physical Examination of the Skin By Sharon Kerr MSN, RN Spring 2010 MENU.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649eea5503460f94bfbc49/html5/thumbnails/2.jpg)
Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Inspection and palpation of the skin:
color : pallor, cyanosis, jaundice, redness
temperature
moisture
turgor
lesions
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
What is a Lesion?
A wound, injury, or pathological change in
the body.
![Page 4: Copyright © 2000 by W. B. Saunders Company. All rights reserved. Assessment Physical Examination of the Skin By Sharon Kerr MSN, RN Spring 2010 MENU.](https://reader030.fdocuments.us/reader030/viewer/2022032805/56649eea5503460f94bfbc49/html5/thumbnails/4.jpg)
Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Lesions
General Description: color, size, location
Shape: linear, oval, round, annular (ring like)
Distribution: local, generalized, scattered, at pressure points, etc.
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Types of Lesions
Primary – appear initially
Secondary – result from change in primary
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Primary Lesions Macule: freckle
Patch: café au lait
Papule: wart
Nodule: lipoma
Vesicle: chickenpox, blister
Bulla: hives
Pustule: acne, impetigo
MENU
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
More Primary Lesions
Abrasion or Excoriation
Ecchymosis
Erythema
Petichiae
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Secondary Lesions Scale: dandruff
Scar:
Fissure: athlete’s foot
Ulcer: decubitis
Crust: impetigo scabs
Keloid: hypertropic scar
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Vesicles
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Annular
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Scattered --psoriasis
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Erythematous rash
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Petichiae
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Nail Assessment
Lesions
Capillary refill – blanch test
Shape --normal angle 160 degrees clubbing > 180 degrees
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Copyright © 2000 by W. B. Saunders Company. All rights reserved.
Hair Assessment
Texture
Distribution
Infestation