Inspection and Palpation: Skin and Hair
24 Questions
0 Views

Inspection and Palpation: Skin and Hair

Created by
@NoteworthyAsteroid9038

Podcast Beta

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which color change in the skin indicates the presence of a high bilirubin level?

  • Pallor
  • Jaundice (correct)
  • Erythema
  • Cyanosis

    • What skin condition is characterized by excessive sweating?

  • Diaphoresis (correct)
  • Edema
  • Dehydration
  • Hyperthermia

    • Which assessment technique would best reveal distribution patterns of skin issues?

  • Inspect skin intertriginous areas before examining the whole body.
  • Assess skin texture and temperature separately.
  • Focus only on color variations in specific regions.
  • Consider the skin as a single entity during assessment. (correct)

    • What does a decrease in skin turgor indicate?

    <p>Dehydration or loss of fluid</p> Signup and view all the answers

    Which condition is indicated by an abnormal temperature difference measured on both hands?

    <p>Frostbite</p> Signup and view all the answers

    What is the primary purpose of inspecting intertriginous areas?

    <p>To detect potential skin infections or irritations.</p> Signup and view all the answers

    Which of the following indicates that skin has adequate circulatory status during an assessment?

    <p>Skin feels warm and temperature is equal bilaterally.</p> Signup and view all the answers

    What does the presence of tattoos indicate in a skin examination?

    <p>Potential risk for skin infection.</p> Signup and view all the answers

    Which of the following color variations in skin conditions could indicate potential health issues?

    <p>Mottled or patchy coloration</p> Signup and view all the answers

    What does the capillary refill test assess in relation to peripheral circulation?

    <p>Return of color after blanching</p> Signup and view all the answers

    Which developmental skin change is commonly associated with aging?

    <p>Declining elasticity and increased dryness</p> Signup and view all the answers

    Which of the following steps is NOT part of the ABCDEF skin self-examination technique?

    <p>Considering emotional impact</p> Signup and view all the answers

    To detect fluorescing lesions, which tool is recommended for use during skin assessment?

    <p>Wood's light</p> Signup and view all the answers

    Which abnormal pattern in nails might suggest clubbing associated with lung disease?

    <p>Nails having a convex contour and elevating base</p> Signup and view all the answers

    What characteristic should be observed about lesions during a skin examination?

    <p>Presence of exudate and its features</p> Signup and view all the answers

    Which aspect of hair assessment could be influenced by hyperthyroidism?

    <p>Growth rate and hair texture</p> Signup and view all the answers

    Which skin condition is associated with the pigmentation from the navel to the pubic symphysis during pregnancy?

    <p>Linea nigra</p> Signup and view all the answers

    What term describes dry skin that is often seen in aging individuals?

    <p>Xerosis</p> Signup and view all the answers

    What does erythema signify when examining skin color changes?

    <p>Redness of the skin</p> Signup and view all the answers

    Which condition describes a lesion that consists of distinct and separate spots?

    <p>Discrete</p> Signup and view all the answers

    Which factor indicates poor circulation as reflected in developmental skin changes?

    <p>Thin parchment-like skin</p> Signup and view all the answers

    What type of fungal infection begins in the center and spreads outward?

    <p>Annular</p> Signup and view all the answers

    What are vascular spiders associated with, concerning skin condition changes in pregnancy?

    <p>Liver disease</p> Signup and view all the answers

    In a clustered format, what type of skin lesions would be described as grouped?

    <p>Confluent lesions</p> Signup and view all the answers

    Study Notes

    Equipment Needed for Physical Examination

    • Strong direct lighting is essential for effective inspection.
    • Gloves protect the examiner and ensure hygiene.
    • A penlight aids in examining small or hard-to-see areas.
    • A small centimeter ruler helps in measuring lesions or skin abnormalities.

    Complete Physical Examination

    • Skin assessment should be integrated throughout the examination.
    • Begin with outer skin surface inspection before assessing underlying structures; document drainage, color, and odor.
    • Pay special attention to intertriginous areas, such as those under large breasts, abdomen, and groin folds.
    • Feet, toenails, and spaces between toes require thorough examination.

    Regional Physical Examination

    • Patients may visit healthcare providers specifically for skin issues.
    • Assess the skin as a unified whole to identify distribution patterns effectively.

    Inspection and Palpation: Skin

    • Color:

      • Note general pigmentation, freckles, moles, and birthmarks.
      • Observe widespread skin color changes (pallor, erythema, cyanosis, jaundice) and determine if they are transient or pathological.

    • Temperature:

      • Use the backs of hands for palpation; skin should be warm and bilaterally equal.
      • Slightly cooler hands or feet may indicate environmental effects (hypothermia or hyperthermia).

    • Moisture:

      • Look for diaphoresis (excessive sweating) or signs of dehydration.

    • Texture:

      • Normal skin texture is smooth, firm, with an even surface.

    • Thickness:

      • Observe for areas of thickened skin, such as calluses.

    • Edema and Turgor:

      • Assess for fluid accumulation in interstitial spaces; lymph edema is non-compressible.
      • Examine skin elasticity for mobility and turgor.

    • Vascularity:

      • Check for bruising and the presence of tattoos or variations.

    Lesion Assessment

    • Document characteristics of any skin lesions:
      • Color, elevation, pattern/shape, size, and location/distribution.
      • Observe exudate for color and odor.
      • Use Wood’s light for detecting fluorescing lesions.

    Inspection and Palpation: Hair

    • Color:

      • Determined by melanin production.

    • Texture:

      • Ranges from fine to thick; hair products can alter texture.

    • Distribution:

      • Tanner staging determines gender-specific hair patterns.

    • Lesion Identification:

      • Inspect the scalp by sectioning hair.

    Inspection and Palpation: Nails

    • Shape and Contour:

      • Assess the profile sign; the nail base should form an angle of about 160 degrees.

    • Consistency:

      • Nails should be smooth, regular, not brittle, and uniform in thickness.

    • Color:

      • Typical nails are translucent and pink from the underlying nail bed.

    • Capillary Refill:

      • Check peripheral circulation by evaluating the return of color after blanching the nail edge.

    ABCDEF Skin Assessment

    • Teach self-examinations using the ABCDEF rule to identify suspicious lesions:
      • A: Asymmetry
      • B: Border irregularity
      • C: Color variations
      • D: Diameter greater than 6mm
      • E: Elevation or evolution
      • F: Funny looking or "ugly duckling" lesions.

    Developmental Competence

    • Adolescent:

      • Common skin issue includes acne and types of comedones.

    • Pregnancy History:

      • Look for stretch marks (striae), linea nigra (pigmentation), chloasma (liver disease connection), and vascular spiders (due to liver disease or pressure).

    • Aging:

      • Changes include age spots (senile lentigines), dry skin (xerosis), skin tags (acrochordons), and decreased mobility, hair growth, and nail growth linked to poor circulation.

    Detecting Color Changes

    • Understand variations for detecting pallor, cyanosis, erythema, jaundice, and brown-tan skin.

    Lesion Types

    • Annular: Begins centrally and spreads outward.
    • Confluent: Lesions merge together.
    • Discrete: Distinct and separate lesions.
    • Grouped: Clustered lesions.
    • Gyrate: Twisted or coiled appearance.
    • Target or Iris: Concentric rings resembling the eye.
    • Linear: Scratch or line markings.
    • Polycyclic: Annular lesions that merge.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Chapter 13 Lecture(1).pptx

    Description

    This quiz focuses on the examination techniques of skin and hair, including the identification of lesions. It covers important aspects such as color, elevation, shape, and exudate characteristics. Enhance your understanding of skin and hair inspection methods.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser