HNN114 Lecture 7: SKIN, NAILS AND HAIR
HNN114
SKIN, NAILS AND HAIR ASSESSMENT
1
SKIN, HAIR AND NAILS
ASSESSMENT
NORMAL FINDINGS
ABNORMAL FINDINGS
INSPECT THE SKIN
Note the pesee of sas, ouds,
pieigs, tattoos ad geeal hgiee
ad ski oditios
Ski oditio a idiate a pesos
geeal health ad elleig.
Colour
Geeal pigetatio; osee ski
toe. Based off of geeti akgoud
Vitiligo is a oditio i hih thee is a
oplete asee of elai piget i
path aeas of hite o light ski.
Marks
Chek fo fekles, oles ad
ithaks
A aoalities i these aks
Pallor
Whe ed-pik toes fo ogeated
haeogloi ae lost, the ski takes o
the olou of ollage hite. Pallo is
oo i aiet/fea/eposue to
old peipheal asoostitio
Ashe ge olou i a peso ith dak ski
o aked pallo i a peso ith light
oloued ski ous ith aaeia, shok,
ad ateial isuffiie.
Erthea
Itese edess of the ski fo eess
lood i the dilated supefiial
apillaies. This is epeted he
people lush.
Whe ethea is assoiated ith fee o
loalized iflaatio, it is haateised
ieased ski tepeatue fo the
ieased ate of lood flo though the
lood essels. Ethea ous ith eous
stasis, ao ooide poisoig ad
etaasula pesee of ed lood ells.
Caosis
Bluish ottled olou sigifies that the
tissues ae ot adeuatel pefused
ith ogeated lood. Be aae that
aosis is a o-speifi sig.
Caosis idiates hpoaeia ad ous
ith shok, heat failue, hoi ohitis
ad ogeital heat disease.
Jaudie
Jaudie is ehiited a ello
olou, idiatig isig aouts of
iliui i the lood. Jaudie is fist
oted i the jutio of the had ad
soft palate i the outh ad i the
slea ad iis.
Jaudie ous ith hepatitis, ihosis,
sikle-ell disease, tasfusio eatio ad
haeolti disease of the eo. Light o
la oloued stools ad dak golde uie
ofte aopa jaudie.
Pressure ijuries
Assess fo PI.
Gade : o-lahale ethea
Gade : patial thikess ski loss
Gade : full thikess ski loss
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Document Summary
Inspect the skin note the p(cid:396)ese(cid:374)(cid:272)e of s(cid:272)a(cid:396)s, (cid:449)ou(cid:374)ds, pie(cid:396)(cid:272)i(cid:374)gs, tattoos a(cid:374)d ge(cid:374)e(cid:396)al h(cid:455)gie(cid:374)e a(cid:374)d ski(cid:374) (cid:272)o(cid:374)ditio(cid:374)s. Ge(cid:374)e(cid:396)al pig(cid:373)e(cid:374)tatio(cid:374); o(cid:271)se(cid:396)(cid:448)e ski(cid:374) to(cid:374)e. based off of ge(cid:374)eti(cid:272) (cid:271)a(cid:272)kg(cid:396)ou(cid:374)d. Whe(cid:374) (cid:396)ed-pi(cid:374)k to(cid:374)es f(cid:396)o(cid:373) o(cid:454)(cid:455)ge(cid:374)ated hae(cid:373)oglo(cid:271)i(cid:374) a(cid:396)e lost, the ski(cid:374) takes o(cid:374) the (cid:272)olou(cid:396) of (cid:272)ollage(cid:374) (cid:894)(cid:449)hite(cid:895). Pallo(cid:396) is (cid:272)o(cid:373)(cid:373)o(cid:374) i(cid:374) a(cid:374)(cid:454)iet(cid:455)/fea(cid:396)/e(cid:454)posu(cid:396)e to (cid:272)old (cid:894)pe(cid:396)iphe(cid:396)al (cid:448)aso(cid:272)o(cid:374)st(cid:396)i(cid:272)tio(cid:374)(cid:895) I(cid:374)te(cid:374)se (cid:396)ed(cid:374)ess of the ski(cid:374) f(cid:396)o(cid:373) e(cid:454)(cid:272)ess (cid:271)lood i(cid:374) the dilated supe(cid:396)fi(cid:272)ial (cid:272)apilla(cid:396)ies. Bluish (cid:373)ottled (cid:272)olou(cid:396) sig(cid:374)ifies that the tissues a(cid:396)e (cid:374)ot ade(cid:395)uatel(cid:455) pe(cid:396)fused (cid:449)ith o(cid:454)(cid:455)ge(cid:374)ated (cid:271)lood. Be a(cid:449)a(cid:396)e that (cid:272)(cid:455)a(cid:374)osis is a (cid:374)o(cid:374)-spe(cid:272)ifi(cid:272) sig(cid:374). Jau(cid:374)di(cid:272)e is e(cid:454)hi(cid:271)ited (cid:271)(cid:455) a (cid:455)ello(cid:449) (cid:272)olou(cid:396), i(cid:374)di(cid:272)ati(cid:374)g (cid:396)isi(cid:374)g a(cid:373)ou(cid:374)ts of (cid:271)ili(cid:396)u(cid:271)i(cid:374) i(cid:374) the (cid:271)lood. Jau(cid:374)di(cid:272)e is fi(cid:396)st (cid:374)oted i(cid:374) the ju(cid:374)(cid:272)tio(cid:374) of the ha(cid:396)d a(cid:374)d soft palate i(cid:374) the (cid:373)outh a(cid:374)d i(cid:374) the s(cid:272)le(cid:396)a a(cid:374)d i(cid:396)is. Ski(cid:374) (cid:272)o(cid:374)ditio(cid:374) (cid:272)a(cid:374) i(cid:374)di(cid:272)ate a pe(cid:396)so(cid:374)(cid:859)s ge(cid:374)e(cid:396)al health a(cid:374)d (cid:449)ell(cid:271)ei(cid:374)g. Vitiligo is a (cid:272)o(cid:374)ditio(cid:374) i(cid:374) (cid:449)hi(cid:272)h the(cid:396)e is a (cid:272)o(cid:373)plete a(cid:271)se(cid:374)(cid:272)e of (cid:373)ela(cid:374)i(cid:374) pig(cid:373)e(cid:374)t i(cid:374) pat(cid:272)h(cid:455) a(cid:396)eas of (cid:449)hite o(cid:396) light ski(cid:374).
