4/9/13 Flashcards
What types of skin changes do you want to ask about in a history?
dryness pruritis sores rashes lumps color texture odor perspiration
If someone notices skin changes, which symptoms should you ask for?
itching pain exudate bleeding color changes seasonal/climate variations
What are some associated symptoms you should ask about if someone has skin changes? What are extra onset questions?
Associated Symptoms: presence of systemic disease, fever, relationship to stress or leisure activities
Other Questions: recent exposure of skin
apparent cause
travel history
What are some hair changes that somebody might complain about?
loss of hair growth of hair distribution of hair text of hair color of hair
What are some associated questions you should ask about patients who complain of hair changes?
sudden or gradual onset symmetric or asymmetric distribution Associated Symptoms: pain, itching, lesions, disease or fever, stress recent exposure nutritional changes
What nail changes might a patient complain about?
splitting breaking discoloration ridging thickening markings separation of the nail from the bed
What are some extra questions that you should ask when a patient complains about nails?
recent illness
recent stress
Associated Symptoms: pain, swelling, exudate
What types of meds might you want to ask someone if they are using if they are having problems with their nails?
chemotherapy, psoralens, retinoids, tetracyclines, antimalarials
What are some systemic diseases that you should ask someone about if they have hair problems?
liver disorder thyroid disorder severe illness malnutrition associated skin disorder
What are calluses?
painful lesions found over pressure points
What are corns?
bony prominences
What do you palpate for on a skin exam?
moisture
temp (back of hand)
texture
turgor
Moles are usually harmless, but which areas of the bodies of men & women are they sometimes considered dysplastic?
back of men
legs of women
What is hyperkeratosis a sign of?
toxic exposure
What is Seborrheic Keratoses?
pigmented, raised, warty lesions, on face or trunk, may look similar to actinic keratoses (malignant)
