Assessment of the Skin, Hair, and Nails

1
Assessment of the Skin, Hair, and Nails
2
Skin Assessment

• Objective Data
• Color pigmentation
• Normal pink or appropriate for
• race even pigmentation
• Change in pigmentation
• Vitiligo
• Widespread skin color changes
• Pallor
• Cyanosis
• Erythema
• Jaundice

3
Skin Assessment Cont.Widespread Skin Color
Changes
Pallor
Cyanosis
Erythema
Jaundice
4
Skin Assessment Cont.Pigmentation Vitiligo
5
Skin Assessment-Cont.

• Temperature
• Moisture
• Turgor
• Lesions
• describe

6
Skin Lesions
Diaper Dermatitis

• Allergic dermatitis

7
Skin Lesions Cont.eczema
8

Skin Lesions Cont.Impetigo
9
Skin Lesions Cont.Fungal Infections

• Tinea corporis

10
Skin Lesions Cont.Signs to alert you for
Malignant Melanoma !!!

• ABCDE

11
Skin Lesions Cont.Abnormal Characteristics of a
Pigmented Lesion

• DANGER SIGNS ABCDE
• Asymmetry
• Border irregularity
• Color variation
• Diameter
• Elevation and Enlargement

12
Hair Assessment

• Distribution (evenly distributed, patchy,
  alopecia)
• Thickness (thick, thinning, balding)
• Texture (fine/course/smooth)
• Infections/infestations
• Scalp lesions (scales, masses, nodules)
• Note normal changes with aging

ALOPECIA (Hair loss)
Tinea Capitis
13
Nail Assessment
Normal Nails

• Assess
• Nail bed color (translucent with pink nail bed)
• Texture (smooth, ridging, pitting)
• Consistency (firm, spongy)
• Nail angle (
• Surrounding tissues
• Note changes with aging thicker, dull,
  splitting, longitudonal bands

14
Nail Assessment-Cont.Nail Angle
15
Nail Assessment-Cont.Nail Angle Clubbing
16
Nail Assessment-Cont.Fungal Infection -
Onychomycosis
17
Nail Assessment-Cont.Paronychia