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 Assess:
Normal Nails
Assess:
Nail bed color (translucent with pink nail bed)
Texture (smooth, ridging, pitting)
Consistency (firm, spongy)
Nail angle (< 160 degrees-normal)
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