1. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Assessment Physical Examination of the Skin By Sharon Kerr MSN, RN Spring 2010 MENU

2. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Inspection and palpation of the skin: color : pallor, cyanosis, jaundice, redness temperature moisture turgor lesions

3. Copyright © 2000 by W. B. Saunders Company. All rights reserved. What is a Lesion? A wound, injury, or pathological change in the body.

4. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Lesions n General Description: color, size, location n Shape: linear, oval, round, annular (ring like) n Distribution: local, generalized, scattered, at pressure points, etc.

5. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Types of Lesions n Primary – appear initially n Secondary – result from change in primary

6. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Primary Lesions n Macule: freckle n Patch: café au lait n Papule: wart n Nodule: lipoma n Vesicle: chickenpox, blister n Bulla: hives n Pustule: acne, impetigo MENU

7. Copyright © 2000 by W. B. Saunders Company. All rights reserved. More Primary Lesions n Abrasion or Excoriation n Ecchymosis n Erythema n Petichiae

8. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Secondary Lesions n Scale: dandruff n Scar: n Fissure: athlete’s foot n Ulcer: decubitis n Crust: impetigo scabs n Keloid: hypertropic scar

9. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Vesicles

10. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Annular

11. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Scattered --psoriasis

12. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Erythematous rash

13. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Petichiae

14. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Nail Assessment n Lesions n Capillary refill – blanch test n Shape --normal angle 160 degrees clubbing > 180 degrees

15. Copyright © 2000 by W. B. Saunders Company. All rights reserved. Hair Assessment n Texture n Distribution n Infestation