5. Skin, Hair and Nails
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Obtain health history:
•
Skin diseases (allergies, hives,
psoriasis, eczema)
•
Change in pigmentation
•
Change in mole (size or color)
•
Excessive dryness or moisture
•
Pruritus
•
Excessive bruising
•
Rash or lesion
•
Medications
•
Hair loss
•
Change in nails
•
Environmental or occupational
hazards
•
Self-care behaviors
•
Texture
•
Moisture content
•
Temperature
•
Skin lesions (primary or
secondary, solid or fluid-filled,
borders, color, pattern, location
and distribution, diameter and
drainage)
Hair assessment:
•
Distribution, quantity, texture
and color
•
Patterns of hair loss and
growth
•
Scalp (erythema, scaling and
encrustations)
Nails assessment:
•
Color
•
Shape
•
Thickness
•
Consistency
Skin – Café-au-lait spots,
cherry angiomas,
hemangiomas, papular rash,
pressure ulcers, pruritus,
purpuric lesions, scars,
telangiectases, urticaria,
vesicular rash
Hair – alopecia, hirsutism
Nails – Beau’s lines, clubbing,
koilonychia, Muehrcke’s lines,
onycholysis, Terry’s nails