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Skin, Hair, and Nail

Skin, Hair, and Nail. Rung-Fen Feng, 2007.3. Functions of the Skin. Protection Sensory perception Temperature & blood pressure regulation Vitamin synthesis Excretion & secretion Absorption Respiration. Structure of the skin. . The skin – epidermis dermis

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Skin, Hair, and Nail

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  1. Skin, Hair, and Nail Rung-Fen Feng, 2007.3

  2. Functions of the Skin • Protection • Sensory perception • Temperature & blood pressure regulation • Vitamin synthesis • Excretion & secretion • Absorption • Respiration

  3. Structure of the skin .The skin – epidermis dermis subcutaneous .Appendage – hair vellus Vs terminal nail sebaceous gland sweat gland eccrine apocrine

  4. Examination • Preparation & position environment client equipment . Skills inspection palpation

  5. Skin Inspection – color general pigmentation freckles mole birthmark vascularity or bruising Palpation – texture & consistency (thickness) temperature moisture tugor & mobility

  6. If any lesions are present, note their: • Morphology size, shape, elevation or depression of the lesion • Distribution generalized or localized • Location • Configuration grouped, diffuse, linear.. • Any exudate color, odor, volume….

  7. Hair • Inspection – color distribution volume free of debris • Palpation - texture

  8. Nail • Inspection – shape & contour color consistencysmoothness, symmetry cleanliness • Palpation – adherence to the nail bed capillary refill <1”-2”

  9. Head & NeckRegional Lymphatics Rung-Fen Feng 2007.3

  10. The Head • 8 cranial bones frontal, parietal, occipital, and temporal • 14 facial bones nasal bone & nasal septum, zygomatic, maxilla, mandible, lacrimal, sphenoid, external acoustic meatus, mastoid process

  11. Examination • Head Inspection – skull size & shape scalp color hair color, volume, distribution Palpation – skull tenderness hair texture

  12. Face Inspection – facial expressionsymmetry appearance color Palpation - temporomandibular joint tenderness

  13. The neck structures & anatomy

  14. Inspection – symmetry range of motion muscle function thyroid lymph nodes Palpation – trachea thyroid lymph nodes

  15. Characteristics in Lymph Nodes Examination Location Size Shape Consistency Symmetry Fixation & Mobility Tenderness Border Surface characteristic (erythema, heat)

  16. Ascultation – thyroid artery

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