Copyright © 2000 by W. B. Saunders Company. All rights reserved. Assessment Physical Examination of...

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

Assessment Physical Examination of the Skin

By

Sharon Kerr MSN, RN

Spring 2010

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Inspection and palpation of the skin:

color : pallor, cyanosis, jaundice, redness

temperature

moisture

turgor

lesions


What is a Lesion?

A wound, injury, or pathological change in

the body.


Lesions

General Description: color, size, location

Shape: linear, oval, round, annular (ring like)

Distribution: local, generalized, scattered, at pressure points, etc.


Types of Lesions

Primary – appear initially

Secondary – result from change in primary


Primary Lesions Macule: freckle

Patch: café au lait

Papule: wart

Nodule: lipoma

Vesicle: chickenpox, blister

Bulla: hives

Pustule: acne, impetigo

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More Primary Lesions

Abrasion or Excoriation

Ecchymosis

Erythema

Petichiae


Secondary Lesions Scale: dandruff

Scar:

Fissure: athlete’s foot

Ulcer: decubitis

Crust: impetigo scabs

Keloid: hypertropic scar


Vesicles


Annular


Scattered --psoriasis


Erythematous rash


Petichiae


Nail Assessment

Lesions

Capillary refill – blanch test

Shape --normal angle 160 degrees clubbing > 180 degrees


Hair Assessment

Texture

Distribution

Infestation

Copyright © 2000 by W. B. Saunders Company. All rights reserved. Assessment Physical Examination of...

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