Health Assessment #2 - Skin, Hair, and Nails; Head, Face, and Neck (3) Flashcards
Inspect and Palpate the Hair - Color
Hair color comes from ______ and may vary from pale blonde to total black. Genetic factors affect the onset of graying.
melanin production
Inspect and Palpate the Hair - Texture
Scalp hair may be fine or thick any may look straight, curly, or kinky. It should look shiny.
:)
Inspect and Palpate the Hair - Distribution
Fine ______ hair is found all over the body, wheras coarser terminal hairs grow at the ______, ______, ______, and ______.
Fine vellus hair is found all over the body, wheras coarser terminal hairs grow at the head, pubic areas**, **axillary**, and **eyebrows.
Inspect and Palpate the Hair - Lesions
Separate the hair into sections and lift it, observing the scalp.
All areas should be clean and free of lesions or pests. People may have dandruff (AKA ______)
Separate the hair into sections and lift it, observing the scalp.
All areas should be clean and free of lesions or pests. People may have dandruff (AKA seborrhea)
Inspect and Palpate the Nails - Shape and Contour
Normally ______ or ______, and the posterior and lateral nail folds are ______ and ______.
Normally curved or flat, and the posterior and lateral nail folds are smooth and round.
Inspect and Palpate the Nails - Shape and Contour
______ : View the index finger at its profile and note the angle of the nail base, it should be about _____ degrees.
Profile Sign : View the index finger at its profile and note the angle of the nail base, it should be about 160 degrees.
Inspect and Palpate the Nails - Shape and Contour
Clubbing is most commonly seen in patients with ______.
Clubbing is most commonly seen in patients with chronic hypoxia.
Inspect and Palpate the Nails - Consistency
The surface is ______ and ______, not brittle or splitting.
The nail firmly adheres to the nail bed.
The surface is smooth** and **regular, not brittle or splitting.
The nail firmly adheres to the nail bed.
Inspect and Palpate the Nails - Color
The translucent nail plate is a window to the even, pink nail bed.
______ : depress the nail edge to blanch and then release, noting the return of color.
Normally, color return is ______ seconds. This indicates the status of ______.
The translucent nail plate is a window to the even, pink nail bed.
Capillary Refill : depress the nail edge to blanch and then release, noting the return of color.
Normally, color return is 1-2 seconds. This indicates the status of peripheral circulation.
Inspect and Palpate the Skull - Size and Shape
______ : a round symmetric skill that is appropriately related to body size.
Normal cephalic
Inspect and Palpate the Skull - Size and Shape
______ : abnormally small head
______ : abnormally large head
Micro cephalic : abnormally small head
Macro cephalic : abnormally large head
Inspect and Palpate the Skull - Size and Shape
To assess shape: place fingers in the person’s hair and palpate the scalp.
The skull normally feels ______ and ______. There should be no tenderness to palpation.
To assess shape: place fingers in the person’s hair and palpate the scalp.
The skull normally feels symmetric and smooth. There should be no tenderness to palpation.
Inspect and Palpate the Skull - Temporal Area
Palpate the temporal artery above the zygomatic bone between the eye and the top of the ear.
If the patient has ______, the artery will look tortuous, and feel hard and tender.
Palpate the temporal artery above the zygomatic bone between the eye and the top of the ear.
If the patient has torturitis, the artery will look tortuous, and feel hard and tender.
Inspect the Face - Facial Structures
Note the facial expressions and its appropriateness to behavior or reported mood. Anxiety is common for a hospitalized person.
Tense, ridged muscles indicate ______ or ______.
A flat effect may indicate ______.
Note the facial expressions and its appropriateness to behavior or reported mood. Anxiety is common for a hospitalized person.
Tense, ridged muscles indicate anxiety** or **pain.
A flat effect may indicate depression.
Inspect the Face - Facial Structures
Facial structures should be symmetric.
Note symmetry of eyebrows, palpebral fissures, and sides of mouth.
May see asymmetry in patients with a ______ or ______.
Facial structures should be symmetric.
Note symmetry of eyebrows, palpebral fissures, and sides of mouth.
May see asymmetry in patients with a stroke or Bell’s Palsy.
