Integumentary Flashcards
CC to look out for
Rash Hives Dry skin Acne Hair loss Ingrown nails
HPI to look out for
OLDCARTS
Environmental exposures
Travel
Immunizations
Past/present medical hx to look out for
Skin Skin cancer Acne Prev. lesions/procedures Systemic disorders
Family Hx to look out for
Skin cancer
Atopy (genetic tendency to develop allergic diseases)
Balding
Social Hx to look out for
Tobacco Alcohol Drug use Sun exposure Tanning booths Cosmetics Skin care
Examination of the skin is performed by
Inspection and palpation
Skin inspection requirements
Adequate lighting (tangential for contour)
Room temperature
Only expose the skin that needs to be exposed
Full body sweep
Skin inspection points to look out for while performing inspection on the entire skin surface
Pallor Scars, bruises, lesions Edema Moisture Hydration
8 Steps of skin lesion description
Location
Distribution
Primary or secondary
Shape/arrangement
Borders/margins
Associated changes
Pigmentation
Size
Palpation of skin for
Moisture (should be minimal sweat/oil)
Temp. (use dorsal surface of hands/fingers
Texture (smooth, soft, even)
Turgor (3 seconds or less for tenting)
Where do you check for tenting in the elderly?
Over the sternum
Normal tenting time
3 seconds or less
Inspect hair for
Color
Distribution
Quantity (look for Hirsutism/alopecia)
Palpate hair for
Texture
Inspect nails for
Color
Shape
Contour (clubbing)
