INTEGUMENTARY AND HEENT

Question 1

SKIN

Answer 1

1) color
2) vascularity
3) cleanliness
4) moisture
5) temperature
6) texture
7) thickness
8) turgor
9) presence of edema
10) presence of lesions (using fingertips)
Describe lesions- color, type, grouping or configuration, distribution

Question 2

NAILS

Answer 2

1) Color
2) thickness
3) texture
4) condition of nails- concave/convex, beau’s lines, paronychia, splinter hemorrhages
5) nail angle- nail base 160 degrees, nail base springy, clubbing of nail

Question 3

HEAD

Answer 3

1) facial expression- tearing, smiling, blank stare, sleepy, mask-like
2) size and color- symmetrical, asymmetrical, round, ptosis on one side

Question 4

HAIR

Answer 4

1) Color
2) location- standard distribution, facial hair on women
3) amount
4) texture
5) dandruff
6) alopecia- total or region
7) foreign matter
8) lesions: describe

Question 5

EYES

Answer 5

1) Sclera- white, jaundiced
2) Bulbar conjunctivae- clear, tiny red vessels
3) palpebral conjunctivae- pink, red, discharge, redness
4) drainage- no drainage, tearing, crusted

Question 6

NOSE

Answer 6

1) drainage- no discharge, clear, yellow, green, bloody

2) lesions- drainage

Question 7

MOUTH

Answer 7

1) mucous membrane- moist/dry, pink/red, lesions (describe)
2) tongue- at midline, no tremors, pink/red, smooth/fissures
3) lips- color, intactness, dryness
4) gums- pale/red/pink, lesions, swelling, bleeding, hyperplasia
5) teeth- dental caries, missing lower/upper, has dentures
6) odor- pleasant, fruity, halitosis

Question 8

NECK AND THROAT

Answer 8

1) thyroid gland assessment- enlarged/not
2) trachea- at midline, deviated to r/l
3) throat- lesions, inflammation
4) swallowing- difficulty swallowing, no gag reflex
5) lymph nodes- not palpable, hard/soft, describe size and location