module 6 hx and skin exam Flashcards
1
Q
7 key questions related to skin lesions
A
when? onset where? site of onset Itch/hurt? how has it spread? Individual lesion changes? color, shape aggravating factors? - heat, cold, sun, exercise, travel hx, drug ingestion, pregnancy, season Previous tx? topical/systemic
2
Q
Past medical hx
A
previous skin problems tolerance to sunlight - previous severe sunburn sensitivity to sensory stimuli Allergies Medications: present and past Atopic hx: asthma, hay fever, eczema
3
Q
past medical hx systemic illness
A
cardiac respiratory liver endocrine or other - example: lupus
4
Q
Family hx
A
psoriasis
atopy melanoma
xanthomas
5
Q
personal and social hx
A
Skin care habits, sun exposure, chemical exposure, drug use, cosmetics
Recent physical or emotional stress
-> worsening skin issues
Use of tobacco, alcohol, recreational drugs
Hobbies, exposures, travel
6
Q
skin risk factors
A
over 50 male fair, freckled, ruddy complexion light-colored hair or eyes tendency to burn easily frost, wind, UV radiation near equator family hx of skin cancer radiation exposure (x-rays) repeated trauma/skin irritation precancerous dermatoses
7
Q
adequate skin exam should include
A
oral mucosa scalp palms soles nails of hands and feet
8
Q
inspection
A
color - general pigmentation - widespread color change: pallor, jaundice Hygiene Thickness Vascularity or Bruising Skin lesions
9
Q
Palpation
A
temperature: dorsal hand
texture: smooth, even?
moisture: perspiration, oil
turgor
mobility
10
Q
describing skin lesions
A
shape: reg/irreg size color: solid/variation texture: smooth/rough Evavation/depression pedunculation(hanging): skin tag exudate: odor, color, amount, consistency
11
Q
configuration
A
annular grouped linear arciform diffues
12
Q
location
A
region of body
13
Q
distribution
A
generalized/localized
14
Q
patterns
A
discrete / confluent
15
Q
annular
A
round lesions, central clearing
