**Nails Flashcards

1
Q

Nails can indicate

general

A
overall vitality
inner emotional state
occupations
hobbies
medical history
nutritional status
CV function
rheumatic conditions
dermatologic functions
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2
Q

paronychial tissue

A

surrounds nails

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3
Q

paronchia
What is it
what does it show

A
nail infection
 stress
trauma
poor nutrition
low immunity
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4
Q

hangnails/wick show

A

def in
protein
B vits
C

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5
Q

Dryness around nails could show

A
DEF in 
A
D
EFAs
low thyroid
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6
Q

schamroth’s sign

A

diamond-shaped window between forefingers

shows nails not clubbed

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7
Q

reasons for clubbed nails

A

pulmonary/CVD - 80%
GI issues
hyperthyroidism

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8
Q

what is test for koilonychia

A

spoon nails

water drop test

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9
Q

spoon nails could be

A
Fe def
protein def
diabetes
solvent exposure
systemic lupus evythmatosus
raynauds disease
hematomacrosis
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10
Q

what do beau’s lines show

A
previous acute illness
severe infection
MI
surgery
Zn def
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11
Q

thin brittle nails can be a sign of

A

osteoporosis
thyroid
malnutrition

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12
Q

nutrients to try for thin brittle nmails

A

biotin
b complex (b12)
A

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13
Q

onychorrhexis - longitudinal ridges show

A

old age
RA
peripheral vascular disease
lichen planus

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14
Q

central longitudinal ridges show

A

Fe def
protein def
B9 def

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15
Q

central nail canal/median nail dystrophy shows

A

malnutrition
repetitive trauma
+ fir tree deformity - severe arterial disease

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16
Q

nail pitting

caused my nail matrix inflammation

A

psoriasis - random
alopecia - geometric
eczema
lichen planus

17
Q

lichen planus

A

non-contagious auto-immune
red/purple raised rash with white
looks similar to psoriasis

18
Q

nail beading shows

A
endocrine conditions:
diabetes
thyroid
addisons
B group def
19
Q

rough nail surface (sandpapered appearance)

A

auto-immune disease
psoriasis
chemical exp
lichen planus

20
Q

onycholysis is

A

distal separation of nail plate from bed

21
Q

cause of onycholysis

A
thyrotoxicosis
longterm antibiotic use
psoriasis
trauma
contact dermatitis
eczema
auto immune
22
Q

causes nail thickening

A

slowed growth
eczema
peripheral vascular disease
psoriasis

23
Q

onchomycosis is

A

fungal nail

24
Q

which bacteria sometimes causes ankylosing spondylitis

A

klebsiella

25
Q

men’s lines show

milky faint

A

acute illness
arsenic toxicity
chemo

26
Q

describe terry’s nails

A

two tone
tip darker band
bottom half lighter

27
Q

what do Terry’s nails show

A

white portion - oedema/aneamia
renal/liver disease
congestive heart failure
diabetes

28
Q

how is polycythemia shown in nails

A

dark red colour

29
Q

how is carbon monoxide shown innails

A

cherry red

30
Q

what can brown grey nails show

A
CVD
diabetes
B12 def
breast cancer
malignant melanoma
lichen planes
syphilis