Unit 2 - Nail and Hair Assessment

Question 1

Shape + Contour of the nails - surface should be either slightly __ or ___, normal contour of the nail base is ___ degrees, longitudinal ridges - more prominent with ___, excessively thick - maybe be seen in ___.

Answer 1

Curved or flat.
160 degrees.
Age.
Elderly.

Question 2

Nail-bed color - what are some possibilities?

Answer 2

pink, pale, cyanotic, splinter hemorrhages (infection?), poor cap refill - all possibilities!

Question 3

Nail - could be…

Answer 3

white smooth, hard, firmed, jagged.

Question 4

Shape of nail - could be …

Answer 4

beau’s lines (deep grooved lines that run from side to side, possibily from malnutrition, a systemic disease, trauma, etc), clubbing, spooned

Question 5

Nail texture - could be…

Answer 5

smooth, hard, jagged, soft.

Question 6

Condition of surrounding tissue (nail) - could be…

Answer 6

inflamed.

Question 7

Cap Refill - blanch test. How long? What is it?

Answer 7

We pinch the nail until it turns white and see how long it takes to come back to the pink color. It assesses peripheral circulation.
2 seconds or less - normal.
2-4 seconds - sluggish return.
>4 seconds - poor return (cyanosis, impairment, etc.)

Question 8

Clubbed finger - 180 degrees and more. Looks almost round! (T/F?)

Answer 8

True!

Question 9

Clubbing - can be caused by severe respiratory problems. T/F?

Answer 9

True!

Question 10

Body Hair Distribution - assess excessive absence or present of body hair. T/F?

Answer 10

True!

Question 11

Hirsutism - def

Answer 11

excess body hair. In women, it could be because of endocrine or hormone problems.

Question 12

Nevi - what are they?

Answer 12

Moles.