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Assessment Physical Examination of the Skin By Sharon Kerr MSN, RN Spring 2010. MENU. Inspection and palpation of the skin:. color : pallor, cyanosis, jaundice, redness temperature moisture turgor lesions. What is a Lesion?. A wound, injury, or pathological change in the body. .
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Assessment Physical Examination of the Skin By Sharon Kerr MSN, RN Spring 2010 MENU
Inspection and palpation of the skin: • color : pallor, cyanosis, jaundice, redness • temperature • moisture • turgor • lesions
What is a Lesion? A wound, injury, or pathological change in the body.
Lesions • General Description: color, size, location • Shape: linear, oval, round, annular (ring like) • Distribution: local, generalized, scattered, at pressure points, etc.
Types of Lesions • Primary – appear initially • Secondary – result from change in primary
Primary Lesions • Macule: freckle • Patch: café au lait • Papule: wart • Nodule: lipoma • Vesicle: chickenpox, blister • Bulla: hives • Pustule: acne, impetigo MENU
More Primary Lesions • Abrasion or Excoriation • Ecchymosis • Erythema • Petichiae
Secondary Lesions • Scale: dandruff • Scar: • Fissure: athlete’s foot • Ulcer: decubitis • Crust: impetigo scabs • Keloid: hypertropic scar
Nail Assessment • Lesions • Capillary refill – blanch test • Shape --normal angle 160 degrees clubbing > 180 degrees
Hair Assessment • Texture • Distribution • Infestation