Skin, Hair, and Nail Rung-Fen Feng, 2007.3. Functions of the Skin Protection Sensory perception Temperature & blood pressure regulation Vitamin synthesis.

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Presentation transcript:

Skin, Hair, and Nail Rung-Fen Feng,

Functions of the Skin Protection Sensory perception Temperature & blood pressure regulation Vitamin synthesis Excretion & secretion Absorption Respiration

Structure of the skin. The skin – epidermis dermis subcutaneous. Appendage – hair vellus Vs terminal nail sebaceous gland sweat gland eccrine apocrine

Examination Preparation & position environment client equipment. Skills inspection palpation

Skin Inspection – color general pigmentation freckles mole birthmark vascularity or bruising Palpation – texture & consistency (thickness) temperature moisture tugor & mobility

If any lesions are present, note their: Morphology size, shape, elevation or depression of the lesion Distribution generalized or localized Location Configuration grouped, diffuse, linear.. Any exudate color, odor, volume….

Hair Inspection – color distribution volume free of debris Palpation - texture

Nail Inspection – shape & contour color consistency smoothness, symmetry cleanliness Palpation – adherence to the nail bed capillary refill <1 ” -2”

Head & Neck Regional Lymphatics Rung-Fen Feng

The Head 8 cranial bones frontal, parietal, occipital, and temporal 14 facial bones nasal bone & nasal septum, zygomatic, maxilla, mandible, lacrimal, sphenoid, external acoustic meatus, mastoid process

Examination Head Inspection – skull size & shape scalp color hair color, volume, distribution Palpation – skull tenderness hair texture

Face Inspection – facial expression symmetry appearance color Palpation - temporomandibular joint tenderness

The neck structures & anatomy

Inspection – symmetry range of motion muscle function thyroid lymph nodes Palpation – trachea thyroid lymph nodes

Characteristics in Lymph Nodes Examination Location Size Shape Consistency Symmetry Fixation & Mobility Tenderness Border Surface characteristic (erythema, heat)

Ascultation – thyroid artery