1. Skin, Hair, and Nail Rung-Fen Feng, 2007.3

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

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

7. Examination Preparation & position environment client equipment. Skills inspection palpation

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

9. 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….

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

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

12. Head & Neck Regional Lymphatics Rung-Fen Feng 2007.3

13. 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

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

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

17. The neck structures & anatomy

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

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

27. Ascultation – thyroid artery