and History Taking 2nd Edition By Beth Hogan-Quigley; Mary
Louise Palm; Lynn S. Bickley 9781496305565 Chapter 1-24
Complete Guide
Common or concerning symptoms for hair/skin/nails? - ANSWER: Hair loss, Rash, Moles
When inspecting and palpating the skin, note characteristics of... - ANSWER: 1. Color
2. Moisture
3. Temperature
4. Texture
5. Mobility and turgor
6. Lesions
Best places to assess red color of oxyhemoglobin... - ANSWER: fingertips, lips, and mucous
membranes
(dark skin? - palms and soles)
Where to look for central cyanosis? - ANSWER: Lips, oral mucosa and tongue
Where to look for jaundice? - ANSWER: Sclera of eyes
Peripheral cyanosis occurs - ANSWER: when cutaneous blood flow decreases and slows and tissues
extract more oxygen than usual from the blood. This is normal, and may be a response to anxiety or a
cold environment.
Vellus hair - ANSWER: short, fine and inconspicuous
Terminal hair - ANSWER: coarser, thicker, more conspicuous, usually pigmented (scalp, eyebrows)
Types of sweat glands - ANSWER: eccrine - control body temp
apocrine - axillary and genital regions
Causes of itching without rash... - ANSWER: dry skin
pregnancy
uremia
jaundice
lymphomas and leukemia
drug reaction
lice
diabetes and thyroid disease
Pallor - ANSWER: Results from decreased redness in anemia and decreased blood flow (fainting or
arterial occlusion)
Causes of central cyanosis - ANSWER: advanced lung disease, congenital heart disease,
hemoglobinopathies
Cyanosis of heart failure is - ANSWER: usually peripheral, reflecting deoxygenation or impaired
circulation
COPD and pulmonary edema may give rise to central cyanosis
, Jaundice suggests - ANSWER: liver disease or excessive hemolysis of red blood cells
Erythema - ANSWER: Red skin hue due to increased blood flow
When testing mobility and turgor... mobility is... turgor is... - ANSWER: Mobility - the ease with which
the skin lifts up
Turgor - the speed with which the lifted skin returns to place
Café-Au-Lait Spot
Slightly but uniformly pigmented macule or patch with a somewhat irregular border, benign -
ANSWER: Six or more suggests neurofibromatosis
Jaundice - ANSWER: Diffusely yellow skin caused by liver disease and hemolysis of red blood cells
Carotenemia - ANSWER: Caused by high diets in carrots or other yellow vegetables or fruits
Heliotrope - ANSWER: violaceous patches over the eyelids in the collagen vascular disease
dermatomyositis
Pityriasis Rosea - ANSWER: Reddish oval ringworm-like papules or plaques
Psoriasis - ANSWER: Thick, small to very large plaques, which are pink or red with silvery white scale.
Typical locations are elbows, knees and lower back (sacral area). Often pruritic.
Tinea versicolor - ANSWER: tan, flat, scaly plaques
Atopic Eczema (adult) - ANSWER: Appears mainly on flexor surfacesR:
Macule - ANSWER: Small flat spot up to 1.0 cm
(ex. hemangioma, vitiligo)
Patch - ANSWER: Flat spot, 1.0 cm or larger
(ex. cafe-au-lait spot)
Palque - ANSWER: Elevated lesion 1.0 cm or larger, often formed by coalescence of papules
(ex. psoriasis)
Papule - ANSWER: Up to 1.0 cm
(ex. psoriasis)
Nodule - ANSWER: Knot-like lesion larger than 0.5 cm, deeper and firmer than a papule
(dermatofibroma)
Cyst - ANSWER: Nodule filled with expressible material, either liquid or semi-solid
(ex. epidermal inclusion cyst)
Wheal - ANSWER: Somewhat irregular, relatively transient, superficial area of localized skin edema
(ex. urticaria)