Solutions
Abnormal Findings: nails (clubbing) Correct Answers inner
edge of nail elevates, nail bed angle ↑180˚
-looks rounder, wider, shiny spongy nail base on palpation
-oxygenation/circulation changes
Abnormal Findings: Nails (color) Correct Answers cyanotic,
pale, brown linear lines, splinter hemorrhages, Beau's lines
Abnormal Findings: Nails (onychomyosis) Correct Answers
fungal infection
Abnormal Findings: Skin
(Edema) Correct Answers Normal- no edema or very slight
pedal
Abnormal- 1+, 2+, 3+, 4+
1+= 2mm
2+= 4mm
3+= 6mm
4+= 8mm
Abnormal Skin Findings:
Common Shapes and Configurations of Lesions Correct
Answers -annular or circular
-confluent
-discrete
-grouped
,-gyrate
-target or iris
- linear
-polycyclic
- zosteriform
Abnormal Skin Findings: Children
(measles) Correct Answers Rubeola- red-purple, blotchy rash
Abnormal Skin Findings: Children
(rubella) Correct Answers German measles- fine, popular rash
Abnormal Skin Findings: Children
(varicella) Correct Answers Chicken pox:
- small, tight, shiny vesicle on an erythematous base "dewdrop
on a rose petal"
-first appear on trunk, spread to face, arms and legs
-vesicles erupt in succeeding crops over several days
-become pustules, then crust
-intensely pruritic
-contagious 2 days before rash, until lesions are crusted
Abnormal Skin Findings: Contact Dermatitis Correct Answers
-Localized skin irritation, inflammation, and pruritus from
contact with an irritating substance.
-Additive effect of multiple irritants (soaps, detergents, or
chemicals)
-Allergy to a specific agent (topical to a specific agent, topical
medication, plant oils, or metals).
-Secondary infections may occur at the site.
-Edema may occur, with development of vesicles and bullae.
, -Vesicles or bullae may rupture, causing crusting.
-Edema may be very significant, particularly when face or
genitalia are involved.
-Person may have history of previous reaction to agent and
recent exposure.
Abnormal Skin Findings: Elderly
(ecchymosis) Correct Answers bruising, esp. if on blood
thinners
Abnormal Skin Findings: Elderly
(petechiae) Correct Answers superficial capillary bleeding
-Tiny hemorrhages, round, discrete
-Will not blanch
Abnormal Skin Findings: Elderly
(telangiectasis) Correct Answers vascular dilation, spider veins
Abnormal Skin Findings: Infection Correct Answers -Delayed
Healing
-Change in Exudate
-Change in Pain
-Change in Granulation Tissue
-Change in Smell
-Change in Size
-Fever
-Leukocytosis
Abnormal Skin Findings: Trauma or Abuse
(contusion) Correct Answers = bruise
-hemorrhage/ bleeding into the tissue