Have you noticed any hair loss?
Any exposures related to (dietary items, cosmetics, chemicals, sunlight, medications,
foreign travel?
Have you noticed any changes in your skin?
What questions should be included in HPI
for skin concerns? Have you had any lumps, growths, sores
History of skin cancer?
Do you have any dry skin?
Any hair shedding?
Do you wear sunscreen? Is it at least 30 SPF?
Do you wear long sleeves when outdoors?
Do you use tanning beds?
What questions should be included in
Do you limit sun exposure?
health maintenance for the skin?
Do you avoid midday sun?
Do you conduct regular self skin checks?
Any family history or skin issues?
, Inspection and palpation
Inspect the hair and scalp for distribution, texture and quantity
What are the techniques used during the Inspect head, neck, upper back, shoulders, arms, and hands including palpation of
physical exam? For each area being fingernails
assessed and for each technique what
would be the expected normal findings? Inspect chest, abdomen, anterior thighs, legs, feet, toes, lower back, posterior thighs,
legs, breasts, axillae, and genitalia
ABCDE method for assessing moles
Hair loss thinning and lightening
What are normal skin, hair and nail changes Skin thinning, wrinkles, sagging, dryness, aging spots
with aging?
Nails become brittle, slower growth, yellow or opaque, toenails become hard and
thick
Atopic dermatitis, often referred to as eczema, is a chronic (long-lasting) disease that
causes inflammation, redness, and irritation of the skin.
What is atopic dermatitis?
What questions would you ask when
Associated with asthma, seasonal allergies, dry skin caused by itching and rash,
obtaining a history and what would you
scaling
expect them to be?
Bilateral erythematous, poorly circumscribed plaques
Ringworm of the scalp is a rash caused by a fungal infection. Causes hair shedding
What is tinea capitis? from breakage at the hair shaft. Round scaling patches of alopecia, crusting, painful
plaque and occipital lymph node. Usually affects children.
What is tinea corporis? ringworm of the body, annular lesion, central clearing and papules along the border.
A virus that causes sores around the oral cavity
What is herpes simplex type 1?
Can biopsy area
What is herpes simplex type 2? Genital herpes
shingles, painful unilateral vesicular rash in dermatomal distribution
What is herpes zoster?
Diagnose with PCR
a bacterial skin infection that mainly affects infants and young children, yellow, crusty
with some pus
What is impetigo?
No diagnostic test
Contagious disease caused by the itch mite causing small linear or serpiginous
pathways in epidermis, intense itchy papules and vesicles
What is scabies?
Diagnosed by skin exam and visualization of mites on skin sample under microscope
An acute, spreading infection of dermal and subcutaneous tissues, asymmetric
What is cellulitis?
warmth and redness
an inflammation caused by contact with a substance or chemical, vesicles, poison
What is contact dermatitis?
ivy-scattered erythematous papules and vesicles with transudate crust, linear
What is acne? Chronic inflammatory skin disorder of the sebaceous glands, pustules
What is alopecia? Sudden onset of hair loss occurring in round or oval patches