Chapter 10 (Skin, Hair, and Nails)
Skin color p.282-283(E Book 174)
Pallor indicates anemia.
Cyanosis, characterized by a bluish discoloration, can indicate decreased
oxygen in the blood or impaired blood flow in response to a cold
environment.
Jaundice, or yellowing of the skin, results from increased bilirubin
Skin lesions p.286-291 Table 10-1 Table 10-4(E Book Skin lesions p. 182-183, Tables 6-
1 through Table 6-9)
Hair loss p.297-298 Table 10-8 (E Book “Table 6-11”)
Findings in or near the nail Table 10-9 ( E Book “Table 6-12”)
Systemic diseases and associated skin findings Page 328 Table 10-10 (E-Book Table “6-10)
Pressure injuries Box 10-2 Page 331 Table 10-13(E-Book “Table 6-13” page 213)
Risk factors for Melanoma Page 301 Box 10-3 ( Ebook 176-177)
Screening for melanomas: ABCD-EFG method p.286 Box 10-4(Ebook 178)
Chapter 18 (Breasts and Axillae)
Supernumerary nipples p.593(E-book page 421)
Nipple discharge p.596-597 p.602-603
It's crucial to differentiate physiologic discharge from pathologic discharge. Physiological
hypersecretion is seen in pregnancy, lactation, chest wall stimulation, sleep, and stress. If the
discharge is spontaneous, note its color, quantity, and frequency of occurrence. Nipple discharge
is more likely to be pathologic when it is bloody or serous, unilateral, spontaneous, associated
with a mass, and occurring in women aged over 40 years. True galactorrhea, or the discharge of
milk containing fluid unrelated to pregnancy or lactation, is most commonly caused by
hyperprolactinemia.
Female breast p.598-599(Ebook page 434 “The Female Breast”)
Visible signs of breast cancer Page 611 Table 18-2 (E-Book 445 “Table 10-2”)
Common breast masses Page 610 Table 18-1 (E-Book “Table 10-1”)
Axillae p.603-604 (Page 440 Ebook “The Axillae”)
Breast cancer risk factors in women and men p.606 p.609
Skin color p.282-283(E Book 174)
Pallor indicates anemia.
Cyanosis, characterized by a bluish discoloration, can indicate decreased
oxygen in the blood or impaired blood flow in response to a cold
environment.
Jaundice, or yellowing of the skin, results from increased bilirubin
Skin lesions p.286-291 Table 10-1 Table 10-4(E Book Skin lesions p. 182-183, Tables 6-
1 through Table 6-9)
Hair loss p.297-298 Table 10-8 (E Book “Table 6-11”)
Findings in or near the nail Table 10-9 ( E Book “Table 6-12”)
Systemic diseases and associated skin findings Page 328 Table 10-10 (E-Book Table “6-10)
Pressure injuries Box 10-2 Page 331 Table 10-13(E-Book “Table 6-13” page 213)
Risk factors for Melanoma Page 301 Box 10-3 ( Ebook 176-177)
Screening for melanomas: ABCD-EFG method p.286 Box 10-4(Ebook 178)
Chapter 18 (Breasts and Axillae)
Supernumerary nipples p.593(E-book page 421)
Nipple discharge p.596-597 p.602-603
It's crucial to differentiate physiologic discharge from pathologic discharge. Physiological
hypersecretion is seen in pregnancy, lactation, chest wall stimulation, sleep, and stress. If the
discharge is spontaneous, note its color, quantity, and frequency of occurrence. Nipple discharge
is more likely to be pathologic when it is bloody or serous, unilateral, spontaneous, associated
with a mass, and occurring in women aged over 40 years. True galactorrhea, or the discharge of
milk containing fluid unrelated to pregnancy or lactation, is most commonly caused by
hyperprolactinemia.
Female breast p.598-599(Ebook page 434 “The Female Breast”)
Visible signs of breast cancer Page 611 Table 18-2 (E-Book 445 “Table 10-2”)
Common breast masses Page 610 Table 18-1 (E-Book “Table 10-1”)
Axillae p.603-604 (Page 440 Ebook “The Axillae”)
Breast cancer risk factors in women and men p.606 p.609
