Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
A. General Characteristics
B. Presence/ Absence of SKIN LESIONS
C. Skin Appendages
1. HAIR
2. NAIL UNIT = NAIL PLATE/ BED/ FOLDS
D. MUCOSA = oral/ nasal/ conjunctival/
genital/ anal
A. General
Characteristics:
A. Gen. Char.
(cont d.)
II. Palpation:
a. Temperature:
Normal = Afebrile to touch / Not cold to touch
(Objective measure: Temperature)
b. Turgor
Normal = Prompt return after finger pressure
Abnormal= Delayed return after finger pressure
c. Degree of moisture:
Normal = No dryness, no excess moisture
Abnormal = Dry (hypohidrosis, anhidrosis)
or Moist (hyperhidrosis)
A. Gen. Char.
(cont d.)
Abnormal skin:
1. Sclerotic Skin is hardened like scarred
tissue (Ex. scleroderma)
2. Lax Skin can be stretched to a great
extent (Ex.cutis laxa)
B. Presence / Absence
of Skin Lesion
Normal
= No
skin lesions
I. PRIMARY SKIN
LESIONS
(arise de novo)
A. Flat lesions
1. Macule 2. Patch
B. Raised or palpable lesions
1. Papule
5. Vesicle
2. Nodule
6. Bulla
3. Tumor
7. Wheal
4. Plaque
8. Pustule
Extensor surfaces
Flexures or intertriginous areas
Sun-exposed areas
Truncal
Acral (ears, tip of nose, hands, feet)
Dermatomal
a. Scales
b. Crusts
c. Excoriations
d. Erosions
e. Ulcers
e. Fissures
f. Lichenification
g. Atrophy
h. Scars
C. Skin Appendages:
HAIR
&
NAILS
1. HAIR
A. Loss or Excess
NORMAL
= No hair loss
= No hypertrichosis / No hirsutism (females)
ABNORMAL
2. Hair Excess
a. Hypertrichosis (localized / generalized)
b. Hirsutism (in females only)
C. Skin appendages:
1. HAIR (cont d.)
C. Skin Appendages:
2. NAIL UNIT
A. Nail Plate
Normal:
1. (-) nail dystrophy (No structural deformities/
shape)
Ex. No thickening
Ex. No pits
Ex. No vertical/ horizontal lines or grooves
Ex. No clubbing
2. (-) No color changes (Normal = transparent)
No abormalities in
C. Skin Appendages:
2. NAIL UNIT (contd.)
B. Nail Bed
Normal = (-) nail bed lesions
D. Mucosa
A. General Characteristics:
1. Inspection (general color): (-) pallor / jaundice /
erythema / hyperpigmentation
2. Palpation:
Temperature: Afebrile/ not cold to touch
Turgor: Prompt return after finger pressure
(-) Hyperhidrosis, (-) Hypohidrosis
(-) Sclerosis (-) Skin laxity
C. Skin Appendages
1.Hair = Color _____;
(-) hair loss or excess
(-) structural abnormalities
(-) No easy breakage
(-) nits
2.Nail unit = No lesions on the nail plate/ bed/
folds
D. Mucosa
Normal = No oral / nasal /
conjunctival / genital / anal / perianal
lesions
Instructions for PD
A. Yellow pad paper will be provided.
activity:
Write name, date, year level and section.
B. Slides of clinical cases will be flashed.
Answer BRIEFLY.
Give only pertinent data: Primary &
secondary lesions, pattern (if any),
distribution.
Instructions (cont.):
Total = 20 cases.
One minute per case.
5 minutes for last slide: Normal P.E. of the skin
Immediate feedback: Answers will be
discussed after the activity.
Check your own papers >
Hence no erasures allowed.