⦁ Pt with malignant melanoma; risk factors; what will the skin look like? ABCDE
⦁ ABCDE of Melanoma
⦁ Asymmetry
⦁ Border
... [Show More] Irregularity
⦁ Color Variation
⦁ Diameter Greater than 6mm
⦁ Evolving Changes
⦁ Risk Factors
⦁ Sun sensitivity, difficulty tanning, hx of prolonged sun exposure, use of tanning booths, occupational exposure to chemicals like tar and radiation
⦁ QUIZ QUESTION: Nevi this big and has color variation should be alerted for? – Malignant Melanoma
⦁ How to assess for central cyanosis?
⦁ Look at patient’s oral mucosa
⦁ QUIZ QUESTION: How to assess central cyanosis? – check the oral mucosa
⦁ Contact dermatitis
⦁ Inflammation of the skin due to an allergy to a substance that comes into contact with the skin
⦁ Redness, hives, vesicles or scales accompanied by intense itching
⦁ 3 Tineas; signs and symptom
⦁ Tinea Corporis – fungal infection of the body
⦁ Tinea Capitis – fungal infection of the scalp
⦁ Need to further assess the cause of pruritus of the scalp because this can be due to lice
⦁ Tinea Pedis – fungal infection of the feet (athlete’s foot)
⦁ COPD, configuration of chest
⦁ Barrel chest; AP:T diameter is equal
⦁ QUIZ QUESTION: Expected finding with patient with COPD?
⦁ Barrel chest
⦁ Kyphosis
⦁ Hollow Clavicle
⦁ Protruding Sternum angle of Louie
⦁ Scoliosis, kyphosis, lordosis, torticollis
⦁ Scoliosis – lateral curvature and rotation of the thoracic and lumbar spine (S back); most common in female
⦁ Kyphosis – exaggerated posterior curvature of the thoracic spine (hunchback); associated with aging.
⦁ Lordosis – exaggerated curvature of the lumbar spine (swayback); compensation for pregnancy, obesity, and skeletal changes.
⦁ Torticollis – muscle spasm by spinal accessory nerve, causing lateral flexion contracture of neck muscle
⦁ Physiological changes in older adult for all the systems discussed
⦁ Skin, Hair, and Nails
⦁ Decreased elasticity, sebum production, perspiration, and melanin
⦁ Increased sensitivity to light
⦁ Nails become thicker, and more brittle [Show Less]