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Physical Assessment-Integument, head & neck
Integumentary, Head and Neck assessment terms
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| A | B |
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| Skin inspection | Uniformity of color, lesions |
| Skin Lesions | Primary and secondary |
| Primary lesion | Appears initally in response to some change in the external or internal environment of the skin |
| Secondary lesion | Those that do not appear initially, but result from modifications such as chronicity, trauma, or infecgtion of the primary lesion |
| Skin palpation | Temperature, moisture, texture, tenderness, turgor, edema |
| Edema | Fluid under tissues |
| Pitting edema scale | Scale used based on time needed for the edema to loose indentation from the finger pressing it |
| Hair assessment-inspection | Distribution, color, quantity, general care |
| Hair assessment-palpation | Texture, moisture |
| Nail assessment-inspection | Shape, angle, color, general care, surrounding tissue |
| Nail assessment-palpation | Texture, CRT (capillary refill time) |
| Head assessment-inspection | Size, shape/symmetry, |
| Head assessment-palpation | Papules, depressions, tenderness/skull and sinuses |
| Eyes-inspection | Eyelids, conjunctiva, sclera-Mucosa, pupils eye movements (EOM), |
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