ADULT EXAMINATION CHECKLIST

Guide for Skin, Hair, and Nails

ADULT EXAMINATION CHECKLIST

Guide for Skin, Hair, and Nails

Check (✔) if normal, * if abnormal, Ø if absent

Subjective Data

Skin Hair ______ Eruptions ______ Use of dyes, permanents ______ Lesions/sores/rashes ______ Changes in: ______ Color changes ______ Amount ______ Texture changes ______ Texture ______ Bruising ______ Character ______ Infections ______ Hair loss ______ Birthmarks ______ Hair care: ______ Skin growths ______ Shampoo ______ Acne ______ Conditioner ______ Moles ______ Distribution ______ Itching ______ Body hair ______ Masses ______ Hair on head ______ Excessive sweating ______ Shaving ______ Skin care ______ Face

______ Bathing ______ Axillary ______ Soaps ______ Legs ______ Lotions

______ Pigmentation changes or Nails discoloration ______ Changes in appearance

______ Splitting ______ Cracking ______ Peeling ______ Discoloration

______ Texture ______ Nail care

Detail those marked abnormal: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

Mosby items and derived items © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Objective Data: Inspection and Palpation

Skin Primary Lesions Configuration of Lesions ______ Grouped (clustered) ______ Macule (flat, < 1 cm) ______ Herpetiform (Zosteriform)—nerve ______ Patch (> 1 cm) ______ Linear (line) ______ Papule (palpable, < 1 cm) ______ Annular (circle) ______ Plaque (> 1 cm) ______ Polycyclic (multiple circles) ______ Nodule (solid, raised, deep, 1-2 cm) ______ Arciform (bow-shaped) ______ Tumor (2 cm) ______ Reticular (lesions meshed) ______ Vesicle (fluid-filled, < 1 cm) ______ Confluent (lesions merged) ______ Bulla (> 1 cm) ______ Discrete (individual) ______ Pustule (purulent vesicle/bulla) ______ Iris/target (concentric rings) ______ Wheal (cutaneous edema) ______ Gyrate (spiral) ______ Cyst (encapsulated)

Color of Lesions Secondary Lesions __________________________________ ______ Scale (loose surface epithelium) __________________________________ ______ Crust (dried surface fluids) __________________________________ ______ Excoriation (scratch)

______ Erosion (loss of epidermis) Description of Lesions ______ Scar __________________________________ ______ Ulcer (loss of epidermis, dermis) __________________________________ ______ Atrophy __________________________________ ______ Keloid (enlarged scar)

______ Fissure (crack) Texture and Firmness ______ Lichenification (thickened, with irrita- __________________________________ tion) __________________________________ __________________________________

Distribution __________________________________ __________________________________ __________________________________

Mosby items and derived items © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Vascular Lesions ______ Purpura (red/purple, > 0.5 cm) ______ Mongolian spots ______ Petechiae (< 0.5 cm) ______ Pattern injuries ______ Ecchymosis (bruise) Location ________________________ ______ Spider angioma ________________________________

(red body, radiating legs) ________________________________ ______ Venous star (blue spider, linear) ________________________________ ______ Telangiectasia ______ Dry skin

(dilated capillaries) Location ________________________ ______ Capillary hemangioma ________________________________

(red, irregular patches) ________________________________ ______ Cherry angioma ________________________________ ______ Strawberry angioma ______ Skin turgor ______ Port-wine stain ______ Tenting

______ < 2 sec Other Skin Lesions ______ 2-3 sec ______ Corn ______ 3-4 sec ______ Callus ______ > 4 sec ______ Cutaneous tag ______ Contact dermatitis

Other Skin Conditions Detail those marked abnormal: ______ Pallor ______________________________________

Location __________________ ______________________________________ __________________________ ______________________________________ __________________________ ______________________________________

______ Erythema ______________________________________ Location __________________ ______________________________________ __________________________ ______________________________________ __________________________ ______________________________________

______ Cyanosis Location __________________ Hair: Inspection and Palpation __________________________ ______ Texture _________________________ __________________________ ______ Color ___________________________

______ Jaundice ______ Distribution ______ Vitiligo Body ___________________________ ______ Location __________________ ________________________________

__________________________ Head ___________________________ __________________________ ________________________________

________________________________ ______ Clean shaven

Thickness _______________________ ________________________________

______ Dryness

Mosby items and derived items © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

______ Inflammation Detail those marked abnormal: ______ Alopecia ______________________________________

____________________________ ______________________________________ ______________________________________

Nails: Inspection and Palpation ______________________________________ ______ Color _______________________ ______________________________________ ______ Length______________________ ______________________________________ ______ Clean ______________________________________ ______ Pigment deposits ______________________________________ ______ Bands ______________________________________ ______ Streaks ______________________________________ ______ Spots ______________________________________ ______ Smooth nail edges ______________________________________ ______ Ridging ______________________________________ ______ Grooves ______________________________________ ______ Pitting ______________________________________ ______ Curved, smooth nail plate ______________________________________ ______ Nail base angle—160 degrees ______________________________________ ______ Adheres to nail bed ______________________________________ ______ Clubbing ______________________________________

Mosby items and derived items © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.