Jarvis- Skin Hair And Nails

Front 1

SKIN HAS ____ LAYERS: OUTER HIGHLY DIFFERENTIATED EPIDERMIS AND INNER, SUPPORTIVE DER____

Back 1

2
DERMIS

Front 2

EPIDERMIS THIN BUT TOU____ CELLS BOUND TIGHTLY TOGETHER INTO SHEETS THAT FORM PROTECIVE BARR_____

Back 2

TOUGH
BARRIER

Front 3

EPIDERMIS- STRATIFIED INTO SEV____ ZONES. MAJOR INGREDIENT IS THE TOUGH FIBROUS PROTE++++ KERATIN.

Back 3

SEVERAL
PROTEIN

Front 4

THE INNER BASAL CELL LAYER FORMS N=== SKIN CELLS

Back 4

NEW

Front 5

MAJOR INGREDIENT OF BASAL CELL LAYER IS THE FIBROUS PROTEIN KER++++

Back 5

KERATIN

Front 6

THE MELANOCYTES OF THE BASAL CELL LAYER PRODUCE THE PIGMENT MEL++++ WHICH GIVE BROWN TONES TO THE SKIN AND HAIR

Back 6

MELANIN

Front 7

FROM THE BASAL LAYER THE NEW CELLS MIGRATE UP AND FLATTEN INTO THE OUTER HORN____ CELL LAYER. THIS CONSISTS OF DEAD KER______ CELLS THAT ARE INTERWOVEN AND CLOSELY PACKED. CELLS CONSTANTLY BEING SHED AND RE+++++

Back 7

HORNY
KERATINIZED
REPLACED

Front 8

EPIDERMIS UNIFORMLY THIN EXCEPT ON THE SURFACES THAT ARE EXPOSED TO FRIC++++ SUCH AS PALMS AND SOLES.

Back 8

FRICTION

Front 9

SKIN COLOR FROM 3 SOURCES: MELANIN, CAROTENE, VASCULAR BED. VARYING SH____. SKIN COLOR ALSO MODIFIED BY THICKNESS OF SKIN AND ED++++

Back 9

SHADES
EDEMA

Front 10

INNER SUPPORTIVE LAYER OF SKIN CONSISTING OF MOSTLY CONNECTIVE TISSUE CALLED COLLA++++ IS CALLED DERM____

Back 10

COLLAGEN
DERMIS

Front 11

THE SUBCUTANEOUS LAYER IS ANDIPOSE TISSUE WHICH IS MADE OF LOBULES OF F_____

Back 11

FAT

Front 12

EPIDERMAL APPENDAGES: HAIR, SEBACIOUS GL++++, NAILS

Back 12

GLANDS

Front 13

HAIR IS VESTIGAL AND NO LONGER NEEDED FOR PROTECTION FROM COLD AND TRAUM++++

Back 13

TRAUMA

Front 14

HAIR IS MADE OF THREADS OF KER++++

Back 14

KERATIN

Front 15

THE HAIR SHAFT IS THE VISIBLE PROTECTIVE PART AND THE ROO___ IS THE PART BELOW THE SURFACE EMBEDDED IN FOLLICLE

Back 15

ROOT

Front 16

2 TYPES OF HAIR: 1VELLUS= FINE HAIR ON MOST OF BODY EXCEPT PALM AND SOLES 2. TERMI------- HAIR= DARKER, THICKER HAIR THAT GROWS ON SCALP, EYEBROWS, AND AFTER PUBERTY ON A+++++, PUBIC AREA, AND FACE AND CHEST

Back 16

TERMINAL HAIR
AXILLA

Front 17

SEBACEOUS GLANDS- 2 TYPES: ECCRINE- TUBULES THAT OPEN UP DIRECTLY ON TO SKIN SURFACE AND PRODUCE SWEAT AND APOCRINE= PRODUCE A THICK, MIL--- SECRETION AND OPEN UP TO HAIR FOLLI+++. SECRETE IN EMOT AND SEXUAL STIMULATION AND PUBERTY. FUNCTION DECREASES IN AGING ADULT.

Back 17

MILKY
FOLLICES

Front 18

NAILS= HARD PLATES OF KERA+++ ON DORSAL EDGES OF FINGERS AND TOES. TAKE PINK COLOR FROM NAIL BED OF VASCULAR EPITHELIAL CELLS. LUNULA- NEW CELLS. CUTICLE COVERS AND PROTECTS NAIL MAT++++

Back 18

KERATIN
MATRIX

Front 19

FUNCTIONS OF SKIN: PROTECTION; PREVENTS PENETRATION; PERCEPTION= SENSORY; TEMP REG______; INDENTIFICATION; COMM______; WOUND REPAIR; ABSORPTION AND EXCRET+++++, AND PRODUCTION OF VITAMEN D CONVERTS CHOLESTEROL TO VITAMEN ++++++

Back 19

TEMPERATURE REGULATION
COMMUNICATION
EXCRETION
VITAMEN D

Front 20

LANUGO= FINE DOWNY HAIR OF THE NEWBORN +++++

Back 20

INFANT

Front 21

PRESENT AT BIRTH= VERNIX CASEOSA= THICK CHEESY SUBSTANCE MADE UP OF SEB___ AND SHED EPITHELIAL CELLS

Back 21

SEBUM

Front 22

INFANT AT GREATER RISK FOR FLUID L++++ AND TEMP REGULATION IS INEFFECTIVE

Back 22

LOSS

Front 23

EPIDERMIS THICKENS AS INFANT GR+++++

Back 23

GROWS

Front 24

PREGNANCY= CHANGE IN HORMONE LEVELS RESULTS IN INCREASED PIGMENT IN THE AREOLA AND NIPPLES, V++++, AND SOMETIMES IN MIDLINE OF ABDOMEN (LINEA NI++++) OR IN FACE CHOLASMA.

Back 24

VULVA
LINEA NIGRA

Front 25

AGING= SLOW ATROPHY OF SKIN STRUCTURES; LOOSES ELAST____; WRINKLING OCCURS BECAUSE UNDERLYING DERMIS THINS AND FLATTENS; LOSS OF ELAST___; COLLAG___; AND SUBCUTANEOUS FAT.

Back 25

ELASTICITY
ELASTIN
COLLAGEN

Front 26

LOSS OF COLLAGEN- INCREASES THE RISK FOR SHEARING AND TEA____ INJURIES

Back 26

TEARING

Front 27

AGING GREATER RISK FOR HEAT STRO=== AND SWEAT GLANDS DECREASE; VASCULARITY OF SKIN DECREASES AND VASCULAR FRAG____ INCREASES. RED DISCOLORED AREAS.

Back 27

HEAT STROKE
VASCULAR FRAGILITY

Front 28

AGING HAIR= MELANOCYTES DECREASE. HAIR DISTRIB_____ CHANGES. AXILLARY AND PUBIC HAIR DECREASE; NAILS GROW MORE SLOWLY

Back 28

HAIR DISTRIBUTION

Front 29

ABNORMAL FINDINGS- ANEMIA= DECREASED HEMATO++++
SHOCK= DECREASED PERFU_____ VASOCONSTRICTION
BOTH IN LIGHT SKIN= GENERALIZED PAL++++

Back 29

HEMATOCRIT
SHOCK
PALLOR

Front 30

ABNORMAL FINDINGS= BROWN SKIN= APPEARS YELLOW BROWN OR DU____
BLACK SKIN APPEARS ASHEN GRAY

Back 30

DULL

Front 31

ABNORMAL LOCALIZED PALLOR ESPECIALLY IN LOWER EXTREMITIES WHEN ELEVATED- ARTERIAL INSUF____. PALE IN WHITE. IN BLACK= ASHEN GRAY, DULL, COOL FOR PALPATION.

Back 31

ARTERIAL INSUFFICIENCY

Front 32

ALBINISM ABSENCE OF PIG____ MELANIN IN SKIN
WHITISH PINK OR TAN, CREAM, OR WHITE IN BLACK SKIN

Back 32

PIGMENT

Front 33

VITILIGO- PATCHY DEPIG----- FROM DESTRUCTION OF MELANOCYTES. PATCHY MILKY WHITE SPOTS SYMMETRIC BILATTERLLY- SAME IN BLACK PEOPLE

Back 33

DEPIGMENTATION

Front 34

CYANOSIS- INCREASED AMOUNT OF UNOXYGENATED HEMO______ DUSKY BLUE IN WHITE AND DARK, DULL IN BLACK. CHECK CONJUNCTIVA AND ORAL MUCOSA AND NAIL BEDS IN BLACK

Back 34

HEMOGLOBIN

Front 35

HYPEREMIA- INCREASED BLOOD FLOW THRU ENGAGED ARTERIOLES, SUCH AS IN INFLAM_____, FEVER, ALCOHOL INTAKE, AND BLUSHING. RED PINK IN WHITE AND PURPLISH IN BLACK

Back 35

INFLAMMATION

Front 36

POLYCYTHEMIA- INCR______ RED BLOOD CELLS; CAPILLARY STASIS- RUDDY BLUE IN FACE, HANDS, FEET, IN BLACK PEOPLE CHECK FOR REDNESS IN LIPS.

Back 36

INCREASED

Front 37

VENOUS STASIS- DEC______ BLOOD FLOW FROM AREA; ENGORGED VENULES- SWELLING, REDNESS, HEAT DEPENDENT EXTREMITIES; IN BLACKS USE PALPATION FOR WARMTH OR ED______

Back 37

DECREASED
EDEMA

Front 38

JAUNDICE- INCREASED SERUM BILLI____. INFLAMATION OR HEMOLYTIC DISEASE SUCH AS BURNS OR INFEC_____ YELLOW IN SCHLERA, HARD PALATE, MUCOUS MEMBRANES, THEN SKIN. BLACK PEOPLE CHECK SCHLERA FOR YELLOW. FATTY DEPOSITS UNDER EYELIDS IN BLACKS. YELLOW- ORANGE TINGE IN PALMS AND SOLES IN BLACKS

Back 38

BILIRUBIN
INFECTION.

Front 39

CAROTENEMIA- INCREASED SERUM CAROT____ FROM INJESTION CARROTS- YELLOW ORANGE IN HEAD, PALM, AND SOLES, NASOLABIAL FOLDS, NO SCHLERA OR MUCOUS MEMBRANES

Back 39

CAROTENE

Front 40

CAROTENEMIA- YELLOW ORANGE IN PALMS AND S_____ IN BLACK PEOPLE

Back 40

SOLES

Front 41

HORNY CELL LAYER- DEAD KERA_____

Back 41

KERATINOCYTES

Front 42

SUBJUNCTIVE QUEST= PAST HX OF SKIN DIS_----
FAMILIAL PREDISPOSITION TO ALLERGIES, HAY FEVER, PSORIASIS, ATOPIC DERMATITIS OR ECZEMA, ACNE

Back 42

DISEASE

Front 43

CHANGE IN PIG_____; HYPOPIGMENTATION= LOSS OF COLOR; HYPERPIGMENTATION= INC------ IN COLOR
GENERALIZED CHANGE SUGGESTS SYSTEMIC IL____= PALLOR, JAUNDICE, CYANOSIS

Back 43

PIGMENTATION
INCREASE
ILLNESS

Front 44

CHANGE IN MOLE= COLOR, SIZE, SHAPE, SUDDEN APPEARANCE OF TENDERNESS, BLEEDING, ITC_-----
SORES THAT DO NOT HEAL

Back 44

ITCHING
NEOPLASM

Front 45

EXCESSIVE DRYNESS= XER______
EXCESSIVE OILY= SEBORRHEA

Back 45

XEROSIS

Front 46

PRURITUS= SKIN IT_-----
WHERE IS THE ITCHING?
WHEN DID IT START?

Back 46

ITCHING
SCRATCHING CAUSES EXCORIATION OF PRIMARY LESION

Front 47

ANY OTHER SKIN PAIN OR SOR++++?

Back 47

SORENESS
BRUISES AND ILLOGICAL EXPLANATIONS- CONSIDER PHYSICAL ABUSE. FREQ FALL- SUBSTANCE ABUSE OR DIZZINESS DUE TO NEUROLOGICAL OR CARDIOVAS ORIGIN

Front 48

ANY SKIN RASH OR LESION AND WHEN DID YOU FIRST NOTICE? = COMMON REASON TO SEEK HE+++ CARE HISTORY CAN HELP YOU PREDICT WHAT YOU WILL SEE IN EX______

Back 48

HEALTH
EXAMINATION

Front 49

SKIN RASH LOCATION= IDENTIFY PRIMARY SITE. MAY GIVE CL((((( TO CAUSE. MIGRATION, PATT___, EVOLUTION. CHARACER, COLOR, QUALITY. RAISED OR FL____, CRUST, ODOR? TENDER, WARM, DURATION. SETTING? ASSOC WITH STRESS. ALLEV_____ AND AGGRAVATING FACTORS.

Back 49

CLUE
PATTERN
FLAT
ALLEVIATING

Front 50

WHERE DID IT SPREAD? DURATION? SETTING ALLEVIATING OR AGG______ FACTORS, ASSOCIATED SYMPTOMS, WHAT DO YOU THINK IT MEANS?

Back 50

AGGRAVATING

Front 51

IDENTIFY NEW OR RELEVANT EXP))))))) AND HOUSEHOLD OR SOCIAL CONTACTS WITH SIMILAR SYMPTOMS. PEOPLE SEEK HELP ONLY WHEN MYRIAD OVER THE COUNTER REMEDIES DO ____ WORK.

Back 51

EXPOSURE
NOT

Front 52

ASSESS PERSON'S PERC++++ OF CAUSE AND ASSESS EFFECTIVENESS OF COP___ STRATEGIES . MAY INCREASE RISK FOR LOSS OF SELF ESTEEM, SOCIAL ISOLATION, AND ANXIETY. STRESS. HOW LONG ON MED?

Back 52

PERCEPTION
COPING

Front 53

MEDICATIONS= PRESCR____ AND OVER THE COUNTER AND RECENT CHANGES. DRUGS MAY CAUSE ALLERGIC SKIN ERR)))))). DRUGS MAY INCREASE SUN____ SENSITIVITY AND INCREASE BURN RESPONSE. DRUGS CAN CAUSE HYPERPIGMENTATION, ANTIMALARIALS, ANTINEOPLASTIC AGENTS, HORMONES, METALS, TETRACYLINE. PERSISTS LONG TIME ON MEDS.

Back 53

PRESCRIPTION
ERRUPTIONS
SUNLIGHT

Front 54

ANY RECENT HAIR LOSS? GRADUAL OR SUDDEN? ASSOCIATED WITH FEVER, ILL____, OR INCREASED STRESS
ALO____ IS A SIGNIFICANT LOSS. ANY RECENT CHANGE IN TEXTURE OR APPEARANCE OF HAIR?

Back 54

ILLNESS
ALOPECIA

Front 55

HIRSUTISM IS SHAGGY OR EX______ HAIR.

Back 55

EXCESSIVE

Front 56

ENVIRONMENTAL OR OCCUPATIONAL HAZARDS. MAJORITY OF SKIN NEO_______ RESULT FROM OCCUPATIONAL OR ENVIRONMENTAL HAZARDS.

Back 56

NEOPLASMS

Front 57

SELF-CARE BEHAVIORS- WHAT DO YOU DO TO CARE FOR YOUR SKIN, HAIR AND n+++++ COSMETICS, SOAPS, CHEM__+____ DO U HAVE ALLERGIES? HOW DO YOU CONTROL YOUR ENVIRON_____ TO MINMIZE EXPOSURE?

Back 57

NAILS
CHEMICALS
ENVIRONMENT

Front 58

FOR CHILD: BIRTH MARKS, JAUNDICE, CYANOSIS AFTER BIR++++. RASH AND WHAT BRINGS IT OWN. CHOCOLATE, MILK OR EGGS? DIAPER RASH. IRRITABILITY AND GENERAL FUSSINESS MAY INDICATE PRU_____

Back 58

BIRTH
PRURITUS

Front 59

HOW OFTEN CHANGE DIAPERS AND HOW CLEAN SKIN? OCCLUSIVE DIAPERS OR INFREQUEN CHANGING MAY CAUSE R____. INFANT MAY BE ALLERGIC TGO DETERGENT AND DISPOSABLE WIPES.

Back 59

RASH

Front 60

CHILD HAVE ANY BURNS OR BRUISES? WHERE AND HOW HAPPEN? HOW TO DISTINGUISH ABUSE?

Back 60

WITH ABUSE, THE HISTORY OFTEN WILL NOT COINCIDE WITH THE PHYSICAL APPEARANCE AND LOCATION OF THE LESION.

Front 61

EXPOSURE TO CONTAGIOUS SKIN DISEASES: SCABIES, IMPETIGO, LICE, MEASLES, CHICKEN POX, MUMPS OR PLANTS (POISON IVY) VACCINATIONS UP TO _____

Back 61

DATE

Front 62

ATTEMPTS TO MINIMIZE SUN EXPOSURE FOR C_____

Back 62

CHILD

Front 63

MANY AGING CHANGES DUE TO SUN EXP_____

Back 63

EXPOSURE

Front 64

PRURITIS IS COMMON WITH AGING. SIDE EFFECTS OF MEDICINE, SYSTEMIC DISEASE, OR DRY SKIN (XER_____) EXACERBATED BY TOO FREQUENT BATHING OR USE OF S_____. EXCORIATIONS PRODUCED BY SCRATCHING WITH DIRTY JAGGED FINGERNAILS.

Back 64

XEROSIS
SOAP

Front 65

HERPES ROSTER OR SHING++++ PRODUCE INTENSE SENSATIONS OF PAIN. TOLERATE SKIN PAIN AS RESULT OF GROWING OLD OR REDUCED SENSATION DUE TO DIA)))))))

Back 65

SHINGLES
DIABETES

Front 66

CHANGE IN FEET, TOENAILS, BUNIONS? POSSIBLE TO WEAR ))))))?

Back 66

SHOES
AGING PEOPLE CANNOT REACH FEET TO GIVE SELF-CARE

Front 67

AGING= FREQUENT F_____?

Back 67

FALLS= MULTIPLE BRUISES AND TRAUMA FROM FALLS

Front 68

HX OF DIABETES OR PERIPHERAL VASCULAR DISEASE?

Back 68

RISK FOR LESIONS IN FEET AND ANKLES.

Front 69

FIRST OBSERVE PIGMENTATION EVENESS AND APPROPRITE TO BACK_____. PALMS, NAIL BEDS, AND LIPS HIGHER PIGMENTATION-BLACKS

Back 69

BACKGROUND

Front 70

OBSERVE FRECKLES FLAT AND OCCUR ON SUN EXPOSED AND MOLE (MELAN____

Back 70

MELANOCYTES

Front 71

NOTE ANY WIDESPREAD COL))))) CHANGE OVER BODY SUCH AS PALLOR, ERY_____, CYANOSIS OR BLUE AND JAUNDICE OR YELLOW.

Back 71

ERYTHEMA OR RED

Front 72

PALLOR- SKIN TAKES ON COLOR OF CONN----- TISSUE OR COLLAGEN OR WHITE. COMMON IN ANXIETY OR ACUTE STRESS STATES BECAUSE OF PERIPHERAL VASO_____ FROM SNS.

Back 72

CONNECTIVE
VASOCONSTRICTION

Front 73

SKIN ALSO PALE FROM VASOCONSTRICTION FROM COLD EXP_____ , SMOKING, AND PRESENCE OF ED______

Back 73

EXPOSURE
EDEMA

Front 74

BROWN SKINNED PERSON HAS YELLOWISH BROWN COLOR IN PALL____AND BLACK PERSON ASHEN _____
CONJUNCTIVA OUTER CANTHUS

Back 74

PALLOR
GRAY

Front 75

ERYTHEMA- REDNESS FROM EXCESS BLOOD OR HYPER____EXPECTED WITH FEVER OR INFLA______ OR EMOTION.

Back 75

HYPEREMIA
INFLAMMATION

Front 76

ASHEN GRAY COLOR IN DARK SKIN OR MARKED PALLOR IN LIGHT SKIN OCCURS WITH ANEMIA, SHOCK, OR ARTERIAL INSUFF)))))))

Back 76

ARTERIAL INSUFFICIENCY

Front 77

SHOCK PRESENTS WITH RAPID PULSE, APPHRENSION, AND REST))))))

Back 77

RESTLESSNESS

Front 78

CHRONIC IRON DEFICIENCY ANEMIA PRESENTS WITH SPOON NAILS WITH CONCAVE SH)))))). FATIGUE, DYPNEA, RAPID PU____, DIZZINESS, AND IMPAIRED MENTAL FUNCTION.

Back 78

SHAPE
PULSE

Front 79

ERYTHEMA OCCURS WITH POLYCYTHEMIA, VENOUS ST______, CARBON MONOXIDE POISONING, AND HEMATOMA. CAN'T SEE INFLAM_____ IN BLACK PEOPLE AND MUST PALPATE SKIN.

Back 79

STASIS
INFLAMMATION

Front 80

CYANOSIS DIFFICULT TO SEE IN BLACK PERSONS. LOOK FOR RESPIRATORY DIS+++++

Back 80

DISTRESS

Front 81

JAUNDICE- RISING AMOUNTS OF BILLI++++

Back 81

BILLIRUBIN

Front 82

USE BACK OF HAND TO CHECK FOR HYPOTHERMIA (EXPECTED IN IMMOBILITY EXTREMITY OR SURGERY) AND HYPER______WHICH OCCURS WITH INCREASED METABOLIC RATE. LOCAL AREA HYPERTHERMIC WITH TRAUMA, INFECTION OR SUN_____

Back 82

HYPERTHEMIA
SUNBURN

Front 83

GENERAL HYPOTHERMIA IN SH+++++LOCALIZED HYPOTHERMIA IN PERIPHERAL ARTERIAL INSUFF_____AND RAYNAUD'S. HYPERTHYROIDISM- INCREASED METABOLIC RATE, WARM, AND MOIST.

Back 83

SHOCK
INSUFFICIENCY

Front 84

DIAPHORESIS IS PROFUSE PERS_____AND GOES WITH INCREASED METABOLIC RATE AND OCCURS IN HEAVY ACTIVITY AND FEVER.

Back 84

PERSPIRATION

Front 85

DIAPHORESIS OCCURS WITH THYROTOXICOSIS, ANXIETY, OR PAIN. LOOK FOR DEHYDRATION IN MUCOUS _______

Back 85

MEMBRANES

Front 86

BLACK SKIN DOES NOT NECESSARILY SHOW DE)))))))

Back 86

DEHYDRATION

Front 87

TEXTURE OF NORMAL SKIN SMOOTH AND F))))))

Back 87

FIRM

Front 88

HYPERTHYROIDISM- VELVET SKIN AND HYPOTHYROIDISM DRY S+++++

Back 88

SKIN

Front 89

EPIDERMIS UNIFORMLY THIN. CALLUS OVERGROWTH OF EPI===== AND IS AN ADAPTION TO EXCESSIVE PRESSURE FROM FRICTION OF WORK AND WEIGHT BEARING.

Back 89

EPIDERMIS

Front 90

ATROPHIC SKIN OCCURS WITH THIN, SHINY SKIN AND OCCURS WITH ARTERIAL INSUFF______

Back 90

ARTERIAL INSUFFICIENCY

Front 91

EDEMA IS A FLUID ACCUMULATING IN INTERCELLULAR SPACES AND NOT PRESENT NOR)))))))

Back 91

NORMALLY

Front 92

EDEMA- MOST EVIDENT IN FEET, ANKLES, AND SAC))))) AREAS. MAKES HAIR FOLLICES MORE PROMINENT. GRADED ON SCALE OF 1 TO ____

Back 92

SACRAL
4

Front 93

EDEMA SCALE 1-MILD 2-MODERATE, 3-DEEP, 4-VERY DEEP UNILATERAL EDEMA- A LOCAL OR PERI_____ CAUSE
BILATERAL EDEMA- GENERALIZED OVER WHOLE BODY SUCH AS HEART OR K______ FAILURE

Back 93

PERIPHERAL
KIDNEY

Front 94

TEST FOR MOBILITY AND TURGOR
MOBILITY IS THE SKIN'S E_____ OF RISING TURGOR- IS THE ABILITY TO RETURN PROMPTLY UPON REL______

Back 94

PINCH TEST
EASE
RELEASE

Front 95

MOBILITY IS DECREASED WITH ED______
POOR TURGOR IS EVIDENT IN SEVERE DEHYDRATION OR WEIGHT L____

Back 95

EDEMA
LOSS

Front 96

SCLERODERMA- HARD SKIN CHRONIC CONNE_____ TISSUE DISORDER ASSOCIATED WITH DECREASED MOB______

Back 96

CONNECTIVE TISSUE
MOBILITY

Front 97

CHERRY ANGIOMAS- SLIGHTLY RAISED BRIGHT RED DOTS ON TRUNK ADULTS OLDER THAN ____

Back 97

30

Front 98

LESIONS ARE TRAUMATIC OR PATHOLOGICAL CHANGES IN PREVIOUSLY N______ STRUCTURES

Back 98

NORMAL

Front 99

PRIMARY LESION- DEVELOPS ON PREVIOUSLY UNALTERED S______
SECONDARY LESION- CHANGES DUE TO SCRATCHING OR INFEC______

Back 99

SKIN
INFECTION

Front 100

LESION FACTORS: COLOR, ELEVATION, PATTERN OR SH_____, SIZE, LOC____ AND DISTRIBUTION, ANY EXUDATE

Back 100

SHAPE
LOCATION

Front 101

NOTE DULL COARSE OR BRIT______ HAIR
CAPITIS- RING_____ INFECTION

Back 101

BRITTLE
RINGWORM

Front 102

ABSENT OR SPARSE GENITAL HAIR SUGGESTS ENDO_____ ABNORMALITIES

Back 102

ENDOCRINE

Front 103

HIRSUTISM- EXCESS BODY H+++++

Back 103

HAIR

Front 104

DISTINGUISH DANDRUFF FROM OVAL EGGS OF LICE CLING TO SH++++=

Back 104

SHAFT

Front 105

SHAPE AND CONTOUR OF NAILS. CLUBBING OF NAILS SUGGEST CHRONIC CYANOTIC H______ DISEASE AND NEOPLASTIC AND PULMONARY DISEASE. OVER 180.

Back 105

HEART

Front 106

PITTS, TRANSVERSE GROO))))) OR LINES MAY INDICATE NUTRIENT DEFICIENCY OR MAY ACCOMPANY ACUTE ILLNESS.

Back 106

GROOVES

Front 107

NAILS ARE THICKENED AND RIDGED WITH ARTERIAL INSUFF_____

Back 107

ARTERIAL INSUFFICIENCY

Front 108

A SPONGY NAIL BASE ACCOMPANIES CLUBBING. BROWN LINEAR STREAKS ESPECIALLY IN WHITES MAY INDICATE MEL______

Back 108

MELANOMA

Front 109

CAPILLARY REFILL- DEPRESS THE NAIL EDGE AND THEN REL______NORMAL COLOR RETURN IN A FEW SECONDS. SLUGGISH RETURN INDICATES PROBLEMS WITH CARDIOVASCULAR OR RES_______ DYSFUNCTION.

Back 109

RELEASE
RESPIRATORY

Front 110

ANNULAR- CIRCU+++=
CONFLUENT- TOGETHER
DISCRETE- INDIVIDUAL
GYRATE- TWISTED, COILED

Back 110

CIRCULAR

Front 111

GROUPED- CLUSTERS OF LES))))))
LINEAR- LINE
TARGET- OR IRIS- CONCENTRIC RINGS

Back 111

LESIONS

Front 112

SKULL- RIGID BONY BOX THAT PROTECTS SPECIAL SENSE ORGANS AND BR))))))

Back 112

BRAIN

Front 113

CRANIAL BONES OF TEMPORAL, FRONTAL, PARIETAL, AND OCCIPITAL UNITE AT IMMOVABLE JOINTS CALLED SU+++++

Back 113

SUTURES