Introduction to Clinical Skills

Integumentary System

Universidad Iberoamericana UNIBE

Introduction to Clinical Skills

Teaching Staff Dra Elizabeth Peralta Dr Marcos Núñez Dra Cristina Páez C Dr Juan Carlos Mariñez Dra Wayna Greo Dra Yun Pey Lee

Introduction to Clinical Skills

Integumentary System Embriology and Histology Anatomy and Physiology The Health History Health Promotion and Counseling Techniques of Examination

Introduction to Clinical Skills

Integumentary System Embriology and Histology

Introduction to Clinical Skills

Integumentary System Anatomy and Physiology

Skin and mucosas Sweat glands Pilosebacous unit Nails

Introduction to Clinical Skills

Integumentary System The Health History

Common or Concerning Symptoms Hair loss Rash Moles

Introduction to Clinical Skills

Integumentary System Health Promotion and Counseling

Risk factors for Skin Cancers Avoidance of excessive sun exposure

Introduction to Clinical Skills

Integumentary System Health Promotion and Counseling

Autoexam

Introduction to Clinical Skills

Integumentary System Techniques of Examination

Skin Hair Sweat glands Nails

Introduction to Clinical Skills

Integumentary System Techniques of Examination: Skin

Color Moisture Temperature Texture Mobility and Turgor Lesions

Introduction to Clinical Skills

Integumentary System Techniques of Examination: Skin

Nevi (mole) follow up

Introduction to Clinical Skills

Integumentary System Techniques of Examination: Mucosas

Color Moisture Temperature Texture Lesions

Introduction to Clinical Skills

Integumentary System Techniques of Examination: Skin and Mucosas

Lesions Anatomical location and distribution

Acral, exposed surfaces, flexor areas…. Their pattern and shapes

Clustered, dermatomal, annular…….. The types of skin lesions

Macules, papules, vesicles, nevi…….. Their color

Introduction to Clinical Skills

Integumentary System Techniques of Examination: Skin

Evaluating the Bedbound patient People confined to Bed Pressure sores

Introduction to Clinical Skills

Integumentary System Techniques of Examination: Skin Self Examination

Examine body front and back Examine your back and scalp with a hand mirror Check your back and buttocks with a hand mirror

Introduction to Clinical Skills

Integumentary System Techniques of Examination: Hair

Inspect Palpate Evaluate

Quantity Distribution

Head, Body Texture Family pattern

Introduction to Clinical Skills

Integumentary System Techniques of Examination: Sweat glands

Inspect Palpate Evaluate

Odor Pattern of sweating

Introduction to Clinical Skills

Integumentary System Techniques of Examination: Nails

Inspect Palpate Fingernails and Toenails Look for:

Color Shape Lesions

Longitudinal bands of pigment (Darker skin)

Introduction to Clinical Skills

Integumentary System Techniques of Examination: Nails

Capillary refill

Introduction to Clinical Skills

Integumentary System Techniques of Examination: Nails

Foot Care

Introduction to Clinical Skills

Integumentary System Recording your findings

“Marked facial pallor, with circumoral cyanosis. Palms cold and moist. Cyanosis in nailbeds of finger and toes. One raised blue-black nevus, 1x2 cm, with irregular border on right forearm. No rash”

Introduction to Clinical Skills