NURS 612 Advanced Health Assessment Exam 2 Study Guide from Chen Walta Review

AHA Exam 2 Study Guide from Chen Walta Review Abnormalities in nail beds (pt. complains of problem with nail beds) Fungal infection (onychomycosis) Thick and yellow or white discoloration of nail bed May separate from the nail bed May report associated discomfort, paresthesia, loss of manual dexterity May lose ability to walk, exercise, wear shoes Cellulitis Swollen, red, and painful to touch Bacterial infection A.K.A. Paronychia Paronychia Hx of nail trauma or manipulation Chronic- repeated exposure to moisture with tenderness and mild swelling. Redness, swelling, and tenderness at the lateral and proximal nail folds. Purulent drainage under cuticle. Soft tissue infection around fingernail. Chronic can produce rippling of the nail Leukonychia White spots on nail plate (caused by heavy metal poisoning such as lead, cirrhosis of the liver or chemotherapy. Different types of skin lesions Nodule Elevated, firm, circumscribed lesion Deeper in dermis than a papule. 1 to 2 cm in diameter Erythema nodosum, lipoma Cyst Elevated, circumscribed encapsulated lesion In the dermis or subcutaneous layer filled with liquid or semisolid material. Sebaceous cyst, cystic acne Papule Elevated, firm, circumscribed area Less than 1 cm in diameter Wart (verruca), elevated mole, lichen planus (Shiny like plaque psoriasis) Pustule Elevated, superficial lesion Similar to a vesicle but filled with purulent fluid Impetigo, acne