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The results of a physical examination of the skin, hair, and nails of a patient. objective data on the appearance, texture, and abnormalities of various body parts. useful for medical students and professionals who want to learn how to conduct a physical examination of the skin, hair, and nails.
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Palpated scalp Tenderness (1/2 point) None reported Tenderness reported Observations (1/2 point) No additional abnormal findings Palpable masses Inspected hair Distribution (1/3 point) No visible abnormal findings Balding or thinning areas in hair distribution Texture (1/3 point) Coarse Fine Scalp Observations (1/3 point) No visible abnormal findings Dandruff Discoloration Inspected face Appearance (1/2 point) No visible abnormal findings Redness Rash Acne (papules, pustules, or comedones) Moles or skin tags Masses (warts, cysts, or tumors) Freckles, birthmark, melasma, or other discoloration Excessive hair growth Excessive dry or flaking skin Scarring Laceration or wound Bruising Location Of Observed Abnormal Findings (1/2 point)
No additional abnormal findings Forehead Nose Cheeks Chin Upper lip Inspected orbital area and eyelids Right: Eyebrow (1/6 point) Normal hair distribution Irregular hair distribution Right: Eyelashes (1/6 point) Normal hair distribution Irregular hair distribution Right: Eyelid (1/6 point) No visible abnormal findings Ptosis Eyelid edema Lesion Allergic shiners Left: Eyebrow (1/6 point) Normal hair distribution Irregular hair distribution Left: Eyelashes (1/6 point) Normal hair distribution Irregular hair distribution Left: Eyelid (1/6 point) No visible abnormal findings Ptosis Eyelid edema Lesion Allergic shiners Inspected neck Appearance (1/1 point) No visible abnormal findings Swelling Visible pulsation Visible mass
Striae Scarring Laceration, lesion, or wound Bruising Left: Appearance (1/2 point) No visible abnormal findings Redness Rash Moles or skin tags Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Striae Scarring Laceration, lesion, or wound Bruising Inspected elbows Right: Appearance (1/2 point) No visible abnormal findings Redness Rash Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Scarring Laceration, lesion, or wound Bruising Left: Appearance (1/2 point) No visible abnormal findings Redness Rash Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Scarring Laceration, lesion, or wound Bruising Inspected hands Right: Appearance (1/2 point) No visible abnormal findings
Redness Moles or skin tags Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Scarring Laceration, lesion, or wound Bruising Rash Left: Appearance (1/2 point) No visible abnormal findings Redness Moles or skin tags Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Scarring Laceration, lesion, or wound Bruising Rash Inspected fingernails Right: Nail Changes (1/3 point) No visible abnormal findings Pallor Cyanosis Reperfusion Splinter hemorrhages Grooves Fungus Peeling Clubbing Spooning Left: Nail Changes (1/3 point) No visible abnormal findings Pallor Cyanosis Reperfusion Splinter hemorrhages Grooves Fungus Peeling Clubbing Spooning
Excessive dry or flaking skin Purpura Striae Scarring Laceration, lesion, or wound Bruising Inspected legs Right: Appearance (1/2 point) No visible abnormal findings Edema Redness Rash Moles Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Striae Scarring Laceration, lesion, or wound Bruising Varicosities Left: Appearance (1/2 point) No visible abnormal findings Edema Redness Rash Moles Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Striae Scarring Laceration, lesion, or wound Bruising Varicosities Inspected knees Right: Appearance (1/2 point) No visible abnormal findings Edema Redness Rash Moles Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration
Excessive dry or flaking skin Purpura Scarring Laceration, lesion, or wound Bruising Left: Appearance (1/2 point) No visible abnormal findings Edema Redness Rash Moles Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Scarring Laceration, lesion, or wound Bruising Inspected ankles Right: Appearance (1/2 point) No visible abnormal findings Edema Redness Rash Moles Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Scarring Laceration, lesion, or wound Bruising Left: Appearance (1/2 point) No visible abnormal findings Edema Redness Rash Moles Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin Purpura Scarring Laceration, lesion, or wound Bruising
Grooves Fungus Peeling Clubbing Capillary Refill Time (1/3 point) Less than 3 seconds Greater than 3 seconds Assessed wound location Injured Surface (1/2 point) Dorsal Plantar Injury Site (1/2 point) Hindfoot Midfoot Forefoot Assessed wound exudate Character (1/1 point) No exudate Bloody Serosanguineous Serous Purulent Foul purulent (yellow or green, with odor) Assessed for necrotic tissue Observations (1/2 point) Absent Minimal Moderate Excessive Type (1/2 point) No necrotic tissue Yellow slough Brown eschar Black eschar Assessed peripheral tissue Color (1/2 point)
No notable color difference Pink Purple Red Observations (1/2 point) No additional observations Edema Cellulitis Callus Tracking Tested skin turgor Observations (1/1 point) No tenting Tenting