Integumentary system

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Integumentary system

  1. 1. Introduction to Clinical Skills Integumentary System Universidad Iberoamericana UNIBE
  2. 2. Introduction to Clinical Skills <ul><li>Teaching Staff </li></ul><ul><ul><li>Dra Elizabeth Peralta </li></ul></ul><ul><ul><li>Dr Marcos Núñez </li></ul></ul><ul><ul><li>Dra Cristina Páez C </li></ul></ul><ul><ul><li>Dr Juan Carlos Mariñez </li></ul></ul><ul><ul><li>Dra Wayna Greo </li></ul></ul><ul><ul><li>Dra Yun Pey Lee </li></ul></ul>
  3. 3. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Embriology and Histology </li></ul></ul><ul><ul><li>Anatomy and Physiology </li></ul></ul><ul><ul><li>The Health History </li></ul></ul><ul><ul><li>Health Promotion and Counseling </li></ul></ul><ul><ul><li>Techniques of Examination </li></ul></ul>
  4. 4. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Embriology and Histology </li></ul></ul>
  5. 5. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Anatomy and Physiology </li></ul></ul><ul><ul><ul><li>Skin and mucosas </li></ul></ul></ul><ul><ul><ul><li>Sweat glands </li></ul></ul></ul><ul><ul><ul><li>Pilosebacous unit </li></ul></ul></ul><ul><ul><ul><li>Nails </li></ul></ul></ul>
  6. 6. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>The Health History </li></ul></ul><ul><ul><ul><li>Common or Concerning Symptoms </li></ul></ul></ul><ul><ul><ul><ul><li>Hair loss </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Rash </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Moles </li></ul></ul></ul></ul>
  7. 7. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Health Promotion and Counseling </li></ul></ul><ul><ul><ul><li>Risk factors for Skin Cancers </li></ul></ul></ul><ul><ul><ul><li>Avoidance of excessive sun exposure </li></ul></ul></ul>
  8. 8. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Health Promotion and Counseling </li></ul></ul><ul><ul><ul><li>Autoexam </li></ul></ul></ul>
  9. 9. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination </li></ul></ul><ul><ul><ul><li>Skin </li></ul></ul></ul><ul><ul><ul><li>Hair </li></ul></ul></ul><ul><ul><ul><li>Sweat glands </li></ul></ul></ul><ul><ul><ul><li>Nails </li></ul></ul></ul>
  10. 10. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination: Skin </li></ul></ul><ul><ul><ul><li>Color </li></ul></ul></ul><ul><ul><ul><li>Moisture </li></ul></ul></ul><ul><ul><ul><li>Temperature </li></ul></ul></ul><ul><ul><ul><li>Texture </li></ul></ul></ul><ul><ul><ul><li>Mobility and Turgor </li></ul></ul></ul><ul><ul><ul><li>Lesions </li></ul></ul></ul>
  11. 11. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination: Skin </li></ul></ul><ul><ul><ul><li>Nevi (mole) follow up </li></ul></ul></ul>
  12. 12. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination: Mucosas </li></ul></ul><ul><ul><ul><li>Color </li></ul></ul></ul><ul><ul><ul><li>Moisture </li></ul></ul></ul><ul><ul><ul><li>Temperature </li></ul></ul></ul><ul><ul><ul><li>Texture </li></ul></ul></ul><ul><ul><ul><li>Lesions </li></ul></ul></ul>
  13. 13. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination: Skin and Mucosas </li></ul></ul><ul><ul><ul><li>Lesions </li></ul></ul></ul><ul><ul><ul><ul><li>Anatomical location and distribution </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Acral, exposed surfaces, flexor areas…. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>Their pattern and shapes </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Clustered, dermatomal, annular…….. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>The types of skin lesions </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Macules, papules, vesicles, nevi…….. </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>Their color </li></ul></ul></ul></ul>
  14. 14. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination: Skin </li></ul></ul><ul><ul><ul><li>Evaluating the Bedbound patient </li></ul></ul></ul><ul><ul><ul><ul><li>People confined to Bed </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Pressure sores </li></ul></ul></ul></ul>
  15. 15. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination: Skin Self Examination </li></ul></ul><ul><ul><ul><li>Examine body front and back </li></ul></ul></ul><ul><ul><ul><li>Examine your back and scalp with a hand mirror </li></ul></ul></ul><ul><ul><ul><li>Check your back and buttocks with a hand mirror </li></ul></ul></ul>
  16. 16. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination: Hair </li></ul></ul><ul><ul><ul><li>Inspect </li></ul></ul></ul><ul><ul><ul><li>Palpate </li></ul></ul></ul><ul><ul><ul><li>Evaluate </li></ul></ul></ul><ul><ul><ul><ul><li>Quantity </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Distribution </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Head, Body </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><li>Texture </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Family pattern </li></ul></ul></ul></ul>
  17. 17. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination: Sweat glands </li></ul></ul><ul><ul><ul><li>Inspect </li></ul></ul></ul><ul><ul><ul><li>Palpate </li></ul></ul></ul><ul><ul><ul><li>Evaluate </li></ul></ul></ul><ul><ul><ul><ul><li>Odor </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Pattern of sweating </li></ul></ul></ul></ul>
  18. 18. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination: Nails </li></ul></ul><ul><ul><ul><li>Inspect </li></ul></ul></ul><ul><ul><ul><li>Palpate </li></ul></ul></ul><ul><ul><ul><li>Fingernails and Toenails </li></ul></ul></ul><ul><ul><ul><li>Look for: </li></ul></ul></ul><ul><ul><ul><ul><li>Color </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Shape </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Lesions </li></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Longitudinal bands of pigment (Darker skin) </li></ul></ul></ul></ul></ul>
  19. 19. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination: Nails </li></ul></ul><ul><ul><ul><li>Capillary refill </li></ul></ul></ul>
  20. 20. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Techniques of Examination: Nails </li></ul></ul><ul><ul><ul><li>Foot Care </li></ul></ul></ul>
  21. 21. Introduction to Clinical Skills <ul><li>Integumentary System </li></ul><ul><ul><li>Recording your findings </li></ul></ul><ul><ul><ul><li>“ 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” </li></ul></ul></ul>
  22. 22. Introduction to Clinical Skills

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