NAIL ABNORMALITIES
Medical
Surgical
Nursing
NAIL ABNORMALITIES
Fingernail
Toenail
NAIL ABNORMALITIES
Infection
Injury
NAIL ABNORMALITIES
Brittle or Crumbly
 Sign of aging
 Long exposure to water of chemical
 Fungal infection
 Lichen planus
 Underactive thyroid
 Overactive thyroid
 Psoriasis
Take Biotin (Vit. B7)
Wear gloves
Apply moisturizers
NAIL ABNORMALITIES
Discolored Nails
Yellow nail
 Fungus
 Psoriasis
 Nail varnish
 Lymphoedema
 Sinusitis
 Bronchiectasis
 TB
 Jaundice
 Chronic paronychia
NAIL ABNORMALITIES
Discolored Nails
Half white, half brown nails
 Kidney failure
Green-black
 Pseudomonas
 Give antibiotic drops
 Soak in antiseptic solution
 Soak in vinegar
Grey
 Antimalarials
 Minocycline
Brown
 Thyroid disease
 Malnutrition
 Nail varnish
NAIL ABNORMALITIES
Discolored Nails
White nails
 Cirrhosis
 HF
 DM
 Iron deficiency anemia
 Chemotherapy
 Overactive thyroid
 Malnutrition
NAIL ABNORMALITIES
Loose Nails
 Injury
 Fungal infection
 Psoriasis
 Warts
 Amyloidosis
 Raynaud’s disease
 Allergic reaction
 Sarcoidosis
 Overactive thyroid
NAIL ABNORMALITIES
Koilonychia
Indented spoon shaped
 Iron deficiency
 Hemochromatosis (too much iron)
 Raynaud’s disease
 Lupus erythematosus
NAIL ABNORMALITIES
Pitting/Dents on the Nails
 Psoriasis
 Eczema
 Reactive arthritis
 Alopecia areata
NAIL ABNORMALITIES
Beau's lines
Grooves across the fingernails
 Chemotherapy
 Raynaud’s disease
 Injury
 Cold temp.
NAIL ABNORMALITIES
Clubbing
Unusually curved fingertip & nails
 COPD
 CF
 Lung cancer
 IBD
 Endocarditis
 Bronchiectasis
 Cirrhosis
 Polycythemia
 Stomach or bowel cancer
NAIL ABNORMALITIES
Muehrcke's lines
Parallel white lines that extend all the way across the nails
Sign of low levels of protein in the blood
 Malnutrition
NAIL ABNORMALITIES
Dark stripes running down the nail
 Fairly common with dark skin people
 Can be subungual melanoma (skin cancer affecting the nail bed)
NAIL ABNORMALITIES
Splinter Hemorrhages
Red or brown little streaks under the nails
lines of blood caused by tiny damaged blood vessels
 Lupus erythematosus
 Psoriasis
 Endocarditis
NAIL ABNORMALITIES
Paronychia
Painful red swollen nail fold
Inflammation of the nail fold
 Infection, Injury, Irritation, Eczema, Psoriasis, DM, HIV
Acute
 herpetic whitlow—caused by cold sore virus
 Staphylococcus aureus
 Treat with antibiotic creams or tabs
Chronic
 Cleaners
 Bartenders
 Canten staff
 Fishmongers
THANK YOU Sharon Opoola, RN

Nail Abnormalities