By John A. Flynn, Jane W. Ball, Joyce E. Dains, Barry S. Solomon, Rosalyn W. Stewart

With a powerful patient-centered method of care and an writer crew constituted of nurses and physicians, Seidel's consultant to actual exam, eighth version, addresses instructing and studying health and wellbeing overview in nursing, scientific, and a wide selection of alternative health-care courses, at either undergraduate and graduate degrees.

This new variation offers an elevated specialise in evidence-based perform and stronger clarity, in addition to built-in lifespan content material and various targeted positive factors equivalent to "Clinical Pearls" and "Physical Variations," "Functional Assessment," and "Staying Well" containers.

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Additional resources for Seidel's Guide to Physical Examination (8th Edition)

Sample text

Possible purulent drainage under cuticle. Acute or chronic (with nail rippling). Onychomycosis Yellow, crumbling nail. Distal nail plate turns yellow or white as hyperkeratotic debris accumulates, causing the nail to separate from the nail bed. Redness and swelling where nail pierces the lateral nail fold and grows into the dermis. Skin, Hair, and Nails Basal Cell Carcinoma 48 CHAPTER 5 Skin, Hair, and Nails PEDIATRIC VARIATIONS Skin, Hair, and Nails EXAMINATION Technique Findings Skin Inspect hands and feet of newborns for skin creases EXPECTED: Number of creases is indication of maturity of newborn; the older the gestational age, the more creases.

Impetigo Lesion, typically on the face, that itches and burns. Honey-colored crusted or ruptured vesicles. Miliaria (“prickly heat”) Parent reports rash noted while undressing infant. Irregular, red, macular rash on covered areas. Chickenpox (varicella) Fever, headache, sore throat, malaise. Pruritic maculopapular skin eruption that becomes vesicular in a matter of hours. German measles (rubella) Fever, coryza, sore throat, cough. Koplik spots on buccal mucosa; generalized light pink to red maculopapular rash.

Red streak (tracing of fine lines) may follow course of lymphatic collecting duct. Inflamed area indurated and palpable to gentle touch. Related infection possible distally, particularly interdigitally.

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