1. Abnormalities in nail beds (pt. complains of problem with nail beds) a. Fungal infection (onychomycosis) i. Thick and yellow or white discoloration of nail bed ii. May separate from the nail bed iii. May report associated discomfort, paresthesia, loss of manual dexterity iv. May lose ability to walk, exercise, wear shoes b. Cellulitis i. Swollen, red, and painful to touch ii. Bacterial infection iii. A.K.A. Paronychia c. Paronychia i. Hx of nail trauma or manipulation ii. Chronic- repeated exposure to moisture with tenderness and mild swelling. iii. Redness, swelling, and tenderness at the lateral and proximal nail folds. iv. Purulent drainage under cuticle. v. Soft tissue infection around fingernail. vi. Chronic can produce rippling of the nail d. Leukonychia i. White spots on nail plate 2. Different types of skin lesions a. Nodule i. Elevated, firm, circumscribed lesion ii. Deeper in dermis than a papule. iii. 1 to 2 cm in diameter iv. Erythema nodosum, lipoma b. Cyst i. Elevated, circumscribed encapsulated lesion ii. In the dermis or subcutaneous layer filled with liquid or semisolid material. iii. Sebaceous cyst, cystic acne c. Papule i. Elevated, firm, circumscribed area ii. Less than 1 cm in diameter iii. Wart (verruca), elevated mole, lichen planus d. Pustule i. Elevated, superficial lesion ii. Similar to a vesicle but filled with purulent fluid iii. Impetigo, acne 3. Different typed of headaches a. Classic Migraine i. Childhood onset-more common in women This study source was downloaded by 100000869267694 from CourseHero.com on 08-13-2023 04:13:53 GMT -05:00