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The histological picture involves thinner, weaker attachments of the skin lesion itself to the normal skin – resulting in easier dislodgement. The formation of new blisters upon slight pressure (direct Nikolsky) and shearing of the skin due to rubbing (indirect Nikolsky) is a sign of pemphigus vulgaris, albeit not a 100% reliable diagnosis. [ 8 ]
In a physical examination, medical examination, clinical examination, or medical checkup, a medical practitioner examines a patient for any possible medical signs or symptoms of a medical condition. It generally consists of a series of questions about the patient's medical history followed by an examination based on the reported symptoms.
• The information needs to be interpreted in the context of the physical examination elsewhere (e.g. chest, abdomen, neurological examinations in the case of the limping child or in the presence of any “red flags” in the unwell child. • Documentation of findings in the case notes is simple using a grid (see free resources)
“During a typical yearly gynecological exam, women will undergo a breast exam, an abdominal exam and a pelvic exam, where the provider will look into the vagina with a speculum and then palpate ...
The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.
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Polarized light dermatoscope. Dermatoscopy, also known as dermoscopy [1] or epiluminescence microscopy, is the examination of skin lesions with a dermatoscope.It is a tool similar to a camera to allow for inspection of skin lesions unobstructed by skin surface reflections.
Nursing assessment is used to identify current and future patient care needs. It incorporates the recognition of normal versus abnormal body physiology. Prompt recognition of pertinent changes along with the skill of critical thinking allows the nurse to identify and prioritize appropriate interventions.