25 t!

CI|APTER

The Child Wilh Altered Skin

lnrrcritv 1283

TOCUSED P HYSI CAL ASSISSMENT 25_1

Skin, Hair, and Nails

Allerstions/tlin j(ol si?nifi $n(e

Generllized colo. xod cordido. otthe ski, lersls lo.rtchlnges

i! strn coto.: prlo., c.r?!os,s, irun-

y.

t;" oi,m

t:(- t.,i.e, Ji (i.e. hemot)dc

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t r \e . r\rr,.", ou. r.
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. Hlpe.pig"r*t tior, mongoliins!or,
c.fa-.ulxir

spors, porr yiDe soi!

.,'der\fo _re.o..,.t".o.,",,,,,d.." "p....eof.ll,.*,.ho.t. bjLe
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""tt.g.p "jr.eo.unde.lr19h,,.
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'I enrPerr.Dre: blPorhen! ji.
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t",tu'-.p,e\io. ... tu3..ire o.Je, Tdd", urbrerL

V!s(DIJr ch.'nges teLngiefr Jrii, ht,.trnriomtr\

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Ice, rJjr, jssocrrreJ'?rrh rte.bous.ondidof

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Sciling:

se

d re,riou\ (ordrdon

borneic dem.rjris

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bod,

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be rejr?d ro med:a. E "rm"nts (. hem_ o$enHt ) or.hronn hJjrprtting/tugging

I e\ture: dD.britie. qd-iglhentedhJira.
5een,n rrr-buucLt so,,ers
r() o. ond.! m jn h)gre. e te,onjorq Jting rry,ndi, ereborheicde.nrdls
r.e c,.eor !l'i'ca.g\.. ib onh.jrrsJ LjnJrJriLeotie
lre.'I5) .,.:r.u, . c- is \irhrt, cme,tor flJ,,.poon rt p-a ,.
Uo*_j ,, , ol],I , ,o, *
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rr.i,,rreahhlrn.r.olje\.{e.m,ol,..our,ueJ.xndcte.rn:n,rls.,re.l:ppe,trr,lct",,,qi",,":

good hrgiere pmcrices

Sig,s oaDril birirgm,y indjcarc sress

cruLLiIg ure o,r $rlr c.,r,tjrc in I-nroDr ( ord,tion

: Lrrlte,,,ns mry ir Ji(x,e ru.,rxt Inf.cEon

curor. discojon,,on orrne r., to, ,,.:tLeJ, h.,, (yrnn.,,-gB;."ild1..;
loning sug8-esls hrngxt intecrion
";;;;.,";;,;;1r".Slos ,:.p'11..ry -e.ill ,n.t: ..,r. . proLter,,. r,ln .,r(Lhuo,,

T1,Jer

r.IlLel:. .,olle a.11ro,.(rre.,.t,,.o.b,o.,ou,.deme..d,!hen"itinI.,Le:h,,.no,,

Lrunq

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",..,,1,J.
-tudny ol,\rr rrtinrs.r..l c:tn.re. ,Un l"ror L op.y.
krn. e,d-9. ,aJj.h" u,e of.peciJ -q ipn,eIr,.c"n r,
\ ,min:tion ,frg 25 LrnJ Te,s rnd
!..w*

L. borarory rnalyri' 6f skin scrxp:nqs Jnu . uir ,r e. .J I

provid" erccllenr dir9osri" ,.si.,r;.e: Fo- e(_mp e. cL,icj. dnci, dermrroph1re, trirquormr,
;ndil,l
illecdon c.,n bc dirgrosed *ir-i rne Lr,c "n.l
or .Lrpcrt .rl