to the distal surface of the digits and can be used for self protection. NAILS • Horn – like envelop covering the tips of the fingers and toes • Parts includes - Matrix - Nail plate - Nail root - Nailbed - lunula Nails • The nail is Stratum Corneum containing hard keratin • The nail root is covered by skin • The nail body is the visible part of the nail • Nearly all of the nail is formed by the nail matrix, but the nail bed contributes • The lunula is the part of the nail matrix visible through the nail body Fingernails Toe nails Nail Abnormalities Nail Abnormalities NAIL ABNORMALITIES Koilonychia - Spoon shape, in which the nail curves upward from the nail bed. - Maybe seen in clients with iron deficiency anemia. NAIL ABNORMALITIES Paronychia - An inflammation of the tissues surrounding a nail. - The tissues appear inflamed and swollen and tenderness is usually present. NAIL ABNORMALITIES Onychomycosis (nail fungus) - Symptoms include brittleness, discoloration, thickening, distortion of nail shape, crumbling of the nail and loosening (detaching) of the nail. NAIL ABNORMALITIES Clubbing - A condition in which the angle between the nail and the nail bed is 180 degrees or greater. - May be caused by a long-term lack of oxygen. TEST FOR CLUBBING NAIL ABNORMALITIES Blanch test - To test the capillary refill, that is peripheral circulation. - Normal nail bed capillaries blanch when pressed, but quickly turn pink on their usual color when pressure is released.