Hello, this assignment is for health assessment, specifically for: Skin, Hair, and Nails. PLEASE Complete ALL patient history from page 1 to page 2; All patient physical exam questions must be answered on the right side which is blank. DO NOT do the last part of Nursing Diagnoses and Collaboration Problems. The teacher does NOT want the answers to be: this is normal and you should briefly describe each answer you give on the right side of each question that is asked on the left side. YOU MUST CREATE A CLINICAL CASE that is consistent with what the teacher is asking, and the clinical case must be from a patient with a diagnosis of Skin, Hair, and Nails. Please complete all the fields, do not leave anything blank except Diagnostics and Collaboration Problems. The bibliography is Physical Examination and Health Assessment 6th Edition by Carolyn Jarvis Purchase the answer to view it Purchase the answer to view it

Title: Assessment of Skin, Hair, and Nails: A Clinical Case Study


Skin, hair, and nails are crucial components of the integumentary system, playing a vital role in protecting the body from external hazards and maintaining homeostasis. Conducting a comprehensive health assessment of these structures is essential for identifying any abnormalities or potential underlying conditions. This clinical case study focuses on a patient with a diagnosis related to the integumentary system and aims to provide a detailed analysis of their patient history, physical examination findings, and subsequent nursing diagnoses.

Patient History:

– Name: Ms. A
– Age: 40
– Gender: Female

Chief Complaint:
The patient presents with a complaint of persistent itching and redness of the skin on her upper extremities, which has been worsening over the past few weeks. She reports experiencing occasional flaking and dryness as well.

Present Illness History:
Ms. A states that her symptoms began approximately six weeks ago. She initially noticed mild itching and dryness, which she attributed to seasonal changes. However, her symptoms progressively worsened, prompting her to seek medical attention. She denies any recent travel, insect bites, or exposure to irritants or potential allergens.

Past Medical History:
– Atopic dermatitis (diagnosed during childhood)
– Seasonal allergies (controlled with antihistamines)

Family History:
– Mother: Hypothyroidism
– Father: No known dermatological conditions

Medication History:
– Antihistamines for seasonal allergies (OTC)
– Topical corticosteroid cream for atopic dermatitis flare-ups (PRN)

Social History:
– Employment: Office worker
– Smoking: Non-smoker (never smoked)
– Alcohol consumption: Occasional social drinker
– Recreational drug use: None reported
– Exercise: Regularly engages in moderate-intensity exercise three times per week
– Environmental exposure: No reported work-related exposure to chemicals or known irritants

Review of Systems:
The patient denies any significant systemic symptoms but notes the following dermatological symptoms:

– Itching: Present, localized to upper extremities
– Redness: Present, localized to affected areas
– Flaking: Occasional

– Dryness: None reported
– Excessive hair loss: None reported
– Changes in hair texture: None reported

– Brittle nails: None reported
– Changes in nail color or shape: None reported
– Nail bed abnormalities: None reported

Physical Examination Findings:

General Appearance:
Ms. A is a well-nourished, alert, and oriented female. She appears comfortable and ambulatory. No signs of distress are noted.

– Inspection: Erythematous patches observed on both upper extremities, extending from the wrists to the elbows. The affected areas appear dry with occasional flakes, and the patient exhibits signs of scratching.
– Palpation: Skin temperature and texture are within normal limits. No palpable nodules or lesions noted. No areas of localized warmth or tenderness observed.

– Inspection: Hair appears normal, with no signs of dryness, thinning, or hair loss. Scalp is devoid of any lesions or abnormalities.

– Inspection: Nails are of normal shape and color. No signs of brittleness, clubbing, or deformities noted. Nail beds appear healthy and pink in color.


Based on the patient’s history and physical examination findings, it can be concluded that Ms. A is presenting with symptoms consistent with a dermatological condition affecting her skin. The erythematous patches, itching, and dryness localized to the upper extremities suggest a possible exacerbation of her atopic dermatitis. The absence of significant hair and nail abnormalities, as well as the lack of systemic symptoms, suggests that the condition primarily affects the skin.

To formulate appropriate nursing diagnoses and subsequent collaboration problems, further diagnostic tests and collaboration with other healthcare professionals may be required. However, based on the initial assessment findings, the patient’s atopic dermatitis flare-up appears to be the primary concern influencing her skin, hair, and nail health.

(Note: This clinical case is fictional and designed for academic purposes only. References to relevant clinical resources should be consulted for accurate and evidence-based information.)