1. Skin lesions
2. Past medicalsurgical history
3. Familysocialdrug history

Skin lesions

• SOCRATES
• Site: covered vs. sun exposed.
• Site: symmetrical vs. asymmetrical.
• Site: where originatedif spreadwhen it moved.
• Site: arrangement pattern.
• Character: colourshapedepression/elevationedges.
• Character: changes in properties.
• Character: itchinesspain.
• Character: scalingcrusting.
• Character: dischargebleeding.
• See Skin Lesion Terminology Reference.

Past medicalsurgical history

• Similar condition in the past.
• DM (lower limb ulcerations).
• Asthmahayfever (eczema).
• Strep (erythema nodosum).
• Rash dz's: psoriasisRAherpesetc.

Family history

• Similar condition in a relativewhat age.
• Skin problems in the family.
• Allergies in the family.

Social history

• Smoking: ever smokedhow many per dayfor how longtype [cigarettepipechew].
• Passive smoking in the homeworkplace.
• Alcohol (aspiration).
• Occupation type.
• Occupation details:
  • Tasks done at work.
  • Chemicalsplants contacted.
  • How long of exposure.
  • Protection used.
  • Illness in fellow workers. 
• Pets at home (allergy).
• Stress levels (allopeciaetc).
• Who is with you there at home.

Drug history

• Drugs currentlyformerly on:
  • Steroids (thinningbruisingulceration).
  • Chemotherapy (allopecia).
  • Dyes (hives).
• OTCs:
  • Salves.
  • Shampoos.
• Ventilators.
• Recreational drugs:
  • IV drugs.
• Allergies:
  • Chemicals.
  • Latex.
• Allergies to drugsesp. rashes:
  • Drugs.
  • Dyes.

Integumental Exam »

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