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CLINICAL              10        PATIENT PRESENTATIONS
          PRESENTATION
                                          RELATED TO THE INTEGUMENTARY SYSTEM




             Patient presentations span all relevant age                              The Guide to clinical presentations in this category may
             categories, special populations, and varied                              include, but is not limited to, the following ways in which
             clinical settings.                                                       patients present for osteopathic medical care:


                                                                                      acne and related conditions – rosacea, acne vulgaris, acneiform skin lesions •
                                                                                      bites, human, animal, and other vectors – tick bites, lice infestation (pediculosis) •
                                                                                      burns, chemical, thermal, and electrical • dermatitis, allergic, contact, atopic (eg,
             10.1   HAIR AND SCALP DISORDERS
                                                                                      eczema), irritant, perioral, stasis, seborrheic (eg, cradle cap), dermatoses and
             10.2   CYANOSIS/PALLOR/PIGMENTATION DISTURBANCES AND                     pruritus in pregnancy • fungal infections – tinea capitis, tinea corporisexanthems,
                  DISORDERS OF COLORATION
                                                                                      viral – varicella, herpes, enteroviruses, pityriasis rosea • hair-related conditions –
             10.3   NAIL DISORDERS
                                                                                      folliculitis • hirsutism/hypertrichosis, hydradenitis suppurativa, alopecia (areata,
             10.4   SKIN LESIONS/ULCERS AND MASSES                                    universalis, traction) • infections – candidiasis • nail plate/ungual conditions,
             10.5   PRURITUS                                                          acute and chronic –  nail trauma and infections (eg, paronychia); discoloration; nail
                                                                                      fold and bed deformities, primary, or secondary to systemic disease, koilonychia,
             10.6   RASHES, EXANTHEMS, AND ACNE
                                                                                      onychosis, Beau lines, clubbing, splinter hemorrhages, Muehrcke lines, Terry nails
             10.7   BURNS
                                                                                      • newborns, normal dermatologic manifestations (eg, cradle cap [seborrheic
             10.8   WOUNDS                                                            dermatitis], milia, erythema toxicum, vascular birthmarks) • rashes – impetigo,

             10.9   URTICARIA AND ANGIOEDEMA                                          vesicobullous lesions • skin lesions, immunologic (eg, foods, medications,
                                                                                      aeroallergens, autoimmune disease immunodeficiency, infection) and
             10.10 DERMATOLOGIC PRESENTATIONS OF SYSTEMIC DISEASE
                                                                                      nonimmunologic (eg, physical stimuli) • skin/cutaneous lesions and dermatologic
             10.11 SWEATING DISORDERS
                                                                                      disorders, congenital and acquired – keratosis; wheals; vesicles; bullae;
             10.12 BITES/STINGS/INFESTATIONS
                                                                                      pemphigus (vulgaris, bullous); verrucae (warts); macules; papules; psoriasis;
             10.13 PHYSICAL EXAM FINDINGS RELATED TO THE                              papulosquamous lesions; pustules; plaques; lichen planus and lichen sclerosis et
                  INTEGUMENTARY SYSTEM
                                                                                      atrophicus; pruritus with or without primary skin lesions (eg, manifestations of
             10.14 LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING                    systemic diseases); carcinomas, cutaneous – basal cell, squamous cell,
                  RELATED TO THE INTEGUMENTARY SYSTEM
                                                                                      melanoma; • skin/cutaneous pigmentation lesions and disorders, congenital and
                                                                                      acquired- vitiligo/vitiligines; solar lentigo/lentigines; overexposure to ultraviolet
                                                                                      (UV) radiation; phototoxic drug eruptions; nevi; acanthosis nigricans; discoid lupus
                                                                                      erythematosus; vascular lesions (eg, petechiae, purpura) •      


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