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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:


                                                                                      sweat-gland-related conditions – bromhidrosis, hyper/hypohidrosis; miliaria •
                                                                                      systemic diseases and the skin – disseminated gonorrhea, secondary syphilis;
                                                                                      lupus; Kawasaki disease; Raynaud syndrome (eg, primary, secondary); Stevens-
             10.1   HAIR AND SCALP DISORDERS
                                                                                      Johnson syndrome; cutaneous manifestations of internal malignancies • trauma,
             10.2   CYANOSIS/PALLOR/PIGMENTATION DISTURBANCES AND                     skin – abrasions, lacerations, contusions, stab wounds, surgical wounds, high-
                  DISORDERS OF COLORATION
                                                                                      pressure injection injuries • ulcers, skin – traumatic; neurological; infectious,
             10.3   NAIL DISORDERS
                                                                                      including cellulitis and cutaneous abscesses, furuncles, and carbuncles;
             10.4   SKIN LESIONS/ULCERS AND MASSES                                    metabolic; drug-related) • urticaria, acute and chronic
             10.5   PRURITUS
             10.6   RASHES, EXANTHEMS, AND ACNE
                                                                                      CONSTITUTIONAL SIGNS AND SYMPTOMS
             10.7   BURNS
                                                                                      fatigue  • fever  • generalized weakness  • involuntary weight loss  • malaise  •
             10.8   WOUNDS                                                            night sweats  • pallor

             10.9   URTICARIA AND ANGIOEDEMA
                                                                                      PHYSICAL EXAM FINDINGS
             10.10 DERMATOLOGIC PRESENTATIONS OF SYSTEMIC DISEASE
                                                                                      Auspitz sign  • Nikolsky sign  • visual inspection (including temperature, color,
             10.11 SWEATING DISORDERS
                                                                                      moisture, tenderness)
             10.12 BITES/STINGS/INFESTATIONS

             10.13 PHYSICAL EXAM FINDINGS RELATED TO THE                              LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                  INTEGUMENTARY SYSTEM
                                                                                      microscopic evaluations, Wood lamp, fungal cultures, skin biopsy results
             10.14 LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                  RELATED TO THE INTEGUMENTARY SYSTEM








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