Skin, hair and nails are external structures that perform a variety of specialized functions. The sebaceous and sweat glands originating in the skin also perform many vital functions. Physical assessment of skin, hair, and nails provides data that may reveal local or systemic problems or disruptions in a client's self-care activities. Local irritation, trauma or disease can alter the condition of the skin, hair or nails. Systemic problems related to impaired circulation, endocrine imbalances, allergic reactions or respiratory disorders with changes to the skin, hair or nails may also be revealed. The appearance of skin, hair and nails also provides data relating to health maintenance and self-care activities such as hygiene, exercise and nutrition. To examine the skin, hair, and nails, you should ask the client to remove all clothing. and jewelry and put on an examination gown. Additionally, we ask the client to remove any nail polish, artificial nails, wigs or hairpieces, if applicable. SkinInspect the overall coloring of the skin. Keep in mind that color intensity as well as tone represent the amount of pigment present in the skin. Small amounts of melanin are common in fair skin, while large amounts of melanin are common in olive and darker skin. Carotene represents the yellow tone. There may be a blue tint of cyanosis, a sign of illness. Check the integrity of the skin, paying particular attention to areas of pressure (e.g. sacrum, hips, elbows). If skin lesions are observed, use a scale to document the degree......middle of sheet......a.Eyes: Several features of the eye examination should be considered in the framework of the examination. neurological. The conjunctiva and sclera may show signs of jaundice or inflammatory processes. A prominent corneal arc may suggest dyslipidemia, which, in turn, suggests the possibility of atherosclerosis. Fundoscopic examination can be very revealing. Ears: Examination of the external ear which includes the helix, antihelix and external auditory canal, as well as the mastoid bone. It is important to perform an otoscopic examination of the patient which includes examination of the tympanic membrane and the external ear canal: Observation and palpation to observe if there is asymmetry, swelling, discoloration, contusion, trauma. Observe the symmetry of the face, the presence of wrinkles on the forehead, ask the patient to smile and puff out their cheeks..