Pocket Companion Jarvis's Physical Examination and Health Assessment by Cole Clare Hill Olivia Saunders Rosemary

Author:Cole, Clare, Hill, Olivia, Saunders, Rosemary [Cole, Clare; Hill, Olivia; Saunders, Rosemary]
Language: eng
Format: epub
ISBN: 978-0-7295-7975-9
Publisher: Elsevier Health Sciences APAC
Published: 2012-08-14T16:00:00+00:00

Scalp hair may be fine or thick and may look straight, curly or kinky. It should look shiny, although this characteristic may be lost with the use of some beauty products such as dyes, rinses or other hair treatments. Note dull, coarse or brittle scalp hair.

Grey, scaly, well-defined areas with broken hairs accompany tinea capitis, a ringworm infection found mostly in school-age children (see Table 17.12, JF&W).

Distribution

Fine vellus hair coats the body, whereas coarser terminal hairs grow at the eyebrows, eyelashes and scalp. During puberty, distribution conforms to normal male and female patterns. At first, coarse curly hairs develop in the pubic area, then in the axillae, and last in the facial area in boys. In the genital area the female pattern is an inverted triangle; the male pattern is an upright triangle with pubic hair extending up to the umbilicus. The amount of hair varies from person to person. Absent or abnormally configured pubic hair suggests endocrine abnormalities.

Hirsutism—excess body hair. In females, this forms a male pattern of hair distribution on the face and chest and indicates endocrine abnormalities (see Table 17.12, JF&W).

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