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Deformities are often considered together with dystrophies, but the two are slightly different; deformities are generally considered to be gross changes in nail shape, whereas dystrophies are changes in nail texture or composition eg, onychomycosis. The remainder result from various causes, including trauma, congenital abnormalities, psoriasis , lichen planus , benign tumors, and occasionally cancer. Onychomycosis as a cause of nail dystrophy may be obvious on examination, but often samples of the nail plate and subungual debris are taken and sent for histopathologic examination and periodic acid-Schiff PAS examination, culture, or, more recently, polymerase chain reaction PCR analysis 1 , 2. Nonfungal dystrophies may require a tissue biopsy of the nail plate or nail matrix to make a diagnosis.
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Development of the Reproductive System - Embryology - TeachMeAnatomy

Nurses perform physical assessments of infants and children in various settings—the clinic, the hospital, the school, and the home. The physical examination may be part of a well-child assessment, it may be the admission examination when a child enters the hospital, or it may be part of an initial assessment for home health care. The physical examination provides objective and subjective information about the child. The ability to perform a physical examination is fundamental to nursing care of the child.
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17 Things Your Nails Can Tell You About Your Health

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A nail disease or onychosis is a disease or deformity of the nail. Although the nail is a structure produced by the skin and is a skin appendage , nail diseases have a distinct classification as they have their own signs and symptoms which may relate to other medical conditions. Some nail conditions that show signs of infection or inflammation may require medical assistance. Nail inspection can give hints to the internal condition of the body as well. Nail disease can be very subtle and should be evaluated by a dermatologist with a focus in this particular area of medicine.
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