Freckles, birthmark, melasma, or other discoloration
Excessive hair growth Excessive dry or flaking skin Scarring
Laceration or wound Bruising
Inspected orbital area and eyelids
1 of 1 point
Right: Eyebrow (1/6 po
...
Freckles, birthmark, melasma, or other discoloration
Excessive hair growth Excessive dry or flaking skin Scarring
Laceration or wound Bruising
Inspected orbital area and eyelids
1 of 1 point
Right: Eyebrow (1/6 point) Right: Eyelashes (1/6 point)
Normal hair distribution Normal hair distribution
Irregular hair distribution Irregular hair distribution
Right: Eyelid (1/6 point) Left: Eyebrow (1/6 point)
No visible abnormal findings Normal hair distribution
Ptosis Irregular hair distribution
Eyelid edema
Lesion
Allergic shiners
Left: Eyelashes (1/6 point) Left: Eyelid (1/6 point)
Normal hair distribution No visible abnormal findings
Irregular hair distribution Ptosis
Eyelid edema
Lesion
Allergic shiners
Symmetry (1/2 point) Appearance (1/2 point)
Symmetric No visible abnormal findings
Asymmetric Redness
Rash
Moles or skin tags
Masses (warts, cysts, or tumors) Freckles, birthmark, or other discoloration Excessive dry or flaking skin
Purpura Striae
Laceration, lesion, or wound
Bruising
1701080/0S0k8i2n1-H10a8ir4-a5n1df-rNomailCs-oOubrjseecHtievreo-.Dcoamtapodnf/07-17-2021 22:26:23 GMT -05:00
Scarring
Inspected abdomen
0 of 1 point
Appearance (No point)
No visible abnormal findings
Rash
Moles or skin tags
Freckles, birthmark, or other discoloration
Excessive hair growth
Excessive dry or flaking skin
Purpura
Striae
Scarring
Laceration, lesion, or wound
Bruising
Masses (warts, cysts, or tumors)
Inspected arms
1 of 1 point
Right: Appearance (1/2 point) Left: Appearance (1/2 point)
No visible abnormal findings No visible abnormal findings
Redness Redness
Rash Rash
Moles or skin tags Moles or skin tags
Masses (warts, cysts, or tumors) Masses (warts, cysts, or tumors)
Freckles, birthmark, or other discoloration Freckles, birthmark, or other discoloration
Excessive dry or flaking skin Excessive dry or flaking skin
Purpura Purpura
Striae Striae
Scarring Scarring
Laceration, lesion, or wound Laceration, lesion, or wound
Bruising Bruising
Inspected elbows
1 of 1 point
Right: Appearance (1/2 point) Left: Appearance (1/2 point)
No visible abnormal findings No visible abnormal findings
Redness Redness
Rash Rash
Masses (warts, cysts, or tumors) Masses (warts, cysts, or tumors)
Freckles, birthmark, or other discoloration Freckles, birthmark, or other discoloration
Excessive dry or flaking skin Excessive dry or flaking skin
Purpura Purpura
Scarring Scarring
Laceration, lesion, or wound Laceration, lesion, or wound
Bruising Bruising
.............................................................CONTINUED.............................................................
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