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Public normal for ethnic group
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Comment=If charting by exception, this selection means normal for baseline; variation in ethnic groups; pigmentation (color and pigmentation = appropriate for race).
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Normally, the skin is a uniform whitish-pink or brown color, depending upon the patient's race. This normal finding indicates that the color of the patient's skin is normal or natural for ethnic group. (<i>Ref: Zator Estes</i>)<br /></p><p>or<br /></p><p>This normal finding indicates that the color of the patient's skin is normal or natural for ethnic group. (<i>Ref: Zator Estes</i>)<br /></p>
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Constraints: Vocabulary SNOMED CT: skin normal color (finding) (297952003)
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Public ashen
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Comment=Note: Dusky may be a synonym for ashen.
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A grayish cast to the skin is abnormal. A grayish cast may be associated with chronic anemia. (<i>Ref: Zator Estes</i>)
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Constraints: Vocabulary SNOMED CT: not found
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Public cyanotic
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Comment=This term often describes an underlying cardiovascular or perfusion problem vs. an integumentary system problem, however, it does also describe a skin color.
Notes:
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Cyanosis is a dusky blue appearance of the fingers, lips or mucous membranes, and is abnormal in both light-and dark-skinned individuals. Cyanosis occurs when there is greater than 5 g/dL of deoxygenated hemoglobin in the blood. The earlobes, lower eyelids, lips, oral mucosa, nail beds, and palmar and plantar surfaces may be especially cyanotic. Dark-skinned individuals have an ashen-gray to pale tint, and the lips and tongue are good indicators of cyanosis. (Ref: Zator Estes)
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Constraints: Vocabulary SNOMED CT: cyanosis of skin (finding) (119419001)
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Public flushed
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Sustained bright red or pink coloration in light-skinned individuals is abnormal. Dark-skinned individuals may have no underlying change in coloration. This may occur because of dilated superficial blood vessels, increased blood flow, febrile states, local inflammatory conditions, or excessive alcohol intake.<br /></p><p>(Ref: Zator Estes)<br /></p>
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Constraints: Vocabulary SNOMED CT: flushed complexion (finding) (248213001)
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Public jaundiced
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Jaundice is a yellow-green to orange cast or coloration of the skin, sclera, mucous membranes, fingernails, and palmar or plantar surfaces in the light-skinned and may appear as yellow staining in the sclera, hard palate, and palmar or plantar surfaces in dark-skinned individuals. Jaundice is caused by an increased serum bilirubin level of greater than 2 mg/dL associated with liver disease or hemolytic disease. This is an abnormal finding. (<i>Ref: Zator Estes</i>)
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Constraints: Vocabulary SNOMED CT: jaundice (finding) (18165001)
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Public mottled
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Comment=This term often describes an underlying cardiovascular or perfusion problem vs. an integumentary system problem, however, it does describe a skin color.
Notes:
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Patchy areas of white and darker pigmentation on the skin is abnormal. (<i>Ref: Zator Estes</i>)
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Constraints: Vocabulary SNOMED CT: mottling of skin (finding) (406128001)
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Public pale
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Notes:
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A pale cast to the skin that may be most evident in the face, mucous membranes, lips and nail beds is abnormal in light-skinned individuals. A yellowish-brown to ashen-gray cast to the skin along with pale or gray lips, mucous membranes, and nail beds is abnormal in dark-skinned individuals. Pallor is due to decreased visibility of the normal oxyhemoglobin. This can occur when the patient has decreased blood flow in the superficial vessels, as in shock or syncope, or when there is a decreased amount of serum oxyhemoglobin, as in anemia. (Ref: Zator Estes)
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Constraints: Vocabulary SNOMED CT: pale - symptom (finding) (267029006)
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