Ficha de avaliacao FACIAL
-
Upload
nivea-braga -
Category
Documents
-
view
137 -
download
2
description
Transcript of Ficha de avaliacao FACIAL
FICHA DE AVALIAO FACIALBIOTIPO CUTNEO
( ) Eudrmica ( ) Lipdica ( ) Alpica ( ) Mista
ESTADO CUTNEO
( ) Normal ( ) Desidratado ( ) Sensibilizado ( ) Acneico ( ) Seborreico TEXTURA
( ) Lisa ( ) spera
ESPESSURA
( ) Fina ( ) Muito Fina ( ) Espessa
STIOS
( ) Dilatados na zona T ( ) Dilatados em toda Face ( ) Contrados
ACNE
( ) Grau I ( ) Grau II ( ) Grau III ( ) Grau IV ( ) Grau V INVOLUO CUTNEA
( ) Linhas ( ) Sulcos ( ) Rugas ( ) Elastose ( ) Ptose
Local: ________________________________________________________________________
FOTOTIPO CUTNEO FITZPATRICK
( ) TIPO I ( ) II ( ) III ( ) IV ( ) V
FOTOENVELHECIMENTO ESCALA DE GLOGAU( ) I ( ) II ( ) III ( ) IV ( ) V
Obs: ________________________________________________________________________
MANCHAS PIGMENTARES (MELANINA)
( ) Acromia ( ) Eflides ( ) Hipocromia ( ) Melanose ( ) Hipercromia ( ) Melanose Solar
( ) Outros: _________________________________________________________________
ALTERAES VASCULARES( ) Equimose ( ) Petquias ( ) Telangectasias ( ) Eritrma ( ) /nevo rubi ( ) Roscea Outros: _________________________________________________________________
LESES DE PELE
( ) Comedes ( ) Ppula ( ) Pstula ( ) Millium ( ) Cisto ( ) Ndulo ( ) Siringoma
( ) Nevo Melanoctico ( ) Xantelasma ( ) Dermatite ( ) Ulcerao ( ) Hiperqueratose
( ) Psorase ( ) Outros:__________________________________________________________
CICATRIZ( ) Hipertrfica ( ) Atrfica ( ) Queloideana ( ) Retrtil ( ) Hipercrmica ( ) Hipocrmica
PELOS( ) Hirsutismo ( ) Hipertricose ( ) Alopcia ( ) Foliculite Objetivos: ___________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Tratamento Proposto: __________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Observaes: ________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________