WEST VIRGINIA COURSE

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 51 of 103 Eczema dry or moist lesions accompanied by itching, burning, & various other unpleasant sensations usually red-blistered, & oozingC.O.E. CONTINUING EDUCATIONPsoriasisrarely on the face, lesions are round, dry patches covered with coarse, silvery scales-if irritated, bleeding points occur-may be spread to larger area-not contagious Herpes Simplex/ fever blisters/cold sores-single group of Herpes Zoster = Shingles vesicles on a red swollen base All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 51 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 52 of 103C.O.E. CONTINUINGHerpes Simplex Herpes Zoster EDUCATIONAllergy Related Dermatitis Condition/ Disease/Disorder Description allergy to ingredients in cosmetics, etc. Dermatitis protection is the prevention-gloves, etc. Venenata Dermatitis dermatitis that occurs after an injection of a Medicamentosa substance All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 52 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 53 of 103C.O.E. CONTINUINGUrticaria hives-inflammation caused by an allergy to EDUCATION specific drugs/foods Primary Skin Lesions Description Condition/ Disease/Disorder small, discolored spot or patch on the Macule skin's surface, neither raised nor sunken-ex: freckles small elevated pimple containing no fluid, but 53 All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 54 of 103 Papule may have pus note: yellow or white fatty papules around the eyes indicate an elevated cholesterol level-refer to a physician (xanthelasma).C.O.E. CONTINUINGWheal itchy, swollen lesion that lasts only a few hours EDUCATIONex: mosquito bite Tubercle solid lump larger than a papule-projects above the skin or lies with-sized from pea to hickory nut Tumor external swelling-varies in size, shape & color All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 54 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 55 of 103 blister with clear fluid-lie within or just beneath the epidermis-ex: poison ivyC.O.E. CONTINUING EDUCATIONVesicle blister containing a watery fluid-larger than a vesicle Bulla Pustule elevation with inflamed base, containing pus Secondary Skin Lesions All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 55 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 56 of 103 Condition/ Disease/Disorder Description Scale accumulation of epidermal flakes, dry or greasy ex: abnormal dandruffC.O.E. CONTINUING EDUCATIONCrust accumulation of serum & pus-mixed with epidermal material-ex: scab Excoriation abrasion produced by scratching or scraping- ex: raw surface after injury crack in the skin penetrating into the dermis Fissure Ulcer open lesion on skin or mucous membrane, accompanied by pus & loss of skin depth All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 56 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 57 of 103 Acne ScarsC.O.E. CONTINUINGCondition/ Disease/DisorderDescription EDUCATION Ice Pick Scar large, visible, open pores that look as if the skin has been jabbed with an ice pick-follicle always looks open-caused by deep pimple or cyst slightly sunken or depressed appearance- caused by pimples/cysts that have destroyed the skin & formed scar tissue Acne Pit Scar All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 57 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 58 of 103 lumpy mass of raised tissue on the surface of the skin-caused where cysts have clumped togetherC.O.E. CONTINUING EDUCATIONAcne Raised Scar Contagious Disorders Tinea ringworm, due to fungi Tinea Capitis - Ringworm of Scalp (plant or vegetable Tinea Sycosis - Barber's Itch parasites) -small reddened Tinea Favosa - Honeycomb Ringworm patch of little blisters that Tinea Unguium - Ringworm of Nails spread outward and heal in Athlete's Foot - Ringworm of Feet the middle with scaling All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 58 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 59 of 103C.O.E. CONTINUING EDUCATION CAUTION! NEVER ATTEMPT TO DIAGNOSE BUMPS, LESIONS, ULCERATIONS, OR DISCOLORATIONS AS SKIN CANCER, BUT YOU SHOULD BE ABLE TO RECOGNIZE THE CHARACTERISTICS OF SERIOUS SKIN DISORDERS AND SUGGEST THAT THE CLIENT SEE A PHYSICIAN OR DERMATOLOGIST. Extremely Serious Disorders-Skin Cancers Basal Cell Carcinoma least malignant-most common skin cancer characterized by light or pearly nodules & visible blood vessels All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 59 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 60 of 103C.O.E. CONTINUING scaly, red papules-blood vessels are not visible EDUCATION more serious than basal cell Squamous Cell Carcinoma most serious-characterized by dark brown, black, or discolored patches on the skin Malignant Melanoma All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 60 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 61 of 103 Nail Diseases/Disorders Onychophagy nail bitingC.O.E. CONTINUING over curvature of the nail-claw like EDUCATION Onychogryposis Pterygium sticky overgrowth of the cuticle Eggshell Nail extremely thin nail white spots under the nail plate All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 61 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 62 of 103 LeuconychiaC.O.E. CONTINUINGParonychia bacterial inflammation of tissue EDUCATIONTinea Corporis(perionychium) around the nail ringworm of the hand Tinea Pedia ringworm of the foot All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 62 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 63 of 103 Onychocyanosis blue nail (usually caused by poor circulation)C.O.E. CONTINUINGHematoma Nailbruised nail (usually caused by a hammer EDUCATIONor slammed door) onychomycosis-ringworm of the nail Tinea Unguium Onychorrexis split or brittle nails with a series of lengthwise ridges All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 63 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 64 of 103 ridges/corrugations/furrowsC.O.E. CONTINUINGBeau's Lines EDUCATION atrophy or wasting away of the nail Onychatrophia Onychocryptosis ingrown nail All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 64 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 65 of 103 Onychauxis overgrowth of the nail plateC.O.E. CONTINUINGOnychosis any nail disease EDUCATION Onychophosis accumulation of horny layers of epidermis under the nail Hair Disease/Disorders dry dandruff Pityriasis Capitis Simplex Pityriasis Capitis greasy dandruff Steatoids Seborrhea Oleosa All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 65 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 66 of 103 = Oily DandruffC.O.E. CONTINUINGTrichoptilosis split hair ends EDUCATION Trichorrehexis Nodosa knotted Tinea Favosa honeycomb ringworm Tinea Capitis ringworm of the scalp Tinea Sycosis barber's itch Androgenetic Alopecia common hereditary hair loss All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 66 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 67 of 103 Alopecia Adnata loss of hair shortly after birthC.O.E. CONTINUING hair loss in patches EDUCATION Alopecia Areata hair loss caused by inflammation of hair follicles Alopecia Follicularis Alopecia Prematura hair loss early in life All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 67 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 68 of 103 Alopecia Senilis hair loss from old ageC.O.E. CONTINUINGAlopecia Totalishair loss from entire scalp EDUCATION Alopecia Universalis hair loss from entire body Traction/Traumatic patchy hair loss sometimes due to Alopecia repetitive traction on the hair by pulling or twisting Postpartum Alopecia temporary hair loss at the conclusion of pregnancy Telogen Effluven hair loss during the telogen phase of the hair growth cycle All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 68 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 69 of 103 Canities gray hairC.O.E. CONTINUINGPediculosis Capitis Headlice EDUCATION Monilithrix beaded hair Fragilitis Crinium brittle hair Hirsuities/Hypertrichosis superfluous hair, excessive Scabies contagious disease caused by the itch mite All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 69 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 70 of 103 Impetigo/Infantigo highly contagious bacterial infection, usually staphylococcalC.O.E. CONTINUINGDiscoid Lupus chronic autoimmune disorder, causes red EDUCATIONErythematosus (DLE) often scarring plaques, hair loss, & internal effects Keloids forms when excess collagen forms at the site of a healing scar-over healing All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 70 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 71 of 103 Asteatosis excessive dry skinC.O.E. CONTINUINGRINGWORM EDUCATION Ringworm is a contagious fungus infection that can affect the scalp, the body (particularly the groin), the feet, and the nails. Despite its name, it has nothing to do with worms. The name comes from the characteristic red ring that can appear on an infected person's skin. Ringworm is also called Tinea. What are the signs and symptoms of Ringworm? Ringworm of the scalp usually begins as a small pimple that becomes larger, leaving scaly patches of temporary baldness. Infected hairs become brittle and break off easily. Yellowish crusty areas sometimes develop. Ringworm of the Body Ringworm of the body shows up as a flat, round patch anywhere on the skin except for the scalp and feet. Ringworm of the Groin All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 71 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 72 of 103 The groin is a common area of infection (groin Ringworm). As the rash gradually expands, its center clears to produce a ring. More than one patch might appear, and the patches can overlap. The area is sometimes itchy. (Picture to graphic to show) Ringworm of the FootC.O.E. CONTINUING EDUCATION Ringworm of the foot is also called athlete's foot. It appears as a scaling or cracking of the skin, especially between the toes. Ringworm of the Nails Ringworm of the nails causes the affected nails to become thicker, discolored, and brittle, or to become chalky and disintegrate. How soon after exposure do symptoms appear? Scalp Ringworm usually appears 10 to 14 days after contact and Ringworm of the skin 4 to 10 days after contact. The time between exposure and symptoms is not known for the other types of ringworm. Scabies Scabies is an itchy skin condition caused by teeny, tiny mites that dig tunnels underneath the skin 72 surface. These mites are part of the arachnid family, the same family that includes spiders and All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 73 of 103 ticks. Scabies mites have eight legs and a round body and are hard to see. When they are fully grown, each mite is no bigger than the size of the point of a pin. How Scabies Live on HumansC.O.E. CONTINUINGWhen you get scabies mites, the female mites dig under the top layer of your skin. There they lay EDUCATIONeggs and die after about a month. The eggs hatch, and the new mites grow up and come to the skin's surface. The females mate with the males, then the males die and the females dig back under the skin to lay new eggs. This life cycle takes only 2 to 3 weeks. Anyone can get scabies - little babies, adults, the mites are not picky. They do not care if you are clean, dirty, rich, or poor. All they want is to live on or in the skin of a human being, and any human being will do. Where can you get scabies? When people get close enough, mites move from skin to skin. That is how you can get scabies from someone who already has them. Sometimes the mites may move onto a person from a towel, clothing, or sheets recently used by someone who has scabies, but this is not common. (Doctors believe mites can only live 2 to 3 days when they are not on a human body.) What Are the Symptoms? Mites are nothing to be scared of, but these little creatures certainly can be irritating. After they make your skin their home, your body may react to them with a dry, itchy, reddish rash of bumps. You may also see thin, slightly raised light lines on your skin where the mites have been digging. These signs of scabies usually appear in places where there are skin folds, such as between your fingers and toes, on your wrists, behind your knees, under your arms, or around your groin or rear end. When you have scabies you may have lots of itching at night and sores from scratching, too. It takes about 4 to 6 weeks for the rash to show up. If you've had scabies before, your body will recognize the mites more quickly and you'll probably see the bumpy rash in just a few days. Head Lice All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 73 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 74 of 103C.O.E. CONTINUING EDUCATION Head lice are tiny six-legged insects that cling to the scalp and neck and feed on human blood. Each louse is about the size of a sesame seed and can be hard to spot. Lice eggs, called nits, are glued onto hairs near the scalp and can be even more difficult to see. When a large number of lice live in a person's hair, it is called an infestation. How to spot lice: Although lice and their nits are small, they are visible to the naked eye. Head lice can be white, brown, or dark gray. They are most often found in the hair at the back of the neck or behind the ears. The nits are round or oval specks that are tightly glued to hairs near the scalp. If you try to slide the nits off, they won't budge. Recent research suggests combing through wet hair is the best way to spot an active infestation. Symptoms of Head Lice All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 74 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 75 of 103C.O.E. CONTINUING EDUCATION Spotting a louse or nit is often the only sign of an infestation. In many children, head lice don't cause any discomfort. When symptoms do occur, the most common problem is itching that may start weeks or even months after the lice move in. Allergies to Head Lice The itching associated with lice is caused by an allergic reaction to the bug bites. Frequent scratching may lead to sores or raw skin on the scalp. Call a doctor promptly if: the skin becomes red, swollen, or painful; the lymph nodes in the neck become tender; or if there is a fever of 100 degrees Fahrenheit or higher. These are signs of a skin infection. IF YOU SUSPECT A CLIENT HAS HEAD LICE SEND THEM OUT OF THE SALON IMMEDIATELY! Flash Facts: Histology of the Skin All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 75 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 76 of 103C.O.E. CONTINUINGACNE Skin disorder EDUCATIONALBINISMcharacterized by ANHIDROSIS chronic inflammation of the sebaceous glands from retained secretions Congenital leukoderma or absence of melanin pigment of the body, including the skin, hair, and eyes Deficiency in perspiration, often result of fever or certain skin diseases ASTEATOSIS Condition of dry, scaly skin due to BASAL CELL deficiency or absence CARCINOMA of sebum; caused by old age and by exposure to cold Most common and least severe type of skin cancer; often characterized by light or pearly nodules All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 76 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 77 of 103 BROMHIDROSIS Foul-smelling perspiration, usually noticeable in the armpits or on the feetC.O.E. CONTINUINGBULLA Large blister EDUCATIONCHLOASMAcontaining a watery COLLAGEN fluid; similar to a vesicle but larger Condition characterized by increased pigmentation on the skin, in spots that are not elevated Fibrous protein that gives the skin form and strength All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 77 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 78 of 103 COMEDONES BlackheadsC.O.E. CONTINUINGCRUST Dead cells that form EDUCATIONCYSTover a wound or blemish while it is healing; an accumulation of sebum and pus, sometimes mixed with epidermal Abnormal sac containing fluid above and below the skin All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 78 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 79 of 103 ECZEMA Inflammatory, painful itching disease of the skin, acute or chronic in nature, presenting many forms of dry or moist lesionsC.O.E. CONTINUING EDUCATIONELASTINProtein base similar to collagen that forms elastic tissue EXCORIATION Skin sore or abrasion produced by scratching or scraping All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 79 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 80 of 103 FISSURE Crack in the skin that penetrates the dermis, such as chapped hands or lipsC.O.E. CONTINUINGHERPES SIMPLEXFever blister or cold EDUCATIONsore HYPERHIDROSIS Excessive sweating, caused by heat or general body weakness All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 80 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 81 of 103 HYPERTROPHY Abnormal growth of the skinC.O.E. CONTINUINGKELOID Thick scar resulting EDUCATIONKERATOMAfrom excessive LENTIGINES growth of fibrous tissue Acquired, superficial, thickened patch of epidermis commonly known as callus, caused by pressure or friction on hands and feet Freckles All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 81 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 82 of 103 LEUKODERMA Skin disorder MACULA characterized by light abnormal patches; caused by burn or congenital disease that destroys the pigment- producing cells Small, discolored patch; freckleC.O.E. CONTINUING EDUCATIONMALIGNANTMost serious form of MELANOMA skin cancer; often characterized by MELANIN black or dark brown patches on the skin that may appear uneven in texture, jagged, or raised Tiny grains of pigment deposited in the stratum germinativum of the epidermis and the papillary layers of the dermis All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 82 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 83 of 103 MILIA Prickly heat; acute inflammatory disorder of the sweat glandsC.O.E. CONTINUINGMOLE Small, brownish spot EDUCATIONor blemish on the skin NEVUS Small or large malformation of the skin due to abnormal pigmentation or dilated capillaries PAPULE Pimple All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 83 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 84 of 103 PSORIASIS Skin disease characterized by red patches; covered with white silver scales usually found on scalp, elbows, knees, chest, and lower backC.O.E. CONTINUING EDUCATIONPUSTULEAn inflamed pimple containing pus ROSACEA Chronic congestion SCALE appearing primarily on the cheeks and nose, characterized by redness, dilation of the blood vessels, and the formation of papules and pustules Any thin plate of epidermal flakes, dry or oily, such as abnormal or excessive dandruff All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 84 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 85 of 103 SCAR Light-colored, slightly raised mark on the skin formed after an injury or lesionC.O.E. CONTINUINGSEBORRHEA Skin condition EDUCATIONSKIN TAGcaused by an abnormal increase of secretion from the sebaceous glands Cutaneous outgrowth of the skin All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 85 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 86 of 103 SQUAMOUS CELL Type of skin cancer CARCINOMA more serious than basal cell carcinoma; often characterized by scaly red papules or nodulesC.O.E. CONTINUING EDUCATIONSTAINAbnormal brown or STEATOMA wine-colored skin discoloration with a circular and irregular shape Sebaceous cyst or fatty tumor All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 86 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 87 of 103 TAN Change in pigmentation of skin caused by exposure to the sun or ultraviolet raysC.O.E. CONTINUINGTUBERCLE Abnormal rounded, EDUCATIONsolid lump above, within, or under the skin TUMOR Abnormal cell mass, varying in size, shape, and color ULCER Open lesion on the skin or mucous membrane of the body, accompanied by pus and loss of skin depth All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 87 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 88 of 103 VESICLE Small blister or sac containing clear fluid, lying within or just beneath the epidermisC.O.E. CONTINUINGVITILIGO Milky-white spots EDUCATION(leukoderma) of the skin; acquired condition WHEAL Itchy, swollen lesion that lasts only a few hours; caused by a blow, insect bite, urticaria, or sting of the nettle Personal Protective Equipment \"Universal Precautions\" is the name used to describe a prevention strategy in which all blood and potentially infectious materials are treated as if they are, in fact, infectious, regardless of the perceived status of the source individual. In other words, whether or not you think the blood/body fluid is infected with bloodborne pathogens, you treat it as if it is. This approach is used in all situations where exposure to blood or potentially infectious materials is possible. This All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 88 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 89 of 103 also means that certain engineering and work practice controls shall always be utilized in situations where exposure may occur. Probably the first thing to do in any situation where you may be exposed to bloodborne pathogens is to ensure you are wearing the appropriate personal protective equipment (PPE). For example, you may have noticed that emergency medical personnel, doctors, nurses, dentists, dental assistants, and other health care professionals always wear latex or protective gloves. This is a simple precaution they take in order to prevent blood or potentially infectious body fluids from coming in contact with their skin. To protect yourself, it is essential to have a barrier between you and the potentially infectious material.C.O.E. CONTINUING EDUCATIONRules to Follow:  Always wear personal protective equipment in exposure situations.  Remove PPE that is torn or punctured, or has lost its ability to function as a barrier to bloodborne pathogens.  Replace PPE that is torn or punctured.  Remove PPE before leaving the work area. If you work in an area with routine exposure to blood or potentially infectious materials, the necessary PPE should be readily accessible. Contaminated gloves, clothing, PPE, or other materials should be placed in appropriately labeled bags or containers until it is disposed of, decontaminated, or laundered. It is important to find out where these bags or containers are located in your area before beginning work. This approach is used in all situations where exposure to blood or potentially infectious materials is possible. This also means that certain engineering and work practice controls shall always be utilized in situations where exposure may occur. Gloves Gloves should be made of latex, nitril, rubber, or other water impervious materials. If glove material is thin or flimsy, double gloving can provide an additional layer of protection. Also, if you know you have cuts or sores on your hands, you should cover these with a bandage or similar protection as an additional precaution before donning your gloves. You should always inspect your gloves for tears or punctures before putting them on. If a glove is damaged, don't use it! When taking contaminated gloves off, do so carefully. Make sure you don't touch the All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 89 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 90 of 103 outside of the gloves with any bare skin, and be sure to dispose of them in a proper container so that no one else will come contact with them either.C.O.E. CONTINUING EDUCATION Goggles Anytime there is a risk of splashing or vaporization of contaminated fluids, goggles and/or other eye protection should be used to protect your eyes. Again, bloodborne pathogens can be transmitted through the thin membranes of the eyes so it is important to protect them. Splashing could occur while cleaning up a spill, during laboratory procedures, or while providing first aid or medical assistance. Face Shields Face shields may be worn in addition to goggles to provide additional face protection. A face shield will protect against splashes to the nose and mouth. Aprons Aprons may be worn to protect your clothing and to keep blood or other contaminated fluids 90 from soaking through to your skin. Normal clothing that becomes contaminated with blood All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 91 of 103 should be removed as soon as possible because fluids can seep through the cloth to come into contact with skin. Contaminated laundry should be handled as little as possible, and it should be placed in an appropriately labeled bag or container until it is decontaminated, disposed of, or laundered.C.O.E. CONTINUINGCommon Questions EDUCATION HBV What symptoms do I have if I am suffering from hepatitis B infection? Many people with HBV do not have any symptoms and feel perfectly well. Occasionally, the hepatitis B infection may become active and make the patient feel ill with nausea, have a loss of appetite, and become jaundiced. What kind of outlook can I expect if I have a hepatitis B infection? Many patients with the hepatitis B infection can expect to lead a full and normal life. It is most important to regard yourself as a normal individual who happens to be infected with hepatitis B. However, it is important to take precautions not to spread the disease and to get medical checkups regularly. Can I get hepatitis from the vaccine? No. The hepatitis vaccine is a safe and highly purified vaccine. It does not contain any blood products or living or dead viruses. What should be done if the second or third vaccine dose is delayed? If the doses are delayed for less than one year, the remaining doses can be resumed to complete the vaccination without the need to restart the vaccination series. If the lapsed doses are more than one year apart, extra doses or restarting of the series may be required for high risk individuals. HIV What will the AIDS test tell me? A positive result indicates the presence of antibodies to HIV, which has been found in people with AIDS. Does a negative test mean that I am not infected? All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 91 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 92 of 103 Unfortunately, no. Although the test is reliable, there is a “window”- some say its six to twelve weeks, some say longer-when you could be developing the antibody, but the test will still be negative. That’s why you need to be retested at six to twelve weeks and again in 6 months. If you test negative, but still carry HIV, it is still possible to transmit the virus.C.O.E. CONTINUING EDUCATIONCounseling will be provided when you receive your test results whether they are negative or positive. What happens if I test HIV positive? Currently, there is no known therapy to reverse antibody status. If an employee tests HIV positive, we recommend ongoing medical monitoring and possible anti-retroviral (contains RNA for protein productions) drugs. What is the prognosis? Research indicates that HIV - positive individuals will eventually develop AIDS. Currently, there is no treatment for AIDS and it is generally believed to be eventually fatal. As discussed previously, there is a vaccine for hepatitis B which is available to all employees at risk. What HIV symptoms should I watch for? Almost half of the people who contract HIV experience a flu-like illness six to twelve weeks after exposure. Employees who experience an exposure incident should report any illness that feels like the flu or mononucleosis, especially if it is accompanied by fever, rash, or swollen glands. Will my employer know the results of my test? No. The health care professional will give the results of your tests to you only. All records, including test results, relating to an exposure incident are Strictly Confidential. Precautions The following precautions should be taken by anyone who has had an exposure incident so that others are not exposed.  Inform sexual or needle-sharing partners so they can be tested for the virus.  Inform physicians and other health care givers so they can protect themselves.  Don't give any blood, tissue, organs, or semen. 92 All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 93 of 103  Remove the organ donor designation from your driver’s license.  Hold off on getting pregnant until your health care provider says it is okay.  If you are pregnant, get counseling.  Don’t breast-feed.  Be careful not to expose others to your blood or bodily fluids.  Don’t share personal items such as toothbrushes, razors, etc.  Use a bleach solution of 1:10, 70% isopropyl alcohol or other EPA-approved germicide to clean up any spills of blood.  Refrain from sexual activity, or at least take the following precautions: o Limit the number of partners o Use latex condoms from start to finish, even if your partner is HIV-positive.C.O.E. CONTINUING EDUCATIONJob situations which may result in exposure include:  Job duties that bring you into contact with needles or other sharp objects such as glass that might be contaminated with infected blood.  Providing emergency first-aid assistance to co-workers. All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 93 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 94 of 103 It is important that you use universal precautions to prevent becoming infected by contaminated blood. Universal precautions mean that all blood and body fluids are considered potentially infectious. When first aid measures are needed, make sure that you adhere to the following:C.O.E. CONTINUING EDUCATION1. Mouth-to-Mouth Breathing - The safest course of action is to use a breathing mask whenever you are called on to give mouth-to-mouth resuscitation. 2. Controlling Bleeding - To help the victim without infecting yourself (or the victim), wear rubber gloves. While chances of infection on the job are small, why take unnecessary risks with your 94 life? Following the necessary safety precautions is the best way to minimize risks. Bloodborne pathogens are a very real risk in the workplace. However, protective measures are in place for employees at risk. To avoid infection of bloodborne pathogens, it is very important to follow all precautions. Knowing how infection occurs is the first step in preventing the spread of disease. Certain factors and behaviors put employees at risk. Avoid these behaviors as much as you can. Education combined with practicing safe behaviors can save your life. Summary Highlights  Promoting and protecting good health in the community is called public hygiene or sanitation.  All salons or schools must have cross, or approved, air ventilation before opening.  All forms of bacteria multiply (reproduce) by division.  Bacteria are particularly abundant in dust, dirt, refuse, and diseased tissues. All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 95 of 103  Non-pathogenic organisms constitute the majority of all bacteria and perform many useful functions, such as decomposing refuse and improving the fertility of the soil.  Pathogenic bacteria are harmful because they produce disease.C.O.E. CONTINUING Bacteria are responsible for a large percentage of illness and suffering. For this EDUCATIONreason, the practice of sterilization and sanitation is absolutely necessary in a salon, barber shop or specialty salon.  Staph can be picked up on doorknobs, countertops, and other surfaces, but is more frequently transferred through skin to skin contact, such as shaking hands or using unclean implements.  Bacteria and other infectious agents can enter the body through any of the following routes: through the mouth, by food, drinking liquids, or items placed in the mouth; through the nose and mouth when we breathe; through the eyes by way of dirt, dirty hands, or unclean objects such as poorly maintained contact lenses; and finally, through breaks or wounds in the skin.  Personal hygiene and public sanitation can prevent and control many infections.  One difference between viruses and bacteria is that a virus lives only by penetrating cells and becoming part of them, while bacteria are organisms that can live on their own.  Disease-causing bacteria or viruses that are carried through blood and body fluids, such as hepatitis and HIV, are called bloodborne pathogens.  A person may be immune to a disease and still carry germs that can infect others.  Decontamination is the removal of pathogens and other substances from tools and surfaces.  Sterilization is the highest level of decontamination. It completely destroys every organism on a surface, whether beneficial or harmful.  Disinfection is a higher level of decontamination; it is second only to sterilization.  The third, or lowest, level of decontamination is called sanitation or sanitizing.  Sanitized surfaces may still harbor pathogens or other organisms. All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing 95 Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 96 of 103  Contamination can occur in many forms and on the surface of equipment, implements, and furnishings may not show signs of contamination. Soiled towels, combs, brushes, and even clippers can and more than likely are sources for contamination if not disinfected or sterilized properly.C.O.E. CONTINUING Every chemical used in the United States must have an M.S.D.S. report developed by EDUCATIONthe manufacturer that developed the chemical.  The purpose of the M.S.D.S. is to report the product name, active ingredients, directions for use, and safety instructions in case of accidents involving the chemical.  Ringworm is a contagious fungus infection that can affect the scalp, the body (particularly the groin), the feet, and the nails.  In a salon, you will come in contact with diseases and disorders of the skin and its appendages: the hair and nails. Your license requires you to be responsible for the recognition of potentially infections diseases.  All razors, scissors, tweezers, needles, blades and other instruments shall be thoroughly cleaned and disinfected by immersion in an approved disinfecting solution, after they have been in use, and such tools, instruments and appliances shall, when not in use, be kept in a dry cabinet sterilizer.  All surfaces, tools, equipment and other objects that come in contact with blood or potentially infectious materials must be decontaminated and sterilized as soon as possible.  Bacilli (singular, bacillus) are rod-shaped organisms which vary greatly in thickness. They are the most common and produce such diseases as tetanus (lockjaw), influenza, typhoid, tuberculosis, and diphtheria. Many bacilli are spore forming.  Protozoa are one celled animal organisms characterized by their distinct nuclei.  No person practicing barbering or beauty culture, in any capacity, is permitted to remove warts, moles or skin blemishes.  An infection occurs when body tissue are invaded by disease-causing or pathogenic bacteria.  It is important that you use universal precautions to prevent becoming infected by 96 contaminated blood. Universal precautions mean that all blood and body fluids are considered potentially infectious. All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.

C.O.E. CONTINUING EDUCATION WEST All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E.VIRGINIA Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 97 of 103C.O.E. CONTINUING TITLE 3 LEGISLATIVE RULES BOARD OF BARBERS AND COSMETOLOGISTS EDUCATION Sanitation and Operation Requirements 97  All salons or schools must have cross, or approved, air ventilation before opening.  All salon's or school's respective toilets and adjoining rooms used in connection therewith must be kept clean, sanitary, well lighted and ventilated at all times. The use of chunk alum, powder puffs and styptic pencils in any such salon or school is prohibited. No pets such as cats, dogs, birds, etc., shall be kept in or allowed to inhabit salons or the entrance to such salons or schools.  Each barber, cosmetologist, aesthetician, nail technician/ manicurist, instructor and student shall thoroughly cleanse his or her hands with soap and water immediately before serving any patron.  Each patron must be served with clean, freshly laundered linen which is kept in a closed cabinet used for that purpose alone. All linens immediately after being used shall be placed in a receptacle used for that purpose alone.  A freshly laundered towel or paper neck strip must be placed around the neck of every patron so that the chair cloth or shampoo apron does not come in contact with the patron's skin.  The wiping of hands or instruments of any kind on linen being used is prohibited.  The headrests of all barber chairs must possess an attachment allowing a change of paper for each customer. Used shaving papers must be deposited in a receptacle used for that purpose alone.  All salons must be equipped with hot and cold running water piped to hot and cold water faucets of a lavatory. For purposes of this rule, a lavatory is that plumbing fixture commonly used for hand washing. An individual lavatory shall be provided for each barber chair in all barber shops, and shall be located in the working area of each barber chair. Waste water must be drained through proper plumbing facilities into the public sewer system.  All rooms used for salons must be equipped with all implements, supplies, sterilizers, linen and all other equipment and requisites necessary to perform any or all of the All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state.