Nail Diseases

When Kim points out that one of Rylee's nails has leukonychia spots, she replies, "I know, I don't get enough calcium in my diet." Kim explains that it is a myth that leukonychia spots are caused by vitamin or mineral deficiencies. What is the likely cause of Rylee's leukonychia spots?

When Kim examines Rylee's right thumbnail, she notices that the nail plate is pitted and looks like it has been filed with a coarse abrasive, and that there are salmon patches below the nail plate. Which condition does Rylee likely have?

Rylee points out that she has a hangnail on the pinkie finger of her left hand. Kim examines the finger and sees a small piece of living skin has separated and is projecting out over the nail plate. The base of the hangnail is swollen, red and warm to the touch. What should Kim do about Rylee's hangnail?

Monica tells Brian that it looks like he's got a case of athlete's foot. What should Monica recommend that Brian do?

Kim, a nail technician at Metro Salon & Spa, has an appointment today with Rylee, who tells her, "My nails are a mess!" After washing their hands, Kim and Rylee sit down for the hand and nail analysis, and Kim identifies several issues of potential concern. Kim notices that Rylee's nail beds are blue. What should she do to determine whether Rylee's case of blue fingernails is due to poor circulation?

When Monica looks at Brian's feet, she notices a red rash between the toes. When asked about it, Brian responds that it's been there for the last few days, and has become quite itchy. Which condition does Brian likely have?

Brian has come to see Monica at Elite Salon & Spa for his regular biweekly pedicure appointment. As a construction worker, Brian spends most of his time standing and wearing boots for many hours at a time, so his feet suffer. The past week has been especially rough, and Brian is really looking forward to his appointment with Monica. What should Monica do first when he brings Brian back to the pedicure chair?