Version June 2024
| What do you think is the cause of your nail problem? |
| Were you born with this problem? If no, when did this problem begin? |
| Which nails were affected first? |
| Which nails are affected now? |
| How has your nail condition progressed? |
| Using general terms, describe your nails (hard, soft, brittle, etc). |
| Have you ever traumatized any of the involved nails? |
| Do you do anything to affect your nails or the tips of your fingers or toes? |
| Do any of your hobbies affect or traumatize your nails (ie, tennis, jogging, basketball, racquetball, painting, playing the piano, etc)? |
| What is your occupation? |
| Have you done any of the following: picked at your nails, bit or sucked on your nails, torn your nails off, worn tight or pointed-toe shoes, or pushed the cuticle back? If yes, when and how often? |
| Have you ever had ingrown nails? |
| Are your hands in water often? |
| Do your nails ever come in contact with any chemicals or irritants such as strong soaps, detergents, hair color/straightening chemicals, or dyes? |
| What nail cosmetics or conditioners do you use (ie, base coat, top coat, enamel, nail strengtheners, nail hardeners, cuticle treatment, gloss, nail conditioners, etc)? |
| Do you go to a manicurist/pedicurist? How often? What do you usually have done to your nails? |
| Have you ever had any of the following: sculptured nails, false/artificial nails, gel nails, nail tips, nail wraps, acrylic nails, etc? If so, how often and when was the last time? |
| What instruments do you use when caring for your nails? |
| How do you use your nail care instruments? |
| How often do you use your nail care instruments? |
| Have you recently experienced swelling around the cuticles? |
| What treatments have you tried for your nail problem? Please list all pills, topical treatments, and surgical treatments and the dates. |
| Do you currently have, or have you ever had, any other skin or hair problems (ie, lichen planus, psoriasis, alopecia areata, ringworm, jock itch, athlete's foot, vaginal yeast infection or other yeast infection, etc)? |
| Do you currently have, or have you ever had, any other medical problems (ie, diabetes mellitus, heart trouble, lung issues or difficulty breathing, kidney problems, thyroid problems, gastrointestinal disorders, lower extremity swelling, etc)? |
| Is there any chance that you could be pregnant? |
| What prescription and nonprescription medications have you taken during the last year? Please include vitamins and herbal supplements. |
| Do you have any drug allergies? |
| Does anyone in your family have any of the following: nail problems, thyroid problems, diabetes, hair and skin problems (ie, psoriasis, lichen planus, fungus, etc)? |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
