When reading a PPD, make sure it has been between 48 to 72 hours. You're going to look at the site and notice any induration or bumps that you might see. Be sure to assess the site by feel, as that's the only way you're going to feel for that hard raised dense area. Take two fingers and sweep them over the site, both across and up and down. If you feel a bump, mark one edge of the bump with your fingernail because you want to get right at the edge. Once you've found that edge, take a pen and put a mark on one edge. Use your fingernail to walk across the other induration to the other edge and make a mark on that edge with your fingernail. Use the pen to put your mark there. Make sure that you're always measuring across the arm, never up and down. Now that I've made my mark, I'm going to take my ruler and measure from the inside of one mark to the inside of the other. In this case, I would say that this is 10 millimeters of induration. If the mark lands between two numbers, take the lower number. If there's any redness to the site, ignore it. We don't measure redness, only the hard raised bump that you feel.
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