Chap. 4 Integument Pathology Flashcards

1
Q

injuries to skin caused by excessive heat

A

burns

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2
Q

what kills people in burn injuries?

A

the escaping of fluid not the burn

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3
Q

how are burns categorized and what does it depend on?

A

depends on how long, exposure, how far or close the heat was; burns are categorized from 1st to 3rd degree, 1st being the least, 3rd being the most

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4
Q

1st degree burn

A

burn that just affects the epidermis; symptoms include: hyperesthesia (heightened sensitivity); erythema; no blisters; ex: steam burn or oven burn

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5
Q

2nd degree burn

A

affects epidermis and dermis; symptoms include: hyperesthesia (heightened sensitivity); erythema; blisters; ex: sunburns

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6
Q

3rd degree burn

A

affects all layers of skin; epidermis, dermis and hypodermis; symptoms include: anesthesia (without sensation) and/or hyperesthesia (heightened sensitivity); ex: black charred tissue (dead)

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7
Q

acne

A

inflammatory disorder of the sebaceous glands that produces bumps; as the glands produce more oil and you don’t wash your face the pores get clogged and then infected

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8
Q

albinism

A

an inherited condition where here is no melanin production in skin

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9
Q

alopecia

A

hair loss due to ageing, illness, or iatrogenic

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10
Q

cicatrix

A

scar; no way to predict what they look like

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11
Q

cyanosis

A

the appearance of blue skin due to lack of circulation (oxygen) or vasoconstriction; pink to white to blue to black

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12
Q

eczema

A

(dermatitis) autoimmune, acute, or chronic skin lesions characterized by erythema, itchiness, and edema (swelling)

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13
Q

gangrene

A

necrotic tissue

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14
Q

keloid

A

cicatrix gone wild/wrong

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15
Q

impetigo

A

bacterial infection; highly contagious; usually in children; usually on the face

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16
Q

ecchymosis

A

bruise caused by ruptured capillaries beneath the skin

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17
Q

capillaries

A

tiny blood vessels

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18
Q

Debridement

A

removal of damaged tissues and foreign debris to promote healing

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19
Q

skin graft

A

transplantation of skin from one person to another

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20
Q

autograft

A

same person is the donor and recipient of skin graft

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21
Q

dermaton

A

knife used in skin graft

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22
Q

basal cell carcinoma

A

nice cancer; slow growing; seldom (means rarely); metastasizes (cancer travels to make new tumors)

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23
Q

kaposi’s sarcoma

A

cancer that looks purplish patches (erythematous) in the lining of the nose, mouth, throat, and other organs; usually in AID’s patients; weakens the immune system

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24
Q

malignant melanoma

A

mean cancer; aggressive spreading cancer of melanocytes

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25
ABCDE Rule
Asymmetry (can you split it evenly in half?) Border (is it smooth?) Color (does it have multiple colors? is it very dark?) Diameter (is it bigger/smaller than 1/4 inches?) Evolution (is it changing over time?) done during your yearly skin check; doctor takes photos every year and documents them
26
squamous cell carcinoma
middle of the road cancer of squamous cells in skin
27
something weird on the skin
Noncancerous lesions
28
cyst
a thick walled pouch or sac containing fluid and pus down deep
29
macule
freckle
30
nevus
mole
31
nodule
a red solid skin elevation with a diameter > than 1cm (2nd)
32
papule
a red solid skin elevation with a diameter < 1 cm (1st)
33
polyp
skin tag; more common in elderly people
34
pustule
a small infected skin elevation that contains pus (abscess) (3rd)
35
ulcer
an open sore or erosion of the skin (decubitus ulcer or bed sore or pressure sore); from staying in the same position; (nursing home)- can be sued; no treatment; must heal by themselves; risks are pain and infection
36
vesicle
blister
37
wheal
hives; slightly swollen area that is redder or paler than the surrounding skin; autoimmune conditions
38
psoriasis
eczema on steroids; autoimmune; dry, scally, red; attacks joints as well; itchy patches on skin with silvery hard covering
39
what happens to old cells?
as the cells of the epidermis get "older" they slip off and new cells are generated
40
tinea
anywhere but foot: ringworm in foot: athletes foot it's a fungal infection MUST COME IN CONTACT WITH INFECTION; moist environments; person to person
41
scabies
bed bugs/parasitic infection of the skin; causes redness and inflammation; hard to treat because it's buried beneath the skin; you have to burn everything (like the bed sheets and mattress)
42
vililigo
complete loss of pigment in one or more areas of the skin; idiopathic; skin cancer is a concern
43
systemic lupus erythematosus (SLE) or (Butterfly rash)
an autoimmune condition of collagen in the skin, joints, and internal organs; inflammation; pain; destruction; red rash is common
44
autoimmune conditions
redder or paler than surrounding skin
45
wart
viral infection of the skin (papilloma virus)
46
allergens are placed/scratched on skin to see if you are allergic (on back or arm)
Scratch Test
47
allergies are injected into skin
Intradermal Skin Test
48
how to indicate a positive Allergy Skin Test
red or itchy
49
Excisional biopsy
surgical removal of the entire lesion
50
Incisional biopsy
cut into the tissue for removal of a small piece
51
Exfoliative cytology
tissue is scraped to look at; specifically for bacteria or grow in a medium to look for fungus; ringworm and impetigo
52
what's a medium?
agar plate; used to grow bacteria so once it's big enough it can be viewed
53
needle biopsy
a hollow needle is placed inside the lesion to remove a cor sample used to look for cancerous cells (core layer/ one layer); often used in neck for thyroid or in breast for breast cancer or to extract bone marrow
54
punch biopsy
small circular blade that rotates down through the epidermis and dermis into the subcutaneous layer producing a cylindrical core of tissue (you get all the layers)
55
blepharopasty
eyelid lift
56
cauterization
using heat or electricity or chemicals to cut tissue; used for minimal bleeding
57
cryosugery
freezing tissue like a wart (liquid nitrogen)
58
dermabrasion
cosmetic procedure using abrasive materials to remove layer of epidermis; elective surgery
59
lipectomy
surgical removal of fat; elective surgery
60
liposuction
cosmetic procedure used to suck fat out of the body; elective surgery
61
elective surgery
a surgery that is out of pocket, insurance does not pay for it
62
mohs surgery
a way to remove skin cancer by taking it off layer by layer; no skin graft, they stretch the skin and apply stitches
63
abscess treatment
incision and drainage
64
anesthetic
absence of sensation
65
antibiotic
cures bacterial infections
66
anitfungal
cures fungal infections
67
antiviral
cures viral infections
68
corticosteroid
anti-inflammatory
69
immunosuppressant
suppresses immune system
70
lesion
another word for something weird growing on the skin
71
noncancerous lesions in order of severity
papule, nodule, pustule, cyst