Derm- pp1 Flashcards

1
Q

what are the basics of the skin?

A
  • largest organ
  • temp, insulation, sensation control
  • physical/ immunologic barrier
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2
Q

what do the skin components include?

A

epidermis
dermis (oil, hair, nails)
subcutaneous fat

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3
Q

epidermis layers: (bottom to top)

A
basal cell 
stratum spinosum
stratum granulosum 
stratum corneum 
* includes melanocytes & langerhans cells
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4
Q

why is the job of the basal cells?

how long does it take for cells to migrate up & shed?

A
  • undifferentiated proliferating cells
  • as they migrate up, they begin the process of differentiation
    2. FOUR WEEKS
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5
Q

why is the stratum spinosum important?

A

contains keratinocytes

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6
Q

why is the stratum granulosum important?

A

cell differentiation occurs here.
cells acquire more keratin and become flatter
polysaccharides, glycoproteins and lipids are found in this layer, holding the corneum together.

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7
Q
  1. why is the stratum corneum important?

2. what do these cells look like?

A
  1. major physical barrier

2. cells are large, flat, filled with keratin, stacked in vertical layers.

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8
Q

in the stratum corneum, how many layers are on most surfaces of the body?
palms and soles?

A

15- 25 on most layers

100 on palms and soles

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9
Q

what are two types of cells found in the epidermis?

A

melanocytos
- pigment producing cells found in basal cell layer
- protect from UV
langerhans cells
- immunologic function, found in none marrow

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10
Q

what are langerhans cells identical to ?

A

tissue macrophages and present antigens to lymphocytes

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11
Q

what is the dermis?

A
  • next layer down, tough, elastic.
  • contains nerves, blood vessels, appendages
  • contains collegen
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12
Q

how this is the dermis?

A

1-4mm

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13
Q

what do the appendages consist of?

A
  • eccrine sweat glands
  • appocrine sweat glands
  • hair follicles
  • sebaceous glands
  • nails
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14
Q

what do eccrine sweat glands do ?

A

regulates body temp
cools body by sweat evaporation
triggered by emotional and temp stimuli

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15
Q
  1. about how many sweat glands do we have in our body?

2. how much sweat can the body secrete a day?

A
  1. two- three million

2. 10 liters

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16
Q
  1. what does the appocrine sweat glands do ?

2. where are they found?

A
  1. no purpose, produces body odor
    odor caused by surface bacteria
  2. axillae, anogenital areas: located deep in the dermis, reaching skin via hair follicle
17
Q
  1. what does the hair follicle do?
  2. where are they located?
  3. what are the 2 types of hair?
A
  1. protective and decorative
  2. everywhere except palms & soles
  3. -vellus hair (peach fuzz)
    - terminal hair
18
Q

what are the 3 cycles that hair grows?

A
  1. anagen growth
  2. catagen growth
  3. telogen growth
    * hair varies person to person
19
Q
  1. what to sebaceous glands produce?
  2. where are they located?
  3. how is size & activity of these glands regulated?
A
  1. sebum.
  2. wherever hair follicle is present, mainly scalp & face
  3. androgen control, reaches full size at puberty
20
Q

what are nails made up of?

how fast do nails grow?

A
  1. keratin, formed from dividing epidermal cells

2. 0.1 mm/day (toe nails grow slower)

21
Q

what does the proximal nail fold do?

A

protects nail matrix

contains cuticle

22
Q

what does the nail matrix do?

A

produces nail plate

most of matrix lies under prox. nail fold

23
Q

where does subcutaneous fat lie?

what is fat for?

A
  1. between dermis & fascia

2. insulation, cushion, & energy reserve

24
Q

what is the term for ‘feeling itchy’

what is the term for scratching?

A

puritis

excoriation

25
what are dermatomes?
area of skin supplied by branches of a single spinal sensory nerve root comes off spinal cord and goes to periphery of body transmits sensations
26
why are dermatomes important? | how are dermatome groups mapped out?
1. dx of herpes zoster (shingles) 2. 5 different areas of the body - 7 cervical - 12 thorasic - 5 lumbar - 5 sacral
27
***look at nail anatomy & term term pics on PP***
***look at nail anatomy & term term pics on PP***