Integumentary Flashcards
define SKIN
protective layer covering external body surface
define SEBACEOUS GLANDS
secrete sebum, lubricates skin, & discourage bacteria growth
define HAIR
controls loss of body heat
aka: unguis
nails
define LUNULA
half moon region @ every nail root where new keratin cells form
define CUTICLE
narrow band of epidermis attached to nail to protect new keratin cells
define NAIL ROOT
fastens nail to finger via groove in skin
define EPIDERMIS
outermost layer of skin of 5 layers w/no vessels or connective tissue
define EPITHELIAL TISSUES
protective covering for all internal & external surfaces
describe SQUAMOUS EPITHELIAL TISSUE
makes up upper layer of dermis; flat, scaly cells continuously shed
describe KERATIN
fibrous, H2O repellent protein; soft & hard
define MELANOCYTES
cells that make melanin
aka: dermis
corium
define COLLAGEN
tough & flexible fibrous protein
define MAST CELLS
connective tissue of dermis that responds to injury, infection, allergy, & makes & releases substances (heparin & histamine)
define HEPARIN
anticoagulant that responds to injury
define HISTAMINE
causes symptoms of allergic responses
define SENSORY NERVE ENDINGS
sensory receptors for touch, temperature, pain & pressure
define SUBCUTANEOUS LAYER
connect skin to surface muscle made of connective & adipose tissue
define ECCRINE GLANDS
sudoriferous glands all over skin
define APOCRINE GLANDS
sudoriferous glands @ hair follicles
define PORES
openings on skin acting as sweat gland ducts
define PERSPIRATION
99% H2O & other waste products that cool body & interact w/bacteria on skin
define HIDROSIS
production & excretion of perspiration
define MAMMARY GLANDS
modified sweat glands
define GRANULATION TISSUE
normally forms during healing leading to a scar
define PYODERMA
any acute, inflammatory, pus-forming bacterial skin infection
define ACNE VULGARIS
chronic & inflammatory overproduction of sebum around shaft leading to pus
define COMEDO
non infected lesion from buildup of sebum & keratin in follicle w/acne vulgaris
define WHITEHEAD
comedo w/obstructed opening
define BLACKHEAD
oxidized sebum plug open to air
define EPIDERMOID CYST
closed sac found under skin w/yellow & fatty material in cyst gen on face/neck/trunk
aka: epidermoid cyst
sebaceous cyst
define SEBORRHEIC DERMATITIS
overactivity of sebaceous gland leading to inflammation, scaling, & itching of skin
describe SEBORRHEIC KERATOSIS
benign skin growth w/waxy or pasted on look varying in color; gen ppl +50 yrs
describe ANHIDROSIS
abnormal lack of sweat, @ risk for heat stroke
aka: anhidrosis
hypohidrosis
describe DIAPHORESIS
profuse sweating; normal w/heat, exertion, or distress
describe HEAT RASH
intense & itchy rash from sweat glands being blocked by bacteria & dead cells
aka: heat rash
prickly heat
describe HEAT STROKE
core temp at least 104F causing altered mental state, racing bpm, organ swelling, & death
aka: heat stroke
sunstroke
define HYPERHIDROSIS
excessive sweating
describe SLEEP HYPERHIDROSIS
hyperhidrosis during sleep from menopause, meds, or infectious disease
aka: sleep hyperhidrosis
night sweats
define FOLLICULITIS
inflammation of hair follicles common in arms, legs, or beard area
define TRICHOMYCOSIS AXILLARIS
superficial bacterial infection of hair shafts in areas w/extensive sweat glands
define HIRSUTISM
excessive body & facial hair in women
describe ALOPECIA
partial/complete loss of hair generally on scalp from genetics, age, illness, or drugs
aka: alopecia
baldness
define ALOPECIA AREATA
autoimmune gen w/kids where hair follicles attacked
define ALOPECIA TOTALIS
uncommon; total loss of all hair on scalp
define ALOPECIA UNIVERSALIS
total loss of hair on all parts of body
define ANDROGENIC ALOPECIA
most common; related to hormones associated w/male characteristics
describe the pattern: male & female pattern baldness
male: recede front to back in horseshoe shape
female: thinning
describe CLUBBING
abnormal curving of nails w/enlargement of finger bc hereditary or O2 deficiency from coronary/pulmonary disease
describe KOILONYCHIA
malformation of nails, outer surface concave/scooped out & gen indicate iron deficiency anemia
aka: koilonychia
spoon nail
describe ONYCHIA
inflammation of nail bed leading to loss of nail
aka: onychia
onychitis
describe ONYCHOCRYPTOSIS
nail curved inward & cut into skin leading to inflammation & infection
aka: onychocryptosis
ingrown nail
describe ONYCHOMYCOSIS
fungal infection of nail; nail turns white/yellow/green/black & thick & brittle
describe ONYCHOLYSIS
separation of nail plate from bed, generally painless; caused by localized allergic reaction, fungal infection, & psoriasis
define PARONYCHIA
acute/chronic infection of skin fold around nail
describe AGE SPOTS
spots from sun exposure; harmless but can resemble cancer
aka: age spots
solar lentigines or liver spots
describe ACANTHOSIS NIGRICANS
at least 1 area of skin that is dark & velvety gen in skin folds bc of cancer, type 2 diabetes, or med reaction
describe ALBINISM
genetic lack/absence of pigment in skin, hair & irises from missing enzyme for melanin making
define MELASMA
brownish spots on face during pregnancy gen in women w/dark hair & fair skin that usually disappear after birth
aka: melasma
chloasma or mask of pregnancy
describe VITILIGO
irregular patches of white skin/hair bc of destruction of melanocytes
describe CONTUSION
injury to tissue w/o breaking skin causing discoloration & pain
describe ECCHYMOSIS
large, irregular purple discoloration from bleeding under skin
aka: ecchymosis
bruise
describe PURPURA
purple/brownish-red rash from blood leaking into skin/mucous membranes that are smaller than ecchymosis & larger than petechiae
describe PETECHIAE
very small, pinpoint hemorrhage < 2 mm from high fevers
aka: petechiae
petechia
describe HEMATOMA
swelling of clotted blood trapped in tissue, the blood is eventually reabsorbed
define LESION
pathologic tissue change from disease/injury
define CRUST
hard, dried serum & blood as barrier over partial-thickness wound
aka: crust
scab
define ESCHAR
dead, crust-like tissue in full-thickness wound that is brown/black & a natural stage of healing
define EROSION
wearing away of surface
define MACULE
discolored flat spot < 1 cm diameter
aka: macule
macula
define NODULE
solid, raised lesion > 0.5 cm & deeper than papule
define PAPULE
small, raised, red lesion < 0.5 cm diameter & no pus (insect bites & small pimples)
define PLAQUE
scaly, solid raised area of close papules
define SCALES
flakes/dry patches of excess dead epidermal cells
define VERRUCAE
small, hard lesions from HPV
aka: verrucae
warts
define WHEAL
small itchy bump that can appear as hives in allergy
aka: wheal
welt
define ABSCESS
closed pocket w/pus from a bacterial infection
define CYST
abnormal sac w/gas/fluid/semisolid material
aka: cyst
sac or vesicles in other body parts
define PUSTULE
small, circumscribed lesion w/pus
aka: pustule
pimple
define VESICLE
small blister < 0.5 cm diameter w/watery fluid (ex: poison ivy rash)
define BULLA
large blister > 0.5 cm diameter
define ABRASION
superficial layer scrapped/rubbed away
define LACERATION
torn/jagged wound from accidental cut
describe PRESSURE ULCER
open ulcerated wound from prolonged pressure over bony prominence where a deep tissue injury became infected & died
describe DEEP TISSUE INJURY
tissue damage under skin that is red/bruised but doesn’t change color w/touch
define NEEDLESTICK INJURY
accidental puncture from used hypodermic needle
define ULCER
open lesion of skin/mucous membrane
define PIGMENTED BIRTHMARK
tan/brown irregularities & nevi
describe SLATE GRAY NEVUS
melanocytes don’t move to skin surface before birth commonly in asian, AA, Polynesian, Native
aka: slate gray nevus
mongolian spot
define VASCULAR BIRTHMARKS
blood vessels close to surface
define MACULAR STAINS
flat, red, vascular irregular shaped patches
aka: macular stains
angel kisses or salmon patches
define CAPILLARY HEMANGIOMA
soft, raised, pink/red vascular birthmark of a benign tumor made of blood vessels
aka: capillary hemangioma
strawberry birthmark
describe PORT-WINE STAIN
flat, vascular, reddish-purple discoloration made of dilated capillaries on the face/neck/arms/legs & doesn’t resolve w/o treatment
define DERMATITIS
any skin inflammation w/redness, swelling, & itching
define CONTACT DERMATITIS
localized rash from repeat contact w/irritant with redness, blisters, swelling, & itching
describe INTERTRIGO
friction of skin in skin folds in armpits/groin/under breasts leading to more susceptibly to fungal/bacterial infection
describe ECZEMA
persistent/recurring dermatitis w/redness, itching, dryness, blistering, cracking, oozing, bleeding in infants & kids
aka: eczema
atopic dermatitis
define PRUITUS
itching
describe EXFOLIATIVE DERMATITIS
widespread scaling gen w/pruritus, erythroderma, & hair loss in cases of severe eczema, psoriasis, & allergies
define ERYTHEMA
redness from capillary dilation
define ERYTHEMA INFECTIOSUM
mildly contagious viral infection in kids
describe ERYTHEMA MULTIFORME
rash w/nodules, papules, macules, vesicles or bullae; general allergic reaction/illness/infection/medication affecting skin and/or mucous membranes
describe ERYTHEMA PERNIA
purple-red inflammation bc of vessels under skin damaged from cold; itchiness will return w/warmth & heal on own
aka: erythema pernia
chilblains
define ERYTHODERMA
abnormal redness of entire surface
define EXANTHEM
widespread rash in kids
define RASH
change in skin color/texture
define DERMATOSIS
general term that denote skin lesions/eruptions not w/inflammation
describe ICHTHYOSIS
group of disorders w/dry, thickened, & scaly skin bc of slow shedding/rapid increase in skin cell production
describe LIPEDEMA
chronic & abnormal fat & fluid in tissue just under skin of hips & legs generally occurring in women & doesn’t go away w/weight loss
describe SYSTEMIC LUPUS ERYTHEMATOSUS (SLE)
autoimmune inflammatory of collagen in skin, joints, & internal organs, attacking connective tissue w/red, scaly rash on face & upper trunk
define PSORIASIS
red papules w/silvery scales on elbows/knees/scalp/back/buttocks w/itchy red skin
define ROSACEA
tiny red pimples & enlarged vessels on face gen on people w/fair skin & 30-60 yrs old
describe RHINOPHYMA
older men w/hyperplasia of nose tissue & associated w/advanced rosacea
aka: rosacea
adult acne
aka: rhinophyma
bulbous nose
describe SCLERODERMA
autoimmune where connective tissue shrink, harden, swell, & painful & can affect joints & organs
define URTICARIA
itchy wheals caused by allergy
aka: urticaria
hives
define XERODERMA
excessively dry skin
aka: xeroderma
xerosis
define CARBUNCLE
cluster of connected furuncles
define MOLLUSCUM CONTAGIOSUM
viral infection that forms mollusca
define MOLLUSCA
small, raised, white/pink/flesh color lesion w/dimpled center
define HAND, FOOT & MOUTH DISEASE
mild viral infection in kids < 5 yrs w/sores in mouth, throat, & rash on hands & feet
describe CELLULITIS
acute, rapid spread bacterial infection within connective tissue w/malaise, swelling, warmth, red streaks
define FURUNCLES
large, tender, swollen areas of staphylococcal infection around hair follicles/sebaceous glands
aka: furuncles
boils
describe GANGRENE
tissue death/necrosis followed by bacterial invasion causing putrefaction bc of loss of circulation
describe IMPETIGO
highly contagious bacterial infection in kids w/isolated pustules leading to crusting & rupture
describe NECROTIZING FASCILITIS
rare, severe infection bc of group A strep bacteria
define MYCOSIS
any abnormal condition/disease from fungus
define TINEA
fungal infection on skin, hair, or nails
aka: tinea
ringworm
define INFESTATION
microscopic parasites on external surface
define PEDICULOSIS
infestation w/lice affecting head, body, or pubic region
describe SCABIES scabies
contagious & parasitic skin infection from itch mites w/small intensely itchy bumps & blisters
define CALLUS
thickening part of skin from repeated rubbing
define CICATRIX
normal scar from healing
describe KELOID
abnormally raised/thick scar beyond OG incision with a greater tendency in inherited/dark colored skin
define KERATOSIS
any skin growth where there is overgrowth & thickening of skin
define LIPOMA
benign, slow growing fatty tumor
define NEVUS
small, dark skin growth from melanocytes
aka: nevus
mole
describe DYSPLASTIC NEVI
atypical moles leading to skin cancer
define PAPILLOMA
benign, superficial, wart-like growth on epithelial tissue on other body part
define POLYP
mushroom-like growth from mucous membrane
define SKIN TAGS
small, benign, flesh-colored/light brown polyps w/thin stalks generally on neck, groin, & armpits
define ACTINIC KERATOSIS
precancerous growth on sun-damaged skin that is red/tan/pink scaly patch like sandpaper
aka: actinic keratosis
solar keratosis
describe BASAL CELL CARCINOMA
most common & least harmful cancer that grows slowly & rarely spreads; on the face/neck & bleeds easily; appears as pink, smooth, & raised w/depression in center
describe SQUAMOUS CELL CARCINOMA
skin lesions that look like unhealed/crusted sores that can grow in organs lined w/epithelial cells
define MALIGNANT MELANOMA
serious cancer from melanocytes
aka: malignant melanoma
melanoma or MM
define BURN
injury to tissue from heat/flame/electricity/sun/chemicals/radiation
define 1st DEGREE/SUPERFICIAL PARTIAL THICKNESS
epidermal injury w/erythemia & hyperesthesia
define 2nd DEGREE/PARTIAL THICKNES
epidermal & dermal injury w/erythemia, blisters, & hyperesthesia
describe 3rd DEGREE/DEEP THICKNESS
epidermis, dermis, & parts of hypodermis; severe; s/s: hyperesthesia, numbness, nerve damage
define BIOPSY
remove small piece of tissue for exam
define INCISIONAL BIOPSY i
remove piece
define EXCISIONAL BIOPSY
remove whole tumor/lesion + margins
define NEEDLE
remove tissue core
define PUNCH BIOPSY
small, circular blade remove core
define SCRATCH TEST
skin scratched w/lancets & substances to identify allergies including pollen, mold, dust mites, pet dander, & food chemicals
define INTRADERMAL SKIN TEST
substances injected to test for allergic reactions
define EXFOLIATIVE CYTOLOGY
cells scraped & examined under microscope
aka: exfoliative cytology
skin scraping
describe SUNSCREEN
SPF blocks UV B & may protect against UV A
define SKIN GRAFTS
replace damaged tissue w/donor
aka: skin graft
dermatoplasty
define CAUTERIZATION
destruction of tissue via burning
define CHEMABRASION
use chemicals to remove outer laers to treat acne scarring, fine wrinkles, & keratoses
aka: chemabrasion
chemical peel
define CRYOSURGERY
use liquid nitrogen to remove warts & tumors
aka: cryosurgery
freezing
define CURETTAGE
remove via scraping & can remove basal cell tumors
describe DEBRIDEMENT
remove dirt/foreign/damage tissue/cellular debris from wound to prevent infection & promote healing
define IRRIGATION & DEBRIDEMENT
pressurized fluid clean out wound debris
describe INCISION & DRAINAGE
incision thru skin to drain fluid/abscess & is used for some lesions
define DERMABRASION
abrasion using revolving wire brush/sandpaper to remove acne, chicken pox scars, or facial lines around mouth
describe MOHS SURGERY
treat various skin cancer; layers removed & examined 1 at a time until clean margins
describe ELECTRODESICCATION
done w/curettage; layers destroyed via electric spark & scraped to eliminate small superficial growths & seal vessels
aka: electrodesiccation
electrodessication & curettage
define LASER
tube filled w/solid/liquid/gas stimulated to emit light @ certain wavelength to treat port-wine stain, rhinophyma, some skin cancers, & remove tattoos
what does LASER stand for
light amplification by stimulated radiation
define PHOTOTHERAPY
natural/artificial light to treat vitiligo & ezcema
purpose PHOTODYNAMIC THERAPY
treat damaged & precancerous skin & cancer
aka: photodynamic therapy
blue-light therapy
define FLUOROURACIL
topical chemotherapy cream to treat basal cell carcinoma & actinic keratosis for 2-12 weeks
define RETINOIDS
chemical compounds from vitamin A used in skin care & treatment
describe TOPICAL STEROIDS
derivatives of natural corticosteroid hormones; should be used cautiously
define BLEPHAROPLASTY
reduct lids by removing sagging skin to improve vision or put small amnt of fat from thigh/butt under eye for cosmetics
define BOTOX
formulation of botulinum toxin used in small, sterile doses to block nerve signals for 2-4 months to treat migraines, overactive bladder, strabismus, muscle spasms, & frown lines
describe COLLAGEN REPLACEMENT THERAPY
soft-tissue augmentation to soften facial lines/scars or make lips fuller; lasting 3-12 months
define LIPECTOMY
removal of fat beneath skin for cosmetics
define LIPOSUCTION
removal of fat beneath skin w/suction
aka: liposuction
suction-assisted lipectomy
define RHYTIDECTOMY
remove excess skin & fat from face to eliminate wrinkles
aka: whytidectomy
facelift
sclerotherapy
inject saline sclerosing solution into vein to irritate tissue & cause veins to collapse & disappear to treat spider veins