Integumentary system Flashcards

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1
Q

Protection

A

The skin covers the body and acts as a physical barrier that protects underlying tissues from physical damage, ultraviolet rays, and pathogenic invasion. By keeping fluids inside the body, the skin also protects against dehydration.

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2
Q

Body temperature maintenance

A

The skin contains sweat glands that secrete (produce and release) fluid in the form of perspiration. This process helps regulate the body’s internal temperature.

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3
Q

perception of stimuli

A

The skin contains a large number of nerve endings and receptors that detect stimuli related to temperature, touch, pressure, and pain. Specialized nerve fibers in the dermis, the layer of skin beneath the epidermis (the outermost skin layer), act as receptors for the sensations of pain, temperature, pressure, and touch. The locations of these nerve endings vary. The receptors for touch (also called tactile receptors) are closer to the epidermis, whereas the receptors for pressure are deeper within the dermis.

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4
Q

excertion

A

During perspiration, the sweat glands flush small amounts of waste products composed of water, salt, and organic compounds out of the body. (Organic compounds are the chemical compounds that make up living organisms.)

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5
Q

epidermis

A

(EP-ih-DER-mis) forms the outermost layer of the skin. Layers of epithelial (EP-ih-THEE-lee-uhl) tissue composed of densely packed cells make up the epidermis. These epithelial tissues cover the surface of the body and also line internal organs and cavities. One specialized type of epithelial tissue is the mucous membrane, which protectively lines any body cavity that opens to the outside world (for example, the nasal passage).

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6
Q

keratin

A

(KEER-uh-tin), a fibrous, water-repellent protein. Soft keratin is the primary substance of the epidermis. Hard keratin is found in hair and nails. The epidermis also includes special cells called melanocytes (MEL-uh-noh-sights). These cells contain and produce dark brown-to-black pigments called melanin (MEL-uh-nin). Melanin is responsible for the skin’s pigmentation, or color. Melanin also helps protect skin against the harmful ultraviolet rays of the sun.

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7
Q

dermis

A

also called the corium, lies directly below the epidermis. The dermis is made up of connective tissue, blood and lymphatic vessels, nerve fibers, hair follicles, and sebaceous and sweat glands. Sebaceous (suh-BAY-shus) glands are tiny glands in the skin that secrete sebum (SEE-bum), an oily substance, into the hair follicles. The hair follicles are tiny secretory (suh-KREE-toh-ree) cavities from which hair grows. Sebum lubricates the skin and hair.

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8
Q

subcutaneous layer

A

or hypodermis (HIGH-poh-DER-mis), is the deepest layer of the skin. Located below the dermis, the subcutaneous layer connects the skin to the surface muscles. It is composed of lipocytes (LIP-oh-sights), or cells that manufacture and store fat. Functionally, this layer of skin provides heat insulation and protects the deeper tissues of the body.

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9
Q

glands

A

The first type of accessory organ found in skin is the gland. A gland is a cell, or group of cells, that secretes select substances within or out of the body. Two types of glands—sebaceous and sweat glands—are found in the skin.

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10
Q

subcutaneous glands

A

located in the dermal layer of the skin over the entire body, except for the palms (hands) and the soles (feet). Sebaceous glands secrete an oily substance called sebum, which contains lipids. Lipids are a group of organic compounds that consist of fat, are greasy to the touch, and are insoluble (incapable of dissolving in water). Lipids lubricate the skin and minimize water loss. In skin, sebum travels through ducts that open into the hair follicles. Because sebum is slightly acidic, it discourages the growth of bacteria on the skin.

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11
Q

collagen

A

(KAH-luh-jen), a fibrous protein found in skin, bone, cartilage, tendons, and ligaments, makes up the connective tissue of the dermis. Connective tissue gives skin its shape, strength, and elasticity. The word collagen comes from the Greek word kolla, which means “glue.” This is an appropriate description of collagen fibers, which are tough and resistant but also flexible. These fibers support and protect the blood and nerve vessels that pass through the dermis.

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12
Q

Nails and parts

A

The third accessory organ of the skin is the nail. Nails are made of hard keratin. Fingernails cover the dorsal surface of the last bone of each finger, and toenails cover the superior surface of each toe (Figure 3.3). Many health disorders result in altered growth and appearance of the nails.

The basic structures of the nail are as follows:

The nail plate, or nail body, is the hard, translucent part of the nail. It is closely molded to the surface of the underlying tissue.

The cuticle (KYOO-tih-kuhl) is a narrow band of epidermal tissue attached to the surface of the nail, at the base and sides of the nail plate.

The nail root is the area of the dermis on which the nail rests. It fastens the nail to the finger or toe by fitting into a groove in the skin.

The lunula (LOON-yoo-luh) is the semilunar (half-moon-shaped), white area at the proximal end of the nail. The lunula is generally most prominent in the thumbnail.

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12
Q

sweat glands

A

are tiny, coiled glands located in the dermis. They are found on almost all exterior body surfaces. Sweat glands extend up through the epidermis, where they end in tiny openings called pores on the skin’s surface. Sweat glands are most abundant in the palms of the hands and soles of the feet. The sweat, or perspiration, secreted by the sweat glands contains 99 percent water and 1 percent salt and metabolic waste products. The act of perspiring, or secreting sweat, cools the body as the sweat evaporates into the air. You might be surprised to know that sweat is colorless and odorless. The odor produced when sweat collects on the skin is due to the interaction of sweat with bacteria on the skin.

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13
Q

Hair

A

Another type of accessory organ in the skin is hair. Your hair is made up of fibers, which are composed of tightly fused, dead protein cells filled with hard keratin. Each strand of hair grows from a root in the follicle. Melanocytes surround the core of each hair shaft. These melanocytes determine the color of your hair. Bundles of very small muscle fibers, called arrector pili (uh-REK-ter PIGH-LIGH), attach to the hair follicles. When you are cold or frightened, the arrector pili muscles contract, causing the hair on your skin to stand erect. The result is goose bumps on your skin.

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14
Q

acne

A

Inflammatory disorder of the sebaceous glands that produces pimples on the skin.

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15
Q

albinism

A

An inherited condition that prevents the normal production of melanin, resulting in extremely pale skin and white hair.

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15
Q

Alopecia

A

Hair loss that results from genetics, normal aging, illness, or drugs used to treat certain diseases.

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16
Q

1st degree burn

A

A skin burn characterized by superficial epidermal injury; erythema (EER-ih-THEE-muh), or redness; hyperesthesia (HIGH-per-es-THEE-zee-uh), or increased sensitivity, especially to touch; and no blisters. Example: sunburn (Figure 3.4A).

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17
Q

burn

A

Injuries to skin tissue caused by prolonged heat contact.

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18
Q

2nd degree burn

A

Skin burn characterized by epidermal and dermal injury, erythema, blisters, and hyperesthesia (Figure 3.4B).

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19
Q

3rd degree burn

A

Skin burn in which the epidermis and dermis are destroyed; this type of burn produces severe hyperesthesia or anesthesia (numbness), depending on the degree of nerve damage

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19
Q

cicatrix

A

A scar left by a healed wound.

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20
Q

cyanosis

A

Blue or purple discoloration of the skin or mucous membranes due to insufficient blood oxygen or poor circulation. Many circulatory and respiratory conditions produce cyanosis.

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21
Q

ecchyomus

A

Black-and-blue or purplish bruise caused by ruptured blood vessels beneath the skin.

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22
Q

gangrene

A

Necrosis (nuh-KROH-sis), or death, of tissue due to loss of blood supply, followed by bacterial infection (Figure 3.5).

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23
Q

eczema

A

Acute or chronic inflammatory skin disease characterized by erythema, itchiness, and edema (uh-DEE-muh), or swelling. Also called dermatitis. May occur alone or in conjunction with another disease.

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24
Q

impetigo

A

Bacterial infection of the skin characterized by vesicles (small, fluid-filled sacs), pustules (small, pus-filled blisters), and crusted-over lesions.

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24
Q

lesions, cancerous

A

An area of malignant (cancerous) tissue.

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24
Q

keloid

A

An abnormally raised, thickened scar

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25
Q

basal cell sarcoma

A

Commonly slow-growing, malignant tumor of the basal cell layer of the epidermis; seldom metastasizes, or spreads to other sites in the body

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26
Q

Kaposi’s sarcoma

A

Malignant cancer that causes erythematous (EER-ih-THEM-uh-tus) (red) or purplish patches in the lining of the mouth, nose, and throat or in other organs and tissues; a disease often seen in patients with AIDS.

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27
Q

squamous cell sarcoma

A

Malignant tumor of the squamous epithelial cells of the epidermis. This tumor may grow in other organs lined with epithelial cells (for example, the mouth, lungs, or cervix).

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28
Q

malignant melanoma

A

Cancerous growth composed of melanocytes; begins as an irregularly shaped macule (flat, discolored area of skin) and then changes color and texture. Classified as level I, II, III, or IV, depending on level of penetration.

29
Q

cyst

A

A closed, thick-walled sac or pouch containing fluid or semisolid material; develops in a cavity or other structure of the body

30
Q

lesions, noncancerous

A

An area of benign (noncancerous) tissue.

31
Q

purpura

A

A purple or brownish-red rash in which blood leaks from vessels into the skin or mucous membranes.

31
Q

petcthia

A

Round, pinpoint spots on the skin caused by intradermal hemorrhage (bleeding into the skin).

32
Q

psoriasis

A

A chronic disease marked by itchy, erythematous skin with silvery patches

33
Q

systemic lupus erythematosus (SLE)

A

A chronic, inflammatory disease of collagen in the skin, joints, and internal organs. SLE is an autoimmune disease, one in which the body’s immune system attacks healthy tissues.

33
Q

scabies

A

A contagious, parasitic infection of the skin with intense pruritus (proo-RIGHT-tis), or itching.

34
Q

tinea

A

A skin infection caused by a fungus.

35
Q

urticaria

A

Hives with localized swelling and itching.

35
Q

wart

A

A small, hard, benign skin growth caused by a virus (usually a papillomavirus).

36
Q

vitiligo

A

Loss of pigment in one or more areas of the skin, creating the appearance of milky-white patches

37
Q

intradermal skin test

A

Skin test in which different substances are injected into the skin to test for allergic reactions.

38
Q

allergy skin test

A

Skin test used to identify allergies.

39
Q

scratch test

A

Skin test in which the forearm is scratched with tiny needles (lancets), and a variety of substances are applied to the skin to identify allergies. These substances include pollen, mold, dust mites, pet dander, and chemicals in food.

40
Q

excisional biopsy

A

Surgical removal of an entire lesion or tumor.

40
Q

incisional biopsy

A

Incision (cut) into the tissue for removal of a small piece of living tissue for microscopic examination.

40
Q

biopsy

A

The removal of a small piece of living tissue for microscopic examination.

41
Q

exfoliative cytology

A

Biopsy procedure in which living tissue is scraped and analyzed microscopically for bacteria. The tissue may also be placed in a growth medium to check for fungal infection.

42
Q

needle biopsy

A

Biopsy procedure in which a hollow needle removes a core sample of tissue for microscopic examination. See Figure 5.19 in Chapter 5: The Muscular System.

43
Q

punch biopsy

A

A biopsy done with a small, circular blade that rotates down through the epidermis and dermis and into the subcutaneous layer, producing a cylindrical core of tissue (Figure 3.21).

44
Q

autograft

A

Surgical transfer of tissue from one part of a patient’s body to another part of the same body.

45
Q

blepharoplasty

A

Plastic surgery of the eyelid; also known as a lid lift

46
Q

cauterization

A

Destruction of tissue through the application of heat, cold, or an electrical current. Most commonly used to remove skin tags (common skin growths that typically are benign, “stick out of” the skin, and are connected to the skin’s surface by a short, narrow stalk).

47
Q

chemical peel

A

The use of chemicals to remove outer layers of the skin; common treatment for acne and wrinkle removal.

48
Q

debridement

A

Removal of damaged tissue and foreign debris to prevent infection and promote healing; common treatment for bedsores and burns (Figure 3.24).

49
Q

cryosurgery

A

Destruction of abnormal tissue by freezing it with liquid nitrogen; common treatment for warts (Figure 3.23).

50
Q

curetage

A

Removal of tissue by scraping the surface; a common treatment for removal of basal cell tumors.

51
Q

dermabrasion

A

The use of abrasive materials, such as brushes and sandpaper, to remove layers of skin. Most often used to improve the appearance of acne scars and fine lines around the mouth.

52
Q

incision and drainage

A

Procedure in which an incision is made through the skin to drain fluid or an abscess. Commonly used on certain types of lesions.

53
Q

dermatoplasty

A

Replacement of damaged skin with donor skin from a different region of the body; skin graft.

54
Q

lipectomy

A

Surgical removal of fat below the skin.

54
Q

laser therapy

A

The use of laser light waves to treat skin conditions. The number of tissue layers being treated determines the wavelength and power of the light beam. Commonly used to remove discolorations of the skin, including birthmarks, tattoos, and lesions.

55
Q

liposuction

A

Use of suction during surgery to remove fat below the skin.

56
Q

mohs surgery

A

Surgical method of treating skin cancer. Thin, tumorous skin layers are successively removed and examined under a microscope. The process continues until there is no evidence of the tumor.

57
Q

rhytidectomy

A

Elimination of wrinkles through surgical removal of skin on the face; facelift.

58
Q

sclerotherapy

A

Injection of a sclerosing (skleer-OH-sing) medical solution, such as saline, into varicose veins or spider veins (small varicose veins). The solution irritates the tissue, causing it to swell and close off small veins. The small veins then harden, shrink, and dissolve over a period of weeks.

59
Q

topical drugs

A

applied to a particular place of the body

59
Q

oral drugs

A

given by mouth. Depending on the type of drug, people may swallow, chew, or dissolve them under the tongue. Oral medications affect the body systemically as they travel throughout the body.

60
Q

transdermal drugs

A

travel through the skin and into the bloodstream. The transdermal patch is a medicated adhesive patch applied to the skin to ease pain or to promote healing of a sore or injury. The patch slowly releases a specific dose of medication.

61
Q

antifungal

A

Drug used to fight off fungal infections, such as athlete’s foot and ringworm.

62
Q

anesthetic

A

Drug that causes a reversible loss of sensation or pain; used to deaden pain temporarily.

62
Q

antibiotic

A

Drug used to fight off or prevent infection.

63
Q

antipruritic

A

Drug used to reduce itching. Itching is a symptom associated with many skin disorders.

64
Q

antiviral

A

Drug used to treat viral infections, such as herpes

65
Q

biologic

A

Drug derived from living organisms through molecular biology techniques. Biologics work like parts of the immune system. They can disrupt the autoimmune response that occurs in diseases such as rheumatoid arthritis (RA).

66
Q

corticosteroid

A

Drug used to treat skin conditions linked to autoimmune diseases, such as vasculitis, and inflammatory diseases, such as eczema and psoriasis.

67
Q

immunosuppressant

A

Drug used to treat certain conditions (such as psoriasis and eczema) by suppressing the immune system.