Intro to dermatology Flashcards

1
Q

what are some other structres associated with the skin?

A

glands, hair, nails, sensory structures

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2
Q

what are the 3 layers of skin?

A
  • epidermis
  • dermis
  • subcutaneous tissue
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3
Q

what is the function of subcutaneous tissue & what does it contain?

A
  • fat energy store
  • insulation
  • contains blood vessels & nerves
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4
Q

what is the function of the dermis?

A
  • a matrix of collagen & elastin fibres, surrounded by an extracellular gel-like substance
  • these fibres give skin its stregnth & elasticity
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5
Q

what is the epidermis made up of?

A
  • straified squamous epithelium
  • 3 cell types, but keratinocytes are main cell type, others are melanocytes & langerhans cells
  • 5 layers
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6
Q

where are keratinocytes formed and where do they migrate to?

A

originate in stratum basale and differentiate as they migrate out towards the surface, where they are shed

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7
Q

what are the 5 layers of the epidermis?

A
  • stratum basale
  • stratum spinosum
  • stratum granulosum
  • stratum lucidum
  • stratum corneum
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8
Q

what is the function of melanocytes?

A

synthesise melanin, which is then transferred to keratinocytes to give protection against UV rays

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9
Q

what is the function of Langerhans cells?

A

process antigens & migrate to Lymph nodes to induce an immune response

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10
Q

does skin have ability to regenerate? if so, how come?

A

yes, because of stem cells found throughout hair follicles

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11
Q

detail nail anatomy

A
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12
Q

losing what part of nail anatomy is more likely to lead to infection?

A

cuticle

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13
Q

Describe the hair cycle

A
  • Anagen
  • 80-80% of hair
  • Catagen
  • 2-3week phase growth stops/follicle shrinks
  • 1-3% of hair
  • Telogen
  • resting phase for 1-4months
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14
Q

What are the most important functions of skin? (6)

A
  • Thermoregulation

–Insulation, Heat transfer (sweat)

•Skin immune system

–Innate (ie skin, macrophages & complement)

•Barrier

–Protects against Mechanical, Chemical, microorganisms, Ultraviolet light

–Keeps in water and Electrolytes, Macromolecules

•Sensation

–Temperature, touch and pain

  • Vitamin D synthesis
  • Interpersonal Communication

–Physical appearance, smell, self -identity

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15
Q

What are the main 2 categories of skin disease and give examples of them

A
  • External - temperature, UV, chemical, infection
  • Internal - systemic disease, genetics, drugs, infection
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16
Q

What category is this an example of, and what is it called?

A
  • external cause- temperature (cold)
  • COLD URTICARIA
17
Q

When describing skin lesions, small refers to what size?

18
Q

When describing skin lesions, what is a macule?

A

small circumscribed area

19
Q

When describing skin lesions, what is a patch?

A

a larger circumscribed area

20
Q

When describing skin lesions, what is a papule?

A

small raised area

21
Q

When describing skin lesions, what is a plaque?

A

larger raised area

22
Q

When describing skin lesions, what is a vesicle?

A

small fluid filled

23
Q

When describing skin lesions, what is a bulla?

A

large fluid filled

24
Q

When describing skin lesions, what is a pustule?

A

pustule = small pus filled

25
When describing skin lesions, what is an abscess?
large pus filled
26
When describing skin lesions, what is an erosion?
loss of epidermis
27
When describing skin lesions, what is an ulcer?
loss of epidermis and dermis
28
why do ulcers heal with scarring?
because they have dermal loss as well
29
What is this & what can it represent ?
eruptive xanthoma - hyperlipidemia
30
what are nails made of & where do they arise?
made of hardened keratin & arise from nail matrix, just under nail fold
31
What is this & what is it seen in?
* Myxedema * seen in thyroid skin disease
32
in suspected bacterial infection, what investigations do you do?
* Charcoal swab- plain cotton bud, rub on area of affected skin, looking for areas with exudate, bright ulcers etc * MC & S (microscopy, culture & sensitivty)
33
In suspected viral infection, what investigations do you do?
* viral swab for PCR * can swab vesicle / bulla if vesicular eruption, or pop with needle to get a swab of exudate * in systemic illness, take throat swab
34
If fungal infection suspected, what investigation do you do?
* skin scraping * nail clipping * hair sample * fungal cultures