Med Term - 12: Integumentary System Flashcards
What are the functions of the integumentary system?
THINK DERMA
D vitamin synthesis
Elimination of waste via sweat
Regulation of temperature via sweat
Makes external stimuli available to brain
Acts as a barrier to moisture loss, microbes, UV light
Scleroprotein
Hard protein
Insoluble in most solvents
In embryology, dermatome means
Layer in embryonic development that gives rise to dermal layers of skin
In surgery, dermatome means
Instrument used to cut thin slices of skin for grafting
In anatomy, dermatome means
Skin surface area supplied by nerves
C, T, L, S
What are the accessory skin structures?
Hair
nails
Sebaceous glands
sweat glands
Another name for sweat glands are?
Sudoriferous glands
What is a skin lesion?
Any localized abnormality of the skin
also includes swelling, changes of shape
What is the benign skin lesion often found in older patients?
Seborrheic keratosis
What are the main structures of the skin?
epidermis
dermis
Characteristics of the epidermis
avascular
thin upper layer
Characteristics of the dermis
vascular
thick lower layer
hair follicles, nerves, glands, finger-like projections that create fingerprints
Characteristics of the very top layer of the epidermis?
dead
keratinized
sheds constantly
Keratin is also known as what type of protein?
scleroprotein
What causes the erection of hair on the skin?
pilomotor muscles
What is the origin of the skin in embryonic development?
ectoderm
What are the two types of lesions?
primary
secondary
Primary Lesion
initial reaction to an underlying problem that changes the structural components of the skin
Circumscribed lesion
lesion that is well defined
circle can be drawn around it
Verucca
benign warty skin caused by virus
What is the most common type of verucca?
Herpes Simplex Virus (HSV)
What are the two most common types of HSV?
HSV-1 = fever blisters
Herpes zoster = shingles
Cyst
sac filled with fluid or semisolid matter
Nodule
solid lesion more than 1 cm deep
What is the difference between a cyst and a nodule?
cyst is fluid filled and a nodule is solid
Macule
nonraised
discolored spot
FRECKLE
Papule
raised lesion
< 1 cm
MOLE
What is the difference between a macule and a papule?
a macule is nonraised and discolored
papule is raised
Plaque
elevated
circumscribed patches
>1 cm in diameter
Vesicle
blister less than 1 cm
Bullae
blister more than 1 cm
What is the difference between a vesicle and a pustule?
vesicle is filled with clear fluid and a pustule is filled with pus
Pustule
vesicle filled with cloudy fluid or pus
What are the types of primary skin lesions? (9)
bullae vesicle pustule macule papule wheal plaque nodule cyst
Wheal
elevated
irregularly shaped
seen in urticaria / HIVES
Secondary Lesion
changes in appearance of primary lesion
What are the types of secondary lesions? (4)
atrophy
ulcer
fissure
scales
Atrophy
thinning of skin
stretch marks
Ulcer
deep
irregular
erodes into dermis
Fissure
cracks in epidermis
athletes foot
Scales
dried pieces of shed epidermis
white, irregular in size and shape
What are the different types of injury to the skin? (6)
laceration incision puncture burn abrasion contusion
Laceration
torn, jagged wound
Incision
smooth, precisely cut wound
Puncture
wound made by piercing
Abrasion
skin is scraped or rubbed away by friction
Contusion
wound that doesn’t break skin but causes swelling and discoloration
BRUISE
What is the system that healthcare providers use to determine how much of the body was burned?
Rule of Nines
What are the percentages designated to each area of the body?
9% = head and each arm
18% - each leg and posterior/anterior trunk
1% = perineum
What are the 4 burn classifications?
superficial
deep partial-thickness
full-thickness
deep full-thickness
Superficial burn
only epidermis
red, no blisters
Deep partial-thickness burn
part of dermis
red, moist blisters
Full-thickness burn
both epidermis and dermis, sometimes subcutaneous
hard, dry, leathery
white, deep red, black, brown, yellow coloring
Deep full-thickness burn
no skin layers remain, bone and muscle exposed
What are the different types of skin disorders? (24)
abscess albinism cellulitis contact dermatitis cyanosis dermatitis discoid lupus erythematosus frostbite furuncle hypopigmentation ichthyosis lipoma lyme disease malignant melanoma mycodermatitis necrosis pediculosis peterchiae psoriasis scabies scleroderma skin cancer urticaria xerosis
Abscess
cavity that contains pus
Albinism
congenital absence of normal pigmentation
Cellulitis
acute infection of skin and subcutaneous
redness, local heat, swelling
Contact dermatitis
skin rash from contact to irritant (poision ivy, nickel in jewelry etc)
Cyanosis
bluish discoloration of the skin
Dermatitis
inflammatory condition of skin
Discoid Lupus Erythematosus
chronic disorder characterized by lesions covered with scales
Frostbite
damage to skin, tissue, and blood vessels caused by prolonged exposure to cold
Furuncle
localized infection originating in follicle or gland
pain, redness, swelling
BOIL
Hypopigmentation
decreased tissue pigmentation
Ichthyosis
dry, scaling skin resembling fish skin
Lipoma
benign tumor composed of fat cells
Lyme disease
passed on from infected tick
red macule or papule appears and is followed by flu-like symptoms
Malignant melanoma
malignant tumors that start in the skin
contain melanocytes
Mycodermatitis
inflammation of skin caused by fungus
Necrosis
death of areas of damaged or diseased tissue surrounded by healthy tissue
Pediculosis
lice infestation
Petechiae
purple or red spots from hemorrhages
Psoriasis
chronic disorder
circumscribed patches covered by thick, scaly skin
Scabies
contagious dermatitis caused by itch mite
Scleroderma
chronic hardening/thickening of skin
Urticaria
HIVES
Xerosis
irritation of skin characterized by excessive dryness
What are the disorders of the accessory skin structures? (8)
acne vulgaris folliculitis hidradenitis onychomycosis onychopathy seborrhea seborrheic dermatitis trichosis
Acne vulgaris
skin condition that presents itself in blackheads, whiteheads, and pus-filled regions
caused by hyperactive sebaceous glands
Folliculitis
inflammation of hair follicle
Hidradenitis
inflammation of sweat gland caused by occlusion of pores and bacterial infection
Onychomycosis
fungal condition of nail
Onychopathy
any disease of nail
Seborrhea
excess production of sebum
Seborrheic dermatitis
inflammatory condition that starts at scalp
DANDRUFF
Trichosis
any abnormal hair growth
baldness or excessive hair growth
What are some surgical and therapeutic skin interventions? (15)
wound irrigation liposuction transdermal drug use collagen injections topical medications antimicrobials antiperpirants biopsy cryosurgery curettage debridement dermabrasion electrolysis electrosurgery tattoo removal
Wound irrigation
flushing of open wound to cleanse and remove debris
Liposuction
removal of localized fat
Collagen injections
fills flattened areas of skin
requires consisten treatment
similar to BOTOX
Topical medications
applied to unbroken skin
Bacteriostatic
inhibits growth of bacteria
Bactericidal
kills bacteria
Asepsis
absence of infection
Sepsis
presence of infection
Transdermal drugs
administered to unbroken skin and is later absorbed into the bloodstream
estrogen, nicotine
Antimicrobial
meds applied to broken skin to prevent infection
Antiperspirants
act against perspiration
Biopsy
removal of small piece of skin for microscopic examination
Cryosurgery
use of subfreezing temps to destroy tissue
Curettage
scraping of skin to remove abnormal tissue
Debridement
removal of foreign material or damaged tissue
Dermabrasion
revolving brushes used to treat superficial scars
Electrolysis
destruction via electric current
Electrosurgery
high-frequency electric current instruments used to destroy skin lesions
Tattoo Removal
either dermabrasion or laser removal