MODULE 6 DERMATOLOGY & ENT Flashcards

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1
Q

Describe the differentiating characteristics of the layers of skin below
- Dermis
- Epidermis
- Hypodermis

A

Epidermis: Outermost layer; consists of stratified squamous epithelium. Mainly provides a protective barrier.

Dermis: Middle layer; contains blood vessels, nerves, and connective tissue. Provides structural support and nutrient supply.

Hypodermis (Subcutaneous Tissue): Innermost layer; contains fat and connective tissue. Insulates, stores energy, and anchors skin to underlying structures.

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2
Q

Name at least 5 functions of the integumentary system.

A

Protection: Acts as a physical barrier against pathogens and UV radiation.

Thermoregulation: Controls body temperature through sweat and blood flow.

Sensation: Contains sensory receptors for touch, temperature, and pain.

Excretion: Eliminates waste products through sweat.

Synthesis of Vitamin D: Essential for calcium absorption and bone health.

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3
Q

How would you differentiate between the following inflammatory skin conditions?
- Contact dermatitis
- Urticaria
- Psoriasis

A

Contact Dermatitis: Allergic reaction upon contact with irritants or allergens.

Urticaria (Hives): Allergic reaction causing raised, itchy welts on the skin.

Psoriasis: Chronic autoimmune disease causing red, scaly patches on the skin.

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4
Q

What is the name give to a bacterial infection of the dermis and subcutaneous tissue? What is the most common causative organism?

A

Cellulitis.

Often Staphylococcus aureus or Streptococcus pyogenes.

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5
Q

Describe the pathophysiology of necrotising fasciitis and what is its clinical presentation would be.

A

Pathophysiology: Rapidly progressing bacterial infection affecting the fascial planes, leading to tissue necrosis.

Clinical Presentation: Severe pain, swelling, fever, skin discoloration, and systemic symptoms.

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6
Q

What is meant by the term mycoses and give 3 examples of mycosis disease.

A

Definition: Fungal infections.
Examples:

  • Tinea (Ringworm): Fungal infection of the skin, hair, or nails.
  • Candidiasis: Yeast infection caused by Candida species.
  • Aspergillosis: Lung infection caused by Aspergillus species.
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7
Q

True or False: The survival rate for squamous cell carcinoma is very poor.

A

False. Survival rates for squamous cell carcinoma are generally high.

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8
Q

What is meant by the ABCD of melanoma and how is it staged?

A

A: Asymmetry
B: Border irregularity
C: Color variation
D: Diameter (>6 mm)

Staging: Melanoma is staged based on the thickness of the tumor, involvement of lymph nodes, and metastasis.

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9
Q

In what population is Kaposi sarcoma more prevalent and why?

A

Prevalence: More prevalent in immunocompromised populations, especially those with HIV/AIDS.

Cause: Associated with human herpesvirus 8 (HHV-8) infection.

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10
Q

When assessing burns, which zone contains potentially salvageable tissue and where is the maximal tissue damage?

A

Zone of Coagulation: Contains irreversibly damaged tissue.

Zone of Stasis: Surrounds the zone of coagulation, potentially salvageable with prompt treatment.

Zone of Hyperemia: Outermost zone with minimal damage.

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11
Q

Describe the local and systemic effects of a significant burn injury.

A

Local Effects: Tissue damage, scarring, impaired wound healing.

Systemic Effects: Shock, fluid and electrolyte imbalances, infection.

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12
Q

what is bleeding from the nose called and risk

A

Epistaxis (nosebleed) can be life-threatening if it is massive and leads to significant blood loss, causing hypovolemic shock.

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