Skin Part 2: Integument and Barriers to Infection Flashcards

1
Q

What are used to treat Psoriasis?

A

Retinoids

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2
Q

Why are retinoids used to treat Psoriasis?

A

they are anti-proliferative (slows skin growth)

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3
Q

The papillary layer stain _____

A

pale due to less collagen and elastin

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4
Q

What is the most common GAG in the dermis?

A

Dermatan Sulfate

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5
Q

What are things you would find in the dermis?

A

GAGs, Fibroblasts, collagen, elastin, reticular fibers, blood vessels and nerves, small # of macrophages, lymphocytes and mast cells

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6
Q

Dermal Papillae are really prominent in

A

thick skin

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7
Q

AV Shunts act as a

A

bypass

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8
Q

Do we see fat in the Dermis?

A

NO

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9
Q

The hypodermis defining characteristic

A

the amount of fat

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10
Q

If there is fat it can’t be

A

DERMIS

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10
Q

In the hypodermis you find

A

fat
blood vessels and veins
hair follicles (base)
apocrine/eccrine glands

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11
Q

dermatitis

A

inflammation of the skin

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12
Q

dermatitis is also know as

A

eczema

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13
Q

“eczema” is applied to a

A

range of persistent skin conditions

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14
Q

What type of dermatitis is eczema commonly used to describe?

A

atopic dermatitis

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15
Q

What are the 3 common skin tumors?

A

squamous cell carcinoma
basal cell carcinoma
melanoma

16
Q

What types of skin tumor are derived from epithelial cells (keratinocytes)?

A

squamous cell carcinoma
basal cell carcinoma

17
Q

What type of skin tumor are derived from melanocytes?

18
Q

squamous cell carcinoma

A

nest of squamous cells
extend into dermis
eosinic cytoplasm and large nucleus

19
Q

basal cell carcinoma

A

small cells
a lot of apoptotic cells
stoma has a lot of GAGs

20
Q

melanoma

A

most aggressive form
pagetoid spread of melanocytes

21
Q

pagetoid spread

A

“upward spreading” of abnormal cells in the epidermis

22
Q

First intention healing

A

clean(surgical) incision
edges can come together

23
Q

First intention healing steps

A
  1. blood clot forms
  2. neutrophils arrive (3-24hrs)
  3. basale cells begin mitosis (24-48hrs)
  4. neutrophils are replaced by macrophages (Day 3-7)
  5. incision filled with granulation tissue
  6. continued firboplasia and collagen repair also itching
    (week 2)
  7. connective tissue scar, without inflammation (month 2)
24
granulation tissue
early kind of connective tissue forms a "patch"
25
in First intention healing steps Day 3-7 what are the 3 process that occur?
neovascularization fibroplasia reepithelialization
25
in First intention healing steps week 2 there is a progressive decrease in
inflammation
26
keloid
raised thickened connective tissue scar excess fibroplasia
27
A person with Vitamin C deficiency see
collagen breakdown old scars can reopen
28
Second Intention Healing
larger loss of tissue wound edges do not approximate inflammation is more pronounced
29
Second Intention Healing steps
1. initial clot 2. basale cells migrate to edge if wound (0.5mm/day) 3.proliferation/maturation of keartinocytes 4.migrating front slowly restores the layers
30
How long does it take to fill a cm wide cut?
3 weeks
31
How long does it take a cell in the basale layer to get to the corneum layer during Second Intention Healing?
25 days ("doing double time")
32
What cause wound contraction?
myofibroblasts
33
1st degree burn
only epidermis
34
2nd degree burn
both epidermis and the dermis
35
3rd degree burn
epidermis, dermis, and hypodermis