Test 3 Flashcards
Basal cell carcinoma
Least malignant & most common
Stratum basale cells proliferate and invade the dermis and hypodermis
Slow growing
Surgically cured
Most common type of skin cancer?
Basal cell carcinoma
Melanoma
Cancer of melanocytes
Most dangerous bc it is highly metastatic and resistant against chemo
Hemoglobin
a red protein responsible for transporting oxygen in the blood.
Appears red where capillaries are close to the surface (ex lips)
Melanin
The amount of melanin is largely responsible for different skin colors.
Comes from genetics or light exposure
Carotene
Yellow pigment found in the stratum corneum and subcutaneous fat.
Abnormal skin colors
Cyanosis, erythema, jaundice, bronzing, pallor, albinism, hematoma.
Cyanosis
Blue skin color due to decrease in O2 in the blood. (Cold weather/heart attack)
Erythema
Increased blood flow (dilated blood vessels die to exercise, sun burn, anger, embarrassment or leaky capillaries)
Jaundice
Yellowing of the skin due to high levels of bilirubin in the blood. (Malfunctioning liver)
Bronzing
Golden brown skin color due to Addison disease (decreased glucocorticoid hormone)
Pallor
Pale ashen skin color due to decreased blood flow through the skin (decreased rbc’s or hemoglobin)
Albinism
No melanin production due to genetic factors (no tyrosinase enzyme)
Hematoma
Bruise (clotted blood)
Epidermal wound healing
Tissue will repair 100%
Stratum basal cell at end of wound enlarge and cellular devision begins
Deep would healing
Bleeding occurs
Dermis layer or deeper
4 phases of deep wound healing
Inflammatory phase
Migratory phase
Proliferator phase
Maturation phase
Inflammatory phase
Blood clot forms and mast cells release histamine to allow wbc’s and plasma in
Migratory phase
Clot becomes scab and epithelial cells migrate beneath it and scar tissue forms
Proliferation phase
Continuation of migratory phase
Maturation phase
Scab falls off following restoration of epithelial tissue
Thick epidermis
Located on hands and feet
Has sweat glands but no hair follicles of oil glands
400-600um thick
Thin epidermis
Anywhere thick skin is not found
Includes hair follicles, oils glands, and sweat glands.
75-150um thick
Dermis
Deep connective tissue layer. (collagen & elastic fibers)
Mainly dense irregular ct
Contains blood vessels, nerves, sweat glands, oil glands, hair follicles, and nail roots.
Hypodermis
Subcutaneous layer that binds the skin to underlying layers.
NOT part of the skin layers
Adipose and areolar tissue
2 zones of the dermis
Papillary region- (1/5th) controls temperature. contains areolar connective tissue, dermal papillae, and pain receptors.
Reticular layer- (4/5th) composed of dense irregular ct and collagen that produces stretch marks
Cells within epidermis?
Keratinocytes
langerhans
melanocytes
merkel cells
Keratinocytes
90% of all epidermal cells
Synthesize keratin & help with friction and waterproofing skin
Langerhans
Immune surface of epidermis
Melanocytes
Synthesize melanin found in keratinocytes & then the melanin protects DNA in keratinocytes from damage
Merkel cells
Sensation of the skin
Communicates with nervous tissue within the dermis
Cutaneous gland
Sweat glands
Ex. Eccrine & apocrine
Eccrine sweat gland
Most numerous
Produce watery perspiration to cool down the body
Apocrine sweat glands
Secrete thicker, more milky sweat.
Smelly (arm pit ect)
Don’t developed until puberty
Sebaceous glands
Produce oily secretion called sebum.
Typically in hair follicles.
Holocrine glands. (Suicide)
Rules of Nines
Estimates the severity of burns
Burns are considered critical IF
- over 25% has second degree burns
- over 10% has third degree burns
- third degree burns on hands/face/feet
Partial thickness burns
1st & 2nd degree burns
Full thickness burn
3rd degree burn
1st Degree Burn
Harms only epidermis
Localized redness & painful
Ex. Sunburn without blisters
2nd Degree Burn
Epidermis and some dermis
Red/tan/white blisters
Ex. Sunburn with blisters
3rd Degree Burn
All epidermis, dermis, and possibly deeper tissue.
No initial pain & usually causes dehydration.
Contractures
Scar tissue that prevents movement
Commonly seen with people who received 3rd degree burns and need a skin graft
ABCD signs
Help to tell if you have Malignant Melanoma
A- assymetrical
B- border is irregular
C- multicolored
D- Diameter is large (6mm)
What causes goose bumps?
Sympathetic nervous system sends signals to tiny muscle on base of hairs, arrectores pilorum, to contract and pull hair erect.
Ceruminous glands
Make ear wax