Ch. 5 Integumentary System Flashcards

1
Q

The integumentary system is made up of:

A

skin & accessory organs (hair, nails, and glands).

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2
Q

androgen

A

agent (usually hormone) that stimulates development of male characteristics

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3
Q

ductule

A

Very small duct

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4
Q

duct-

A

to lead; carry

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5
Q

-ule

A

small, minute

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6
Q

homeostasis

A

State of equilibrium of the internal environment of the body despite changes in the external environment

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7
Q

-stasis

A

standing still

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8
Q

Androgens regulate:

A

the production of sebum

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9
Q

Homeostasis regulates:

A

temperature
acidity
concentration of salt, food, and waste products.

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10
Q

synthesize

A

Forming a complex substance by the union of simpler compounds or elements

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11
Q

skin functions:

A

5 PRRSS

  • physical barrier against injuries/bacterial
  • regulates body temperature
  • reservoir for food and water
  • sensory receptor
  • synthesizes vitamin D
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12
Q

Two distinct layers of skin:

A

epidermis and dermis

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13
Q

binds the skin to underlying structures

A

subcutaneous layer of tissue

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14
Q

epidermis

A

outer layer of the skin

thickest on the palms and soles

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15
Q

strata

A

sublayers of epidermis

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16
Q

Deepest and most important sublayers of epidermis

A

stratum corneum

basal layer

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17
Q

The stratum corneum is:

A

like a callus

composed of dead, flat cells that lack a blood supply and sensory receptors. Its thickness is related to normal wear of the area it covers.

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18
Q

basal layer

A

only layer of epidermis composed of living cells where new cells form

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19
Q

keratin

A

hard, relatively waterproof protien

prevents body fluids from evaporating and moisture from entering the body

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20
Q

melanocytes

A

produce a black pigment called melanin

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21
Q

Melanins function:

A

provides a protective barrier from the damaging effects of the sun’s ultraviolet radiation, which can cause skin cancer.

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22
Q

albino

A

An individual who cannot produce melanin and has a marked deficiency of pigment in the eyes, hair, and skin.

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23
Q

The second layer of the skin

A

dermis
or
corium

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24
Q

Dermis (corium) is composed of:

A

living tissue and contains numerous capillaries, lymphatic vessels, and nerve endings. Hair follicles, sebaceous (oil) glands, and sudoriferous (sweat) glands are also located in the dermis.

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25
subcutaneous layer is composed of:
aka hypodermis composed primarily of loose connective tissue and adipose (fat) tissue interlaced with blood vessels.
26
functions of subcutaneous layer
``` RIBS regulates temperature insulates and cushions the body, binds dermis to underlying structures stores fats, ```
27
integumentary glands functions:
- defend body against disease | - maintain homeostasis
28
exocrine glands
secrete substances through ducts to outer surface of body
29
Two important glands located in the dermis that produce secretions:
sudoriferous (sweat) | sebaceous (oil)
30
sudoriferous glands main functions:
- cool the body by evaporation - excrete waste products - moisten surface cells
31
sebum
oily, acidic secretion from sebaceous glands that destoys harmful organisms (preventing infection)
32
Hair is found on all parts of the body except:
lips, nipples. palms, soles, external genitalia
33
hair shaft
visible part of hair
34
hair root
part of hair embedded in the dermis
35
follicle
hair root and covering
36
papilla
loop of capillaries located at bottom of follicle | responsible for hair growth
37
nail root
where nails are formed
38
nails are composed of:
keratinized, stratified, squamous epithelial cells and protect fingertips and toes
39
lunula
the half moon shape at the base of nail | where nail growth occurs
40
The main function of the skin is:
to protect the entire body, including all of its organs, from the external environment.
41
Skins functional relationship to blood, lymphatic, and immune system:
first line of defense against invasion of pathogens into body
42
Skins functional relationship to cardiovascular system:
Regulate body temp (via cutaneous blood vessels that dilate and constrict)
43
Skins functional relationship to digestive system:
absorption of calcium and stores excess calories (skin absorbs vitamin D)
44
Skins functional relationship to endocrine system:
Store excess calories prompted by insulin secretions
45
Skins functional relationship to female reproductive system:
Skin stretched for birth and have receptor that make sex pleasurable
46
Skins functional relationship to male reproductive system:
Receptors in the skin respond to sexual stimuli.
47
Skins functional relationship to | musculoskeletal system:
synthesizes vitamin D essential for: - muscle contraction - growth, repair, and maintenance of bones
48
Skins functional relationship to | nervous system:
cutaneous receptors detect stimuli related to touch, pain, pressure, and temperature.
49
Skins functional relationship to | respiratory system:
- temperature influences respiratory rate | - nasal hairs filter air before reaching lower respiratory tract
50
Skins functional relationship to | urinary system:
Skin provides an alternative route for excreting salts and nitrogenous wastes in the form of perspiration.
51
adip/o
fat
52
adiposis
abnormal condition of fat
53
lip/o
fat
54
steat/o
fat
55
fat
adip/o lip/o steat/o
56
lipoma
tumor made up of fatty tissue
57
steatitis
inflammation of fat
58
cutane/o
skin
59
dermat/o
skin
60
derm/o
skin
61
skin
cutane/o dermat/o derm/o
62
subcutaneous
pertaining to under the skin
63
dermatoplasty
surgical repair of the skin
64
hypodermic
pertaining to under the skin
65
hidr/o
sweat
66
sudor/o
sweat
67
sweat
hidr/o | sudor/o
68
hidradenitis
inflammation of sweat gland
69
sudoresis
condition of sweat the body’s physiological means to regulate body temperature.
70
ichthy/o
dry, scaly
71
ichthyosis
abnormal condition of dry, scaly skin
72
kerat/o
horny tissue; hard; cornea
73
keratosis
abnormal condition of hard or horny tissue thickened area of the epidermis or any horny growth on the skin, such as a callus or wart.
74
melan/o
black
75
melanoma
tumor of black a malignant tumor of melanocytes that commonly begins in a darkly pigmented mole and can metastasize widely.
76
dermatomycosis
abnormal condition of skin fungus
77
onych/o
nail
78
ungu/o
nail
79
nail
onych/o | ungu/o
80
onychomalacia
softening of the nail
81
ungual
pertaining to the nail
82
pil/o
hair
83
trich/o
hair
84
hair
pil/o | trich/o
85
pilonidal
pertaining to hair nest A pilonidal cyst commonly develops in the skin at the base of the spine. It develops as a growth of hair in a dermoid cyst.
86
trichopathy
disease of hair
87
scler/o
hardening; sclera (white of eye)
88
nid
nest
89
scleroderma
hardening of the skin Scleroderma is an autoimmune disorder that causes the skin and internal organs to become progressively hardened as a result of deposits of collagen. It may occur as a localized form or as a systemic disease.
90
seb/o
sebum, sebaceous
91
seborrhea
flow or discharge of sebum an overactivity of the sebaceous glands
92
squam/o
scale
93
squamous
pertaining to scale
94
xen/o
foreign, strange
95
xenograft
transplant of foreign tissue used as a temporary graft to protect the patient against infection and fluid loss.
96
xer/o
dry
97
xeroderma
skin of dry Xeroderma is a chronic skin condition characterized by dryness and roughness and is a mild form of ichthyosis.
98
lipocyte
fat cell
99
pyoderma
an acute, inflammatory, purulent bacterial dermatitis. It may be primary, such as impetigo, or secondary to a previous skin condition.
100
py/o
pus
101
dermatologist
specialist in the study of skin
102
dermaology
study of skin
103
cry/o
cold
104
-therapy
treatment
105
cryotherapy
treatment of cold used to destroy tissue by freezing with liquid nitrogen. Cutaneous warts and actinic keratosis are common skin disorders that respond well to cryotherapy treatment.
106
an-
without/ not
107
anhidrosis
abnormal condition of being without sweat
108
epi-
above, upon
109
epidermis
above/upon the skin the outermost layer of the skin.
110
homograft
transplantation of same tissue
111
tumor (that is) black
melanoma
112
pertaining to under the skin
hypodermic
113
surgical repair of the skin
dermatoplasty
114
cell (composed of) fat
lipocyte
115
skin (containing) pus
pyoderma
116
specialist in the study of skin disorders
dermatologist
117
skin that is dry
xeroderma
118
abnormal condition without sweat
anhidrosis
119
transplantation from the same (species)
homograft
120
abnormal condition of dry or scaly (skin)
ichthyosis
121
skin (that has) hardened
scleroderma
122
abnormal condition of a fungus
mycosis
123
discharge or flow of sebum
seborrhea
124
disease of the hair
trichopathy
125
abnormal condition of horny tissue
keratosis
126
tumor consisting of fat
adipoma or lipoma
127
hernia containing fat
adipocele or lipocele
128
resembling fat
adipoid or lipoid
129
fat cell
adipocyte or lipocyte
130
inflammation of the skin
dermatitis
131
abnormal condition of a skin fungus
dermatomycosis
132
tumor of the nails
onychoma
133
softening of the nails
onychomalacia
134
abnormal condition of the nails
onychosis
135
abnormal condition of the nails caused by a fungus
onychomycosis
136
abnormal condition of a hidden (ingrown) nail
onychocryptosis
137
disease of the nails
onychopathy
138
disease of the hair
trichopathy
139
abnormal condition of hair caused by a fungus
trichomycosis
140
study of the skin
dermatology
141
specialist in the study of skin (diseases)
dermatologist
142
excision of fat (adipose tissue)
adipectomy or lipectomy
143
removal of a nail
onychectomy
144
incision of a nail
onychotomy
145
surgical repair (plastic surgery) of the skin
dermatoplasty or dermoplasty
146
Dermatology is
the medical specialty concerned with diseases that directly affect the skin and systemic diseases that manifest their effects on the skin.
147
dermatologist
physician who specializes in diagnosis and treatment of skin diseases
148
Lesions are:
areas of tissue that have been pathologically altered by injury, wound, or infection.
149
Lesions affecting tissue over an area of a definite size
localized
150
Lesions affecting tissue over a widely spread areas throughout the body
systemic
151
Lesions are described as:
primary or secondary by their appearance, color, location, and size as measured in centimeters
152
Primary skin lesions are:
the initial reaction to pathologically altered tissue and may be flat or elevated.
153
Secondary skin lesions are:
changes that take place in the primary lesion as a result of infection, scratching, trauma, or various stages of a disease.
154
Burns are:
tissue injuries caused by contact with thermal, chemical, electrical, or radioactive agents.
155
Burns affect:
the skin and can also affect the respiratory and digestive tract linings
156
First-degree burns:
(superficial) least serious burn injuring only top layers of epidermis causes skin redness, sensitivity, blisters do not form, and the burn heals without scar formation
157
Second-degree burns:
(partial-thickness) deep burns that damage the epidermis and part of the dermis causes fluid-filled blisters, little to no scarring
158
In third-degree burns:
(full-thickness) epidermis and dermis destroyed, some underlying connective tissue damaged, leaving skin waxy/charred with insensitivity to touch. underlying bones, muscles, and tendons may also be damaged causes ulcerating wounds and the scar tissue. Skin grafting (dermatoplasty) is commonly required to protect underlying tissue and assist in recovery.
159
Rule of Nines
formula for estimating % of adult body surface (different for infants/children due to proportionally larger head) area affected by burns important in determining fluid loss treatment
160
(Benign) neoplasms are:
abnormal growths of new and same noncancerous cells as the tissue in which they are growing place pressure on or interfere with the functioning of surrounding structures
161
Malignant neoplasms are:
(cancer) composed of invasive cells that spread to remote regions of the body (metastasis) by entering blood/lymph vessels and traveling to form secondary tumor sites
162
Immunotherapy
(biotherapy) | newer cancer treatment that stimulates the body’s own immune defenses to fight tumor cells
163
Grading and Staging Cancer purpose:
diagnosis and treatment planning, provide a possible prognosis, and aid comparison of treatment results when different treatment methods are used.
164
tumor grading
cell from tumor site are compared to normal tissue | the greater the difference between the two, the more serious the grade of cancer is
165
TNM system
(tumor, node, metastasis system) international system that allows comparison of statistics among cancer centers * T—size/invasiveness of primary tumor * N—area lymph nodes involved * M—invasiveness (metastasis) of primary tumor
166
Basal cell carcinoma:
most common skin cancer malignancy of the basal layer of the epidermis, or hair follicles locally invasive but rarely metastasize
167
Squamous cell carcinoma
invasive tumor with potential for metastasis arises from skin that undergoes pathological hardening (keratinizing) can be in situ or invasive
168
in situ
confined to the original site
169
invasive
penetrate the surrounding tissue
170
Malignant melanoma
malignant growth of melanocytes highly metastatic, can affect liver, lungs, and brain most lethal skin cancer
171
abscess
Localized collection of pus at the site of an infection
172
acne
``` Inflammatory disease of sebaceous glands and hair follicles characteristic lesions that include blackheads (comedos), inflammatory papules, pustules, nodules, and cysts ``` and are usually associated with seborrhea; also called acne vulgaris
173
alopecia
Partial or complete loss of hair resulting from normal aging, an endocrine disorder, a drug reaction, anticancer medication, or a skin disease; commonly called baldness
174
bowen disease
Very early form of skin cancer, which is easily curable and characterized by a red, scaly patch on the skin; also called squamous cell carcinoma in situ
175
cellulitis
Diffuse (widespread), acute infection of the skin and subcutaneous tissue
176
chloasma
Pigmentary skin discoloration usually occurring in yellowish-brown patches or spots
177
comedo
Typical small skin lesion of acne vulgaris caused by accumulation of keratin, bacteria, and dried sebum plugging an excretory duct of the skin
178
decubitus ulcer
BED SORES Inflammation, sore, or skin deterioration caused by prolonged pressure from lying in one position that prevents blood flow to the tissues, usually in elderly bedridden persons; also known as pressure ulcer
179
ecchymosis
A bruise - skin discoloration consisting of a large, irregularly formed hemorrhagic area with colors changing from bluish black to greenish brown or yellow
180
eczema
Chronic inflammatory skin condition that is characterized by erythema, papules, vesicles, pustules, scales, crusts, and scabs and accompanied by intense itching (pruritus); also called atopic dermatitis
181
erythema
Redness of the skin caused by swelling of the capillaries
182
eschar
Dead matter that is sloughed off from the surface of the skin, especially after a burn
183
impetigo
Bacterial skin infection characterized by isolated pustules that become crusted and rupture
184
keratosis
Thickened area of the epidermis or any horny growth on the skin (such as a callus or wart)
185
lentigo
Small brown macules, especially on the face and arms, brought on by sun exposure, usually in a middle-aged or older person
186
pallor
Unnatural paleness or absence of color in the skin
187
pedicul-
lice
188
pediculosis
Infestation with lice, transmitted by personal contact or common use of brushes, combs, or headgear
189
petechia
Minute, pinpoint hemorrhage under the skin
190
pruritus
intense itching
191
psoriasis
Chronic skin disease characterized by itchy red patches covered by thick, dry, silvery scales and caused by excessive development of the basal layer of the epidermis
192
purpura
Any of several bleeding disorders characterized by hemorrhage into the tissues, particularly beneath the skin or mucous membranes, producing ecchymoses or petechiae
193
scabies
Contagious skin disease transmitted by the itch mite, commonly through sexual contact
194
tinea
Fungal skin infection whose name commonly indicates the body part affected; also called ringworm
195
urticaria
HIVES | Allergic reaction of the skin characterized by the eruption of pale red, elevated patches called wheals
196
verruca
WARTS Epidermal growth caused by a virus
197
vitiligo
Localized loss of skin pigmentation characterized by milk-white patches
198
infestation with lice
pediculosis
199
skin depigmentation characterized by milk-white patches
vitiligo
200
fungal skin infection, also called ringworm
tinea
201
contagious skin disease transmitted by the itch mite
scabies
202
bacterial skin infection characterized by pustules that become crusted and rupture
impetigo
203
allergic reaction of the skin, characterized by elevated red patches called hives
urticaria
204
hyperpigmentation of the skin, characterized by yellowish-brown patches or spots
chloasma
205
hemorrhagic spot or bruise on the skin
ecchymosis
206
minute or small hemorrhagic spots on the skin
petechiae
207
loss or absence of hair
alopecia
208
localized collection of pus at the site of infection (staphylococcal)
abscess
209
redness of the skin caused by swelling of the capillaries
erythema
210
damaged tissue following a severe burn
eschar
211
intense itching
pruritus
212
epidermal growth caused by a virus; also known as wart
verruca
213
allergy skin test
Any test in which a suspected allergen or sensitizer is applied to or injected into the skin to determine the patient’s sensitivity to it
214
intradermal skin test
Skin test that identifies suspected allergens by subcutaneously injecting small amounts of extracts of the suspected allergens and observing the skin for a subsequent reaction
215
patch skin test
Skin test that identifies allergic contact dermatitis by applying a suspected allergen to a patch, which is then taped on the skin, usually the forearm, and observing the area 24 hours later for an allergic response
216
scratch skin test
Skin test that identifies suspected allergens by placing a small quantity of the suspected allergen on a lightly scratched area of the skin; also called puncture test or prick test
217
culture & sensitivity
(C&S) Laboratory test to determine the presence of pathogens in patients with suspected wound infections and identify the appropriate drug therapy to which the organism responds (sensitivity)
218
biopsy
(Bx, bx) Representative tissue sample removed from a body site for microscopic examination
219
frozen section
(FS) Ultrathin slice of tissue from a frozen specimen for immediate pathological examination
220
needle biopsy
Removal of a small tissue sample for examination using a hollow needle, usually attached to a syringe
221
punch biopsy
Removal of a small core of tissue using a hollow punch
222
shave biopsy
Removal of elevated lesions using a surgical blade
223
Mohs
Procedure that involves progressive removal and examination of layers of cancer-containing skin until only cancer-free tissue remains; also called micrographic surgery of the skin
224
skin graft
Transplantation of healthy tissue to an injured site
225
allograft
Transplantation of healthy tissue from one person to another person; also called homograft
226
autograft
Transplantation of healthy tissue from one site to another site in the same individual
227
synthetic graft
Transplantation of artificial skin produced from collagen fibers arranged in a lattice pattern
228
xenograft
Transplantation (dermis only) from a foreign donor (usually a pig) and transferred to a human; also called heterograft
229
chemical peel
Chemical removal of the outer layers of skin to treat acne scarring and general keratoses; also called chemabrasion
230
cryosurgery
Use of subfreezing temperature (commonly liquid nitrogen) to destroy or eliminate abnormal tissue, such as tumors, warts, and unwanted, cancerous, or infected tissue
231
debridement
Removal of necrotized tissue from a wound by surgical excision, enzymes, or chemical agents
232
dermabrasion
Rubbing (abrasion) using wire brushes or sandpaper to mechanically scrape away (abrade) the epidermis
233
fulguration
Tissue destruction by means of high-frequency electric current; also called electrodesiccation
234
photodynamic therapy
(PDT) Procedure in which cells selectively treated with an agent called a photosensitizer are exposed to light to produce a reaction that destroys the cells
235
antiacne agents
Reduce acne through multiple mechanisms
236
antifungals
Alter the cell wall of fungi or disrupt enzyme activity, resulting in cell death
237
antihistamines
Inhibit allergic reactions of inflammation, redness, and itching caused by the release of histamine
238
antiparasitics
Kill insect parasites, such as mites and lice
239
antiseptics
Topically applied agents that inhibit growth of bacteria, thus preventing infections in cuts, scratches, and surgical incisions
240
corticosteroids
Decrease inflammation and itching by suppressing the immune system’s inflammatory response to tissue damage
241
keratolytics
Destroy and soften the outer layer of skin so that it is sloughed off or shed
242
protectives (drug)
Cover, cool, dry, or soothe inflamed skin
243
topical anesthetics
Block sensation of pain by numbing the skin layers and mucous membranes
244
Bx, bx
biopsy
245
BCC
basal cell carcinoma
246
C&S
culture and sensitivity
247
CA
cancer; chronological age; cardiac arrest
248
FS
frozen section
249
ID
intradermal
250
IMP
impression (synonymous with diagnosis)
251
I&D
incision and drainage
252
IV
intravenous
253
TNM
tumor-node-metastasis
254
ung
ointment
255
XP, XDP
xeroderma pigmentosum
256
topical agents to treat athlete’s foot and onychomycosis
antifungals
257
tissue destruction by means of high-frequency electric current
fulguration
258
agents that decrease inflammation or itching
corticosteroids
259
use of wire brushes or other abrasive materials to remove scars, tattoos, or fine wrinkles
dermabrasion
260
agents that kill parasitic skin infestations
parasiticides
261
procedure in which extracts of suspected allergens are injected subcutaneously
intradermal test
262
procedure in which allergens are applied topically, usually on the forearm
patch test
263
ointment
ung
264
agents that soften the outer layer of skin so that it sloughs off
keratolytics
265
transplantation taken from another species (usually a pig) to a human
xenograft