Day 1: Anatomy, morphology, pathophysiology Flashcards

(56 cards)

1
Q

What is the major barrier of the skin

A

Epidermis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the 3 major nerve fibers in the skin

A

Ab fibers- large, heavily myelanated, tactile sensation
Adelta fibers- thin, myelinated nerve fibers, transmission of short and fast stimuli
C- unmyelinated, transmit pain and itch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Normal cell division occurs in which layer

A

Basal cell layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How long does skin live? Where does it start/end?

A

Starts in basal layer, take 2 weeks to migrate to granular, 2 weeks to shed across stratum corneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which layer is just superficial to the basal layer

A

Stratum spinosum
Composed of keratinocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What cells produce karatin and what is keratin

A

Keratinocytes produce keratin
Fibrous protein that is a component of stratum corneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What gives the stratum spinosum its name

A

Spines (bridges) that connect keratinocytes in stratum spinosum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Granular cells contain what

A

keratohyalin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the major physical barrier of the skin

A

Stratum corneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which cells protect the skin from UV light

A

Melanocytes (in epidermis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe blood flow to the epidermis

A

Epidermis does not have an intrensic blood supply, so depends on diffusion of nutrients and o2 from vessels in the papillary dermis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Apocrine vs Eccrine glands

A

IN DERMIS
Apocrine- sweat glands depend on androgens for their development (Wake up at puberty). Sebaceous glands are also under androgen control (Oil).
Eccrine glands- Help regulate body temperature (sweat glands)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe tonicity of eccrine sweat glands

A

Sweat is isotonic to plasma, but becomes hypotonic by the time it exits the skin because of reabsorption of electrolytes (dont want to loose all of the electrolytes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which muscle gives the goose pump apperance on the skin

A

arrector pilli muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hyponychium

A

where nail meets tip of finger, junction at end of nail/finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where is matrix

A

Under skin, proximal to proximal nail fold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q
A

Macule if small, patch if bigger. Not raised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
A

Papule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
A

Plaque

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
A

Wheal– papule or plaque- uticaria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q
A

Nodule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q
A

Vesicle <.5, Bulla if >.5
pemphigus vulgaris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
A

Cyst- filled with pus or keratin, >.5
Staph boil

24
Q
A

Scale– flake composed of stratum corneum, hyperkeratotic (Psoriasis)

25
Postule-- pus, pustular acne
26
Crust (on collapsed bullae of impetigo) yellow, brown, black, green, surface deposits of serum, pus, blood
27
lichenifidication
28
Fissure Callous on heel
29
excoriation is linear scratch marks caused by fingernails and sharp objects erosion- loss of superficial epidermis
30
Ulcer
31
Eschar- black crusting from tissue necrosis of epidermis/dermis self induced
32
Atrophy
33
Scar Elevated- keloid Depressed- often scar after herpes zoster (shingles)
34
Shape
Discoid (round or coin shape)
35
Shape
Oval- pityriasis rosea
36
Shape
Annular- fungus often
37
shape
Arcruate- sickle shape
38
Shape
Targetoid Erythema multiforme- only thing thats targetoid really
39
Arrangement
Grouped- herpes simplex
40
Arrangement
Discrete/isolated- seperate from one another
41
Arrangement
Linear- Poison ivy dermatitis
42
Arrangement
Dermatomal Herpes
43
Arrangement
Serpinginous (Snakelike)
44
Arrangement
Reticular- lace or netlike
45
Arrangement
Symmetrical and generalized/disseminated Drug rash- both sides of the body
46
Arrangement
Photodistributed Areas of sunlight exposure Phototoxic drug rash
47
What is this
Parkeratosis
48
What is this
Disturbed epidermal cohesion
49
What is this
Secondary loss of cohesion Spongiosus/ Pustule Cells expand, ecsema
50
Primary cohesion of the dermal cells
acantholysis Cells are intact, not attached
51
What is this
Epidermal neoplasm- benign and malignant
52
What is this
Squamous cell carcinoma in situ
53
What is this
Squamous cell carcinoma
54
Targetoid lesions
Steven Johnson's syndrome and somtimes syphillis
55
What kind of melanoma is on palms and soles
acral lentiginous
56