DD-Dermatology and the Epidermis Flashcards

(59 cards)

1
Q

the structure and functions of the skin

A

Skin is the largest organ

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2
Q

Fitzpatrick Skin Types

A
1- Never tans, always burns
2- Tans with difficulty, usually burns
3- Average tanning, sometimes burns
4- Easily tans, rarely burns
5- Very easy to tan, very rarely burns
6- Never burns
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3
Q

Top 5 Skin Diseases

A
Eczema 
Acne 
Bacterial skin diseases 
Viral 
Urticaria
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4
Q

melanocyte pigment cells which produce melanin packaged in granules called_________to protect from UV light

A

melanosomes

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5
Q

black to brown pigment

A

Eumelanin

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6
Q

yellow to red-brown pigment

A

Pheomelanin

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7
Q

melanosomes smaller and distributed in clusters above the nucleus in the keratinocyte

A

Light Skin

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8
Q

melanosomes larger and distributed individually throughout the cytoplasm of the keratinocyte

A

Dark Skin

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9
Q
1- Never tans, always burns
2- Tans with difficulty, usually burns
3- Average tanning, sometimes burns
4- Easily tans, rarely burns
5- Very easy to tan, very rarely burns
6- Never burns
A

Fitzpatrick Skin Types

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10
Q

DUE TO TYPE OF MELANIN PRODUCED, AS WELL AS SIZE AND DISTRIBUTION OF MELANOSOMES

A

Skin Pigmentation

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11
Q

ABSENCE OF MELANOCYTES

A

Vitiligo

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12
Q
  • Decoration/Beauty
  • Barrier
  • Vitamin D synthesis
  • Water Homeostasis
  • Thermoregulation
  • Insulation/Calorie Reservoir
  • Touch/Sensation
A

Functions of the Skin

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13
Q

Dark Skin

A

melanosomes larger and distributed individually throughout the cytoplasm of the keratinocyte

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14
Q

Light Skin

A

melanosomes smaller and distributed in clusters above the nucleus in the keratinocyte

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15
Q

Autoimmune destruction of melanocytes

Acquired depigmentation

Commonly seen in periorificial and acral locations

Microscopic finding is a complete absence of melanocytes

A

Vitiligo

ABSENCE OF MELANOCYTES

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16
Q

-Water Homeostasis
-Thermoregulation
example?

A

Sweat

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17
Q

Vitamine D can come from?

A

Diet

UVB/skin

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18
Q

Epidermis

A

the outer layer of cells covering an organism

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19
Q

Base of Epidermis

A

Melanocytes

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20
Q

Langerhans Cell

A

APC of Epidermis

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21
Q

Innermost layer of the epidermis
Contains small round cells called basal cells
Location of Stem Cells

A

BASAL CELL LAYER

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22
Q

Attachment point of basal cells to the basal lamina of the dermal epidermal junction

A

Hemidesmosomes

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23
Q

predominant cell type in the epidermis, the outermost layer of the skin, constituting 90% of the cells found there.

A

KERATINOCYTES

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24
Q

acute or chronic autoimmune skin disease, involving the formation of blisters

A

Bullous Pemphigoid

AB to Hemidesmosomes

25
Appears spiny due to the fact that the cells are held together with spiny projections. The thickest layer of the epidermis, just above the basal layer
Stratum Spinosum SPINY CELL LAYER
26
______ produce keratin, a tough protective protein that makes up the majority of the structure of skin, hair and nails.
Keratinocytes FORM SKIN BARRIER
27
Desmosomes
attachment between Keratinocytes
28
Pathology: INTRAepidermal blisters
Pemphigus Vulgaris
29
Cells in this layer start to loose their nuclei Prominent keratohyalin granules contain filaggrin which cross links keratin in the formation of the cornified cell envelop
Stratum Granulosum | GRANULAR CELL LAYER
30
Made up of dead and desquamating keratinocytes Breakdown of filaggrin forms Natural moisturizing factor which binds H2O to keep skin moist
Stratum Corneum | CORNEOCYTE CELL LAYER
31
__________ is a filament-associated protein that binds to keratin fibers in epithelial cells
Filaggrin w/o this, weak barrier. dry skin
32
Small cells associated with nerve endings in epidermis.   seem to be involved in neural development and tactile sensation. 
Merkel cells
33
is only present in thick skin where it helps reduce friction and shear forces between the stratum corneum and stratum granulosum.
Stratum Lucidum | CLEAR CELL LAYER
34
Flat lesion
macule- small | patch- large
35
Raised Smooth lesion
papule plaque cyst nodule
36
Raised Scaly lesion
papule with scale/plaque with scale
37
Fluid Filled lesion
vesicle/bulla/pustule
38
Redness lesion
erythema erythroderma telangiectasia
39
Purpura lesion
ecchymoses petechiae palpable purpura
40
Discrete, solid, elevated body Less than 1.0 cm in diameter May be further classified by surface change Scale, Crust
Papule
41
Solid, flat-topped, elevated area of skin Greater than 1.0 cm and broader than thick May be further classified by surface change
Plaque
42
Firm and well-defined lesion May be dermal or subcutaneous Greater than 1.0 cm
Nodule
43
Surface Changes
Crust | Scale
44
Fluid filled cavity or elevation Form within or just below epidermis Less than 1.0 cm in diameter
Vesicle
45
Fluid filled “blister” | Greater than 1.0 cm in diameter
Bulla
46
Circumscribed elevation that contains pus Less than 1.0 cm in diameter Color usually whitish-yellow
Pustule
47
Localized, blanchable redness | Caused by increased blood flow
Erythema
48
Generalized, blanchable redness Caused by increased blood flow May be associated with desquamation or extensive scaling
Erythroderma
49
Visible, persistent, dilation of small, superficial cutaneous blood vessels
Telangiectasias
50
Flat discoloration of skin or mucous membranes Due to extravasation of blood Color transitions over time and ranges from blue-black, brown-yellow, or green
Ecchymoses (Bruise)
51
Tiny 1-2mm (pinpoint spots) Resulting from tiny hemorrhages Color is red or violaceous
Petechiae
52
Raised and palpable discoloration Due to vascular inflammation and extravasation of red blood cells (vasculitis) Color is red or violaceous
Palpable Purpura
53
A thinning of epidermal, dermal or subcutaneous tissue
Atrophy superficial or dermal
54
Localized loss of epidermal or mucosal epithelium | Causes can include injury or denuding of vesicle or bulla roof (removal)
Erosion
55
Circumscribed loss of epidermis and at least upper dermis
Ulcer
56
A deep linear crack or cleavage | Found in areas of thickened skin
Fissure
57
“Scab” Adherent, thick, dry crust Causes can include trauma, infection or excoriating skin disease Color is black
Eschar (Crust)
58
Regions where opposing skin surfaces come in contact that may cause friction- Skin Folds
Extensive Distribution: Intertriginous
59
Pertaining to the skin surface overlaying muscles that flex joints, such as biceps
Flexural