Examination of the Skin + General Skin knowledge Flashcards

(32 cards)

1
Q

What are the functions of the skin

A
protection from external damage
resistance to sheer stress
barrier
sensation 
metabolic - vit D synthesis
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2
Q

what are the 3 layers of the skin - superficial to deep

A

epidermis
dermis
hypodermis/subcutis

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3
Q

whats in the epidermis

A

stratified squamous epithelium

keratinised

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4
Q

whats in the dermis

A

dense irregular connective tissue

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5
Q

what separates the dermis and epidermis

A

basement membrane

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6
Q

what is the dermis split into

A

papillary - top

reticular - bottom

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7
Q

what is in the papillary dermis

A

most nerve endings

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8
Q

whats in the hypodermis/subcutis

A

adipose tissue

blood supply

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9
Q

what are the 5 layers of the epidermis bottom to top

A
stratum basale
stratum spunosum
stratum granulosum
stratum lucidum 
stratum corneum
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10
Q

what types of cells are in skin

A
keratinocytes (95%)
melanocytes
Langerhans cells
Merkel cells
basement membrane
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11
Q

what do keratinocytes do

A

produce keratin

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12
Q

what do melanocytes do

A

pigment cells with melanin which scatters UV light

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13
Q

where are most melanocytes found

A

in stratum basale

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14
Q

what do Merkel cells do

A

neuroendocrine functions

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15
Q

where are merkel cells found

A

stratum basale

many are in touch areas

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16
Q

what is the basement membrane

A

sheet of matrix at interface of parenchyme + support tissue

17
Q

whats the basement membrane made from

A

type 4 collagen, glycoproteins and glucosaminoglycacides

18
Q

how do you describe a rash

A

DCM criteria

distribution (extensor/flexor/symetrical)
configuration (annular, clustered, linear, none)
morphology (maculae/papules etc)

19
Q

what are bullae

A

blisters >5cm

20
Q

what is a cyst

A

papule/nodule lined by epithelium ocntaining fluid, pus or keratin

21
Q

what is ecchymosis

A

extraversion of blood into the skin

22
Q

what is a macule

A

flat area of colour change

23
Q

what is a nodule

A

palpable mass >0.5cm

24
Q

what is a papule

A

palpable mass <0.5cm

25
what are petechiae
pinhead sized non blanching macules of blood due to small vessel haemorrhage
26
what is a plaque
flat topped palpable lesion
27
what is purpura
large non-blanching macules in the skin
28
what is a pustule
visible accumulation of pus in the skin
29
what is telangiectasia
visiblae dilation of small cutaneous blood vessels
30
what is an ulcer
any skin break, generally complete loss of epidermis
31
what is a vesicle
<5mm papule filled with liquid
32
what is a wheal
smooth surfaced dermal swelling, dermal oedema, non scaling puncturing does not leak fluid