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Integumentary System Altered Functions
Vocabulary Derma- Melan/o- Pachy- Sub- trich/o- Cyan/o- Onych/o- Xer/o- Hidr/o- Kerat/o- Xanth/o- Follicul/o- Dactyl/o- Intra-
Integumentary Regions Skin –Epidermis –Dermis Hypodermis Sensory receptors Muscle Adnexa –Hair and follicle –Glands Sweat Sebaceous –Nails
Epidermis Histology Overview
Epidermis Strata Histology C = corneum G = granulosum S = spinosum B = basale
Underlying Disorders Genetic Connective tissue Blood supply Neoplasia Drug Reactions Immune
Primary Lesions Macules: colored circumscribed flat area, size varies, < 1cm Papules: discolored raised area, < 2cm Plaques: raised flat top area, > 1cm Patches: circumscribed flat area of discoloration, < 1cm Nodules: solid raised area, above or below skin, <1 cm Tumor: discolored raised area, > 2cm Wheals: slightly raised area with edema, size varies Vesicles/Blister: fluid filled raised area < 0.5cm Bulla/Cyst: fluid filled raised area, > 0.5cm Pustules: pus-filled raised area, size varies
Secondary Lesions Erosions Ulcers Fissures Cracks Scales Excoriation Keloid Scar Lichenification
Cracks and Fissures
Ulcer and Erosion
Melanocyte location and function
Melanosomes with Melanin
Langerhans Dendritic Cells
Skin Cancer ABCD and E (evolving)
Etiology UV exposure –UV A –UV B Genetic Prevention –Sun block UVA UVB –Clothing –Window tinting
Skin Tumors Benign –Seborrheic keratitis –Keratocanthoma –Verucae (warts) –Actinic keratitis Malignant –Basal Cell carcinoma –Squamous Cell carcinoma –Dysplastic nevi –Malignant melanoma
Basal Cell Carcinoma
Squamous Cell Carcinoma
Epidermal Cancers Compared
Merkel Cell Carcinoma
Dermal Papilla and Reticular Dermis
Lines of Cleavage
Aging = Wrinkles? Skin changes –Chronological aging –Photo-aging (sun damage) –Chemical toxins Cause –Decrease in collagen (inactive fibroblasts) –Increase in proteolytic activity due to collagenase
Dermatitis (Eczema) Atopic Contact Seborrheic Drug eruption Photo-eczematous
Dermatitis reactions Presentation Papulovesicular Oozing with crusts Scaling plaques
Seborrheic Dermatitis Dandruff; Cradle Cap
Photoeczematous UV Genetic: Porphyria Drug Induced –Oral –Topical Lupus
Venous Stasis Dermatitis
Bacterial Lesion Appearance/ Causes Furunculosis Folliculitis Impetigo Cellulitis Staph aureus Pseudomonas Gram (-) enterics Beta hemolytic Strep Mycobacterium Clostridium
MRSA Bacteria: Staph. aureus Disease: Pyodermas Transmission: –Direct, topical –Open wound entry Culture and Sensitivity ID Drug Resistance –Beta lactamase –Alternate method of cell wall synthesis
VRE Vancomycin Risk factors –Hospitalization –Immunocompromised –Neutropenia –ICU –Dialysis
Impetigo Staph; Strep Cut or scratch Honey colored oozing sores Lip / nose region After a cold Scratching can spread to other areas
Erysipelas Group A Strep Cellulitis
Necrotizing Fasciitis Strep pyogenes Fascial planes Source –Skin –Bowel Aka, Streptococcal gangrene Post op concern
Fungal Infections Microsporum Trichophyton Epidermophyton
Viral Infections Papilloma Herpes Morbillivirus Rubella Parvovirus
Herpes: HSV-1, HSV-2
Herpes: Varicella Zoster Virus
Rubeola Paramyxovirus 5 day or hard measles Respiratory spread Exanthem rash –White spots in red Fever; cough Neurological
Erythema Infectiosum (Fifth Disease) Parvovirus B19 Mild rash (slapped cheek –Face –Limbs –Trunk Respiratory secretions – direct contact spread Pain, fever, itching
Idiopathic/Immune Acne Psoriasis Rosacea Pemphigus Scleroderma Erythema multiforme Vitiligo
Propionibacterium acnes Staph epidermidis
Pemphigus Autoimmune Blistering
Genetic Enzyme Deficiency
Hair and Follicle
Hair/ Follicle Disorders Alopecia Genetic: baldness –Male –Female Hirsutism Parasitic Infectious –Bacterial –Fungal
Nail Disorders Clubbing Paronchyma Onchomycosis
Skin Layers Affected
Rule of 9’s
Artificial Skin Hormone EGF: Epidermal Growth Factor
Injury Blunt force trauma: blows, impact injury Contusion Abrasion Laceration Sharp Force –Incised wound –Stab wound –Puncture wound GSW
GSW Entrance WoundExit Wounds
Process and Timeframe
Histology of Repair
Questions? Fish Spa
Essentials of Human Diseases and Conditions 4 th edition Margaret Schell Frazier Jeanette Wist Drzymkowski.
© 2009 Delmar, Cengage Learning Chapter 5 Integumentary System.
Copyright © 2005 by Elsevier Inc. All rights reserved. Slide 0 Chapter 6 Diseases and Conditions of the Integumentary System Copyright © 2005 by Elsevier.
Integumentary System What is the largest sensory organ of the body???? A. Eye B. Ear C. Tongue D. Nose E. Skin.
Chapter 20 Skin Diseases and Disorders Pages
Skin and its appendages –Hair –Nails –Sebaceous glands –Sweat glands Integumentary means “covering” 3,000 square inches of surface area.
Copyright 2003 by Mosby, Inc. All rights reserved. CHAPTER 9 INTEGUMENTARY SYSTEM.
Skin lesions. The Primary Lesions Macule Papule Nodule Tumor Plaque.
Memmler’s A&P Chap 6 The Skin. The Skin p108 The Integumentary system is made up of the skin and accessory structures: – Glands – Hair – Nails.
INTEGUMENTARY SYSTEM SKIN Health Science Technology I Dr. Halbert.
Integumentary System Chapter 5. Combining Forms for the Integumentary System adip/oadiposis lip/olipoma steat/osteatoma dermo/ohypodermic dermat/odermatology.
Integumentary System Chapter 5. Combining Forms for the Integumentary System adip/o lip/o steat/o dermo/o dermat/o cutane/o.
SKIN FUNCTIONS / DISORDERS AND BURNS. THE NAIL Nails- produced by epidermal cells over terminal ends of fingers and toes Nail Body- visible part Root-
Integumentary System Outline. I. Functions of the integumentary systems
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Disorders of the Integumentary System. ACNE Common and chronic disorder of sebaceous glands Sebum plugs pores area fills with leukocytes Also – blackheads,
Copyright © 2004 Lippincott Williams & Wilkins Chapter 6 The Skin in Health and Disease Martin Ponciano, LVN, MS, DSD.
Integumentary System What in the world is integument? Hint: Integument means covering!
Practical Approach to Dermatology Richard P. Usatine, M.D. Director of Medical Student Education UTHSCSA Department of Family and Community Medicine.
Integumentary Assessment Skin, Hair, and Nails Georgia Baptist College of Nursing Of Mercer University Mary M. Hudgins, RN, MSN Instructor.
Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Memmler’s The Human Body in Health and Disease 11 th edition Chapter 6 The Skin.
Infectious Diseases of the Skin CLS 212: Medical Microbiology.
1 INTEGUMENTARY SYSTEM FUNCTION 1) Protection: 2) Secretion & Excretion: 3) Sensation 4) Temperature Regulation.
THE INTEGUMENTARY SYSTEM BURNS SKIN CANCER. Layers of the Skin Epidermis Stratum Corneum Stratum Lucidum Stratum Granulosum Stratum Spinosum
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Integumentary System. Classifications of Body Membranes 2 Main Categories of Body Membranes: Epithelial membranes – epithelial & connective tissue Connective.
Chapter 26 The Integumentary System. Copyright ©2012 Delmar, Cengage Learning. All rights reserved. The Skin.
Review Integumentary System. Review The skin performs five important functions for the body, what are they? 1. Protection(against invasion) 2. Perception(in.
NOTES – INTEGUMENTARY SYSTEM PART 3. Which layer of the Integumentary System is mostly loose connective tissue and adipose tissue? The hypodermis is mostly.
Which of the following is another name for the skin? Integument. cutaneous membrane.
Chapter 16 Diseases of the Integumentary System. Elsevier items and derived items © 2009 by Saunders, an imprint of Elsevier Inc. 1 Structure and Functions.
Copyright 2010 The McGraw-Hill Companies, Inc. Permission required for reproduction or display 3-1 PowerPoint to accompany Essentials of Medical Language.
3 Lesson 3.1: Body Membranes Lesson 3.2: The Integumentary System Lesson 3.3: Injuries and Disorders of the Skin Membranes and the Integumentary System.
Diseases/Disorders of the Integumentary system Ms. Susan Chabot.
Integumentary System Skin, Hair, and Nails. Layers of the Skin!!! FIRST the EPIDERMIS… 1.Stratum Corneum- Outer layer of epidermis. Made of hard nonliving.
QUIZ 1. The main part or foundation of a word 2. The plane that separates the front from the back. 3. Tissues combine to form these 4. Suffix meaning inflammation.
© 2017 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
INTEGUMENTARY SYSTEM Chapter 5. THE INTEGUMENT AND ITS RELATIONSHIP TO MICROORGANISMS Most skin bacteria are associated with hair follicles or sweat glands.
Integumentary System. Classifications of Body Membranes 2 Main Categories of Body Membranes: Epithelial membranes – epithelial tissue & underlying fibrous.
Essential Questions: What are the functions of the integumentary system? What are some disorders of the integumentary system? How are integumentary system.
Skin Disorders. Athlete’s Foot Athlete’s Foot- (Tinea pedis)- fungus infection Usually in the skin of the toes and the soles of feet. Itching, stinging.
HTHS 1101 Chapter 3 The Integumentary System – Dermatology.
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© 2012 Milady, a part of Cengage Learning Milady Standard Cosmetology Skin Disorders and Diseases.
Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc., an affiliate of Elsevier Inc. 1 CHAPTER 10 INTEGUMENTARY SYSTEM.
The Integumentary System SKIN HAIR NAILS. Skin Diagram Draw and color a cross-section diagram of the skin. Label and briefly describe each of the.
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