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Medical Terminology A Living Language CHAPTER Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht SIXTH EDITION Integumentary System 3
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary System at a Glance Functions of Integumentary System Two-way protective barrier Temperature regulation Houses sensory receptors Secretes important fluids continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary System at a Glance Organs of Integumentary System Skin Hair Nails Sebaceous glands Sweat glands
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary System Illustrated
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary Combining Forms albin/o – white cry/o – cold cutane/o – skin derm/o – skin dermat/o – skin diaphor/o – profuse sweating continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary Combining Forms electr/o – electricity erythr/o – red hidr/o – sweat ichthy/o – scaly, dry kerat/o – hard, horny leuk/o – white lip/o – fat melan/o – black continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary Combining Forms myc/o – fungus necr/o – death onych/o – nail pedicul/o – lice phot/o – light py/o – pus rhytid/o – wrinkle scler/o – hard continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary Combining Forms seb/o – oil system/o – system trich/o – hair ungu/o – nail vesic/o – bladder xer/o – dry
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary System Suffixes –dermaskin condition
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary System Prefixes allo–other, different from usual xeno–foreign
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Anatomy and Physiology of the Integumentary System Skin Accessory organs Sweat glands Sebaceous glands Hair Nails
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Anatomy and Physiology of the Integumentary System Largest organ in body Weighs more than 20 pounds (in adult) Skin also called: Integument Cutaneous membrane
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Functions Protection House nerve receptors Secrete fluids Regulate temperature
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Protection Primary function Forms 2-way barrier Keeps out pathogens and harmful substances Prevents critical body fluids from escaping Protects underlying tissues
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Sensory Receptors Located within middle layer of skin Detect: Temperature Pain Touch Pressure Nerve endings convey messages to brain and spinal cord
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Fluids Produced Sweat glands: Assist body in maintaining internal temperature Create cooling effect when sweat evaporates Sebaceous glands: Oil glands Produce sebum Lubricates the skin surface
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Temperature Regulation To cool skin: Sweat evaporation Dilate superficial blood vessels to release heat To conserve heat: Constrict superficial blood vessels to keep warm blood away from surface Continuous fat layer acts as insulation
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved The Skin Three layers Epidermis – thin, outer membrane layer Dermis – middle, fibrous connective tissue layer Subcutaneous layer – innermost layer of fatty tissue
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.1 Skin structure, including the three layers of the skin and the accessory organs: sweat glands, sebaceous glands, and hair.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Epidermis Composed of stratified squamous epithelium Flat scale-like cells Arranged in overlapping layers called strata continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Epidermis Has no blood supply or connective tissue Depends on deeper layers of skin for nourishment Basal layer The deepest layer
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Basal Layer of Epidermis Cells continuously grow and push old cells toward surface During this process Cells shrink, die, and fill with hard protein called keratin Keratinized cells allow skin to act as barrier to infection continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Basal Layer of Epidermis Melanocytes Special cells of basal layer Produce black pigment melanin Gives skin color Protects against ultraviolet rays of sun
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.2 Photomicrograph showing the three layers of the skin. (Jubal Harshaw/Shutterstock)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Dermis Also called corium Located between epidermis and subcutaneous layer Name means "true skin" Is living tissue with very good blood supply continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Dermis Composed of: Connective tissue and collagen fibers Strong fibrous proteins give dermis flexible strength
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Dermis Houses: Hair follicles Sweat glands Sebaceous glands Blood vessels Lymph vessels Sensory receptors Nerve fibers Muscle fibers
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Subcutaneous Layer Also called hypodermis Third and deepest layer Composed of fat cells called lipocytes Protects the deeper tissues of body Acts as insulation for heat and cold
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Accessory Organs Located within dermis Include: Hair Nails Sweat glands Sebaceous glands
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Hair Hair follicle Hair root Hair shaft Arrector pili muscle continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Hair Grows longer from the root Deep cells of hair root force older cells to move upward This forms hair shaft Grows towards surface within hair follicle Melanin gives hair its color continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Hair Arrector pili Slip of smooth muscle Causes hairs to "stand up"
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.3 Structure of a hair and its associated sebaceous gland.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Nails Nail body Flat plate of keratin Nail bed Connects nail body to underlying tissue Lunula Half-moon white area at base of nail continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Nails Grow longer from nail root Cuticle Soft tissue that covers nail root Free edge Exposed edge
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.4 External and internal structures of nails.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Sebaceous Glands Open into hair follicles Secrete the oil sebum Lubricates hair and skin Prevents drying and cracking
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.3 Structure of a hair and its associated sebaceous gland.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Sweat Glands Also called sudoriferous glands Coiled gland in dermis Sweat travels to surface in sweat duct Sweat pore – surface opening
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.1 Skin structure, including the three layers of the skin and the accessory organs: sweat glands, sebaceous glands, and hair.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Sweat Glands 2 million throughout body Sweat or perspiration Cools body as evaporates Contains small amount of waste product Normal colorless and odorless Apocrine glands Found in pubic and underarm areas Thicker sweat that can produce an odor
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms albin/o – white angi/o – vessel bas/o – the base bi/o – life carcin/o – cancer cauter/o – to burn chem/o – chemical cis/o – to cut continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms cortic/o – outer layer cry/o – cold cutane/o – skin cyt/o – cell derm/o – skin dermat/o – skin electr/o – electricity erythr/o – red continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms esthesi/o – feeling hem/o – blood hidr/o – sweat ichthy/o – scaly, dry kerat/o – hard, horny leuk/o – white lip/o – fat melan/o – black continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms myc/o – fungus necr/o – death onych/o – nail pedicul/o – lice phot/o – light py/o – pus rhytid/o – wrinkle sarc/o – flesh continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Combining Forms scler/o – hard seb/o – oil septic/o – infection system/o – system trich/o – hair ungu/o – nail vesic/o – sac xer/o – dry
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Suffixes -al pertaining to -dermaskin condition -ectomy surgical removal -emia blood condition -ia state, condition -iasisabnormal condition -ic pertaining to -ism state of continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Suffixes -itis inflammation -logy study of -malacia softening -oma mass -opsyview of -osis abnormal condition -ous pertaining to -phagia eating continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Suffixes -plasty surgical repair -rrhea discharge -tic pertaining to -tomeinstrument to cut -ule small
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Prefixes allo-other an- without anti- against auto- self de- without epi- upon hyper- excessive continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Additional Prefixes hypo- under intra- within para- beside sub- under xeno-foreign
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Anatomical Terms cutaneousPertaining to the skin dermalPertaining to the skin epidermalPertaining to upon the skin hypodermicPertaining to under the skin intradermalPertaining to within the skin subcutaneousPertaining to under the skin ungualPertaining to the nail
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Anatomical Terms Epidermal Pertaining to above the skin Hypodermic Pertaining to under the skin + derm/o+ -alepi- + derm/o + -ichypo- continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Anatomical Terms Intradermal Pertaining to within the skin Subcutaneous Pertaining to under the skin + derm/o+ -alintra- + cutane/o+ -oussub-
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Medical Specialties Dermatology (DERM, derm) Branch of medicine involving diagnosis and treatment of conditions and diseases of the integumentary system. Physician is a dermatologist. Plastic surgery Surgical specialty involved in repair, reconstruction, or improvement of body structures such as the skin that are damaged, missing, or misshapen. Physician is a plastic surgeon.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms abrasionfriction scraping away skin surface anhidrosiscondition of producing no sweat comedo hardened sebum in hair follicle; blackhead contusion injury caused by a blow; causes swelling, pain, and bruising cystfluid-filled sac under skin
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.5 Cyst.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms depigmentationloss of normal skin color diaphoresisprofuse sweating ecchymosis blood collecting under skin following blunt trauma; a bruise erythemared flushing of skin erythrodermahaving reddened or flushed skin eschar thick layer of dead tissue develops over a deep burn area
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.6 Male lying supine with large ecchymosis on lateral rib cage and shoulder. (Michal Heron, Pearson Education)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms fissurecrack-like lesion on skin hirsutismexcessive hair growth hyperemia redness of skin due to increased blood flow hyperhidrosisexcessive sweating hyperpigmentationabnormal amount of pigmentation ichthyodermascaly and dry skin lesion general term for injury or abnormality
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.7 Fissure.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms leukodermawhite skin from lack of skin pigment lipomafatty mass maculeflat, discolored spot on skin necrosiscondition of cell or tissue death nevus pigmented skin blemish, birthmark, or mole; usually benign nodulefirm, solid mass larger than 0.5 cm onychomalaciasoftening of nails
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.8 Macule.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.9 Nodule.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms pallorabnormal paleness of skin papule small, solid raised spot smaller than 0.5 cm petechiae spots from minute hemorrhages under skin photosensitivityskin reacts abnormally to light pruritussevere itching purpura skin hemorrhage due to fragile blood vessels
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.10 Papule.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.11 Petechiae, pinpoint skin hemorrhages. (Dr. P. Marazzi/Science Source)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.12 Purpura, hemorrhaging into the skin due to fragile blood vessels. (Scimat/Science Source)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms purulent infection producing pus; dead bacteria, white blood cells, and tissue debris pustuleraised spot on skin containing pus pyodermahaving pus on or within the skin sclerodermahardened skin seborrheaoily discharge suppurativecontaining or producing pus ulceropen sore in skin
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.13 Pustule.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.14 Ulcer.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Signs and Symptoms urticaria hives; eruption of wheals with severe itching vesiclesmall, fluid-filled, raised spot; blister wheal small, round, swollen area; typical of allergic skin reaction xerodermaabnormally dry skin
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.15 Vesicle.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.16 Wheal.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Signs and Symptoms Terms Lipoma Fatty mass or tumor Cyanosis Abnormal condition of being blue lip/o+ -oma cyan/o+ -osis continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Signs and Symptoms Terms Erythroderma Red skin condition Oncchomalacia Softening of the nail erythr/o+ -derma onych/o+ -malacia
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skin abscesscollection of pus in skin acne inflammation of sebaceous glands and hair follicles with papules and pustules acne rosacea chronic form of adult acne with redness and tiny pimples, primarily on nose acne vulgaris common form of teenage acne with comedo, papules, and pustules albinism genetic condition; unable to make melanin; white hair and skin, and red eyes
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skin basal cell carcinoma cancerous tumor in basal cell layer; common cancer; rarely metastasizes burn skin damage caused by fire, electricity, ultraviolet light, or caustic chemicals; percentage of skin burned is estimated by Rule of Nines
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.17 Basal cell carcinoma. A frequent type of skin cancer that rarely metastasizes. (Center for Disease Control)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.18 Comparison of the level of skin damage as a result of the three different degrees of burns. (bojan fatur/Getty Images; ©English/Custom Medical Stock Photo; Dr.M.A. Ansary/Science Source)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.19 Rule of Nines. A method for determining percentage of body burned. Each differently colored section represents a percentage of the body surface. All sections added together will equal 100%.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved First Degree Burn First degree burn skin reddened and painful; no blisters; damage to epidermis
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Second Degree Burn Second degree burn skin reddened and painful with blisters; damage to epidermis and dermis
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Third Degree Burn Third degree burn skin charred; epidermis and dermis burned away; subcutaneous layer exposed
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Pathology of the Skin cellulitis diffuse acute infection of connective tissue of skin cicatrixnormal scar decubitus ulcer (decub) open sore caused by pressure over bony prominences; caused by loss of blood flow to skin dermatitisinflammation of the skin dermatosispresence of a skin condition
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Pathology of the Skin dry gangrene late stages of gangrene; affected area becomes dried, blackened, and shriveled eczema superficial dermatitis; redness, vesicles, itching, and crusting gangrenetissue necrosis due to loss of blood flow ichthyosisskin becomes dry, scaly, & keratinized impetigo highly infectious bacterial infection with pustules that rupture and crust over Kaposi's sarcoma skin cancer seen in AIDS patients; brownish-purple lesions
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.20 Impetigo, a highly contagious bacterial infection. (Biophoto Associates)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Pathology of the Skin keloidthick hypertrophic scar keratosis condition of excessive growth and thickening of epidermis layer lacerationtorn or jagged wound malignant melanoma (MM) dangerous form of cancer; begins in melanocytes; quickly metastasizes pediculosislice infestation psoriasis chronic inflammatory condition with papules forming "silvery scale" patches
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.21 Keloid.
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.22 Malignant melanoma. This photograph demonstrates the highly characteristic color of this tumor. (National Cancer Institute)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.23 Psoriasis. This photograph demonstrates the characteristic white skin patches of this condition. (phasinphoto/Shutterstock)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Pathology of the Skin rubella contagious viral infection; German measles scabiesmite infestation sebaceous cyst sebum filled sac forms around sebaceous gland squamous cell carcinoma (SCC) cancer of epidermis layer; may invade deeper tissue and metastasize strawberry hemangioma congenital collection of dilated blood vessels; birthmark
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.24 Squamous cell carcinoma. (National Cancer Institute)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.25 Strawberry hemangioma, a birthmark caused by a collection of blood vessels in the skin. (SPL/Science Source)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Pathology of the Skin systemic lupus erythematosus (SLE) chronic disease of connective tissue; injures skin, joints, & kidneys; produces red, scaly butterfly rash across face tineafungal infection; itching & scaling lesions tinea capitisfungal infection on scalp; ringworm tinea pedisfungal infection of foot; athlete's foot varicellacontagious viral infection; chickenpox verrucawarts; benign growth caused by virus
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.26 Varicella or chickenpox, a viral skin infection. In this photograph, the rash is beginning to form scabs. (Beneda Miroslav/Shutterstock)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Pathology of the Skin vitiligo disappearance of pigment from skin in patches; causes milk-white lesions wet gangrene area of gangrene with secondary bacterial infection and pus
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Pathology of the Hair alopeciaabsence or loss of hair; baldness carbunclefuruncle involving several hair follicles furuncle bacterial infection of hair follicle; redness, pain, and swelling; a boil trichomycosisfungal infection of hair
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Pathology of the Nails onychiainfected nail bed onychomycosisfungal infection of nail onychophagianail biting paronychiainfection of skin fold around nail
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.27 Paronychia. (Scott Camazine/Getty Images)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Pathology Terms Dermatitis Inflammation of the skin Trichomycosis Abnormal condition of nail fungus dermat/o+ -itis trich/o+ -osis+ myc/o continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Pathology Terms Hemangioma Blood vessel tumor Melanoma Black tumor hem/o+ -oma+ angi/o melan/o+ -oma
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Clinical Laboratory Tests culture and sensitivity (C&S) grows bacteria removed from infected area to identify infecting bacteria; then determines sensitivity to various antibiotics
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Biopsy Procedures biopsy (BX, bx) removal of piece of tissue to examine under a microscope; aids in diagnosis exfoliative cytology scraping cells from tissue to examine under microscope frozen section (FS) thin piece of tissue is cut from frozen specimen for rapid examination under microscope fungal scrapings scrapings from lesion is cultured and then examined under microscope
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Diagnostic Terms Biopsy View of life Cytology Study of cells bi/o+ -opsy cyt/o+ -logy
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skin Grafting allograft skin graft from one person to another; also called homograft autograft skin graft from a person's own body dermatome instrument for cutting skin or for producing thin transplants of skin dermatoplastyskin grafting
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Figure 3.28 A freshly applied autograft. Note that the donor skin has been perforated so that it can be stretched to cover a larger exposed area. (Bob Ingelhart/Getty Images)
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Skin Grafting skin graft (SG) transfer of skin from normal area to cover another site xenograft skin graft from an animal of another species; usually a pig; also called heterograft
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Surgical Procedures cauterization destruction of tissue by using chemicals, electricity, heat, or freezing cryosurgery use of extreme cold to freeze and destroy tissue curettage removal of superficial skin lesion with a scraper (curette) debridement removal of foreign material & dead or damaged tissue from wound continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Surgical Procedures electrocautery using an electric current to destroy tissue incision and drainage (I&D) making an incision to drain material such as pus onychectomysurgical removal of a nail
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Plastic Surgery chemabrasion abrasions using chemicals; chemical peel dermabrasion abrasion using wire brushes or sandpaper; removes scars, tattoos laser therapy removal of lesions using a laser beam liposuction removal of fat beneath skin by means of suction rhytidectomy surgical removal of excess skin to eliminate wrinkles; face lift
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Building Surgical Terms Dermatoplasty Surgical repair of the skin Onychectomy Surgical removal of a nail Rhytidectomy Surgical removal of wrinkles dermat/o+ -plasty onych/o+ -ectomy rhytid/o+ -ectomy
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary Pharmacology anestheticdeaden pain Xylocaine, Novocain antibiotickill bacteriaNeosporin antifungalkill fungiMonistat, Lotrimin antiparasitickill mites or liceKwell, Nix continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary Pharmacology antipruritic reduce severe itching Benadryl, Caladryl antiseptickill bacteria isopropyl alcohol, hydrogen peroxide anti-viral Valtrex, Famvir, Zovirax corticosteroid cream powerful anti- inflammatory Cortaid; Kenalog
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary Abbreviations BCCbasal cell carcinoma BX, bxbiopsy C&Sculture and sensitivity decubdecubitus ulcer Derm, dermdermatology FSfrozen section continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary Abbreviations I&Dincision and drainage IDintradermal MMmalignant melanoma SCCsquamous cell carcinoma SGskin graft continued on next slide
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Integumentary Abbreviations SLEsystemic lupus erythematosus STSGsplit thickness skin graft Subc, Subqsubcutaneous UVultraviolet
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Medical Terminology: A Living Language, Sixth Edition Bonnie F. Fremgen | Suzanne S. Frucht Copyright © 2016, 2013, 2009 by Pearson Education, Inc. All Rights Reserved Combining Forms Match Up 1.albin/o 2.cyan/o 3.erythr/o 4.melan/o 5.phot/o a.red b.blue c.white d.black e.light
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