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Alicia Beane-dermis
SKIN SKIN SKIN
| Question | Answer |
|---|---|
| The skin needs what in order to survive? | water and oxygen |
| The skin is prone to more than: | 1,000 common problems, all fall into 9 basic categories. |
| The most common skin problem is: | a rash |
| Epidermis contains what & is responsible for what? | contains melanocytes & is responsible for the color of the skin. It is also the thinest layer of skin. |
| The dermis is & contains what? | dermis is the middle layer & contains fibroblast. It is responsible for regulating body temp. |
| What do fibroblasts do? | produce proteins and collagen & elastin. |
| subcutaneous layer is is what? | hyperdomous, inner most layer & contains adipost (fat) tissue |
| Acne is | inflammation of the skin caused by increased activity of subcacous glands. |
| Subcaceous glands: | moisturize hair & is toxic to certain bacteria, occurs during puberty or hormonal changes. |
| Common meds for acne are: | benzoyl peroxide=topical, tetracycline=oral antibiotic, zithromax=inj. |
| Fungal Infections-most common: | most common fungal infection is candidiasis thrush(inside mouth) or vaginal yeast infection. Ex. jock-itch same thing as atheletes foot [tenapedis]Meds for fungal infections are: GoldsBond/bluestar=topical |
| Common Treatment for Fungus: | Lotrimin Ultra,Mentax(butenafine)-crm.Lamisil AT (terbinafine)-crm.Lotrimin (gyne-lotrimin(clotriaazole)-top./supp.(mycelex)trache(clotriamazole)-oral troche |
| 3 Categories for fungus: | #1 systemic mycoses-fungi infects entire body (intern. or extern.) or in more than 1 area, can cause death.#2-cutaneous skin & places where you have mucus. Ex. mouth, lips, around eyes, top of penis, vulva, perianal |
| puritis is | itching meds are: antihistamine, your body release the chemical histamine when you have an allergic reaction. |
| urticaria is | hives, which produce systemic wheals [the red spots] |
| atopic is | on top of the skin, only 1st of top layer. |
| photosensitivity is | caused by many medicines, which make you sensitive to light. Sunburn easily. |
| phototoxicity is | when exposed to light it becomes toxic to the cells. |
| Examples of meds that cause phototoxicity | All ACE inhibitors, corticosteroids, antibiotics-Grifuluin(griseofuluin), All Quinolones(cipro-ciprofloxacin), Sulfa Antibiotics-(SMZ-TMP), TCN's-tetracycline antibiotics, Anti-depressants-clomipramine, maprotiline, Zoloft (sertraline) |
| Contd. | TCS's(tricyclic antidepressant, antihistamines-cyproheptadine, benadryl(diphenhydramine), antipsychotics-geodon, cardiovascular-amiodarene, cardizem(dilitazem) Zocor(simvostatin), Betapace(sotalol) |
| Dermatitis=rash=inflammation of the skin (red) | Ex. poison ivy/oak. crms. are usually used to treat wet oozing lesions. eczema=blistering, oozing, red, itchyointments= [bactroban] |
| 4 eczema FDA has approved 2 meds: | atopic treatment=Elidel (primecrolimus) mild-moderate eczema. protopic treatment=tacrolimus severe eczema oint. |
| Psorisis is a chrnoic non contagious. Skin cells reproduce rapdily & also die quick but do not fall off causing patches(red). Caused by genetics, injury, or emotional stress. | Amevive(alefacept)-im iv remicade(infliximab)-iv Enbrel(etanercept)sc inj raptiva(efalizumab) sc inj q wk oral elide(pimcrolimus) 20-30 mg po bid |
| shingles, herpes, chicken pox, cold sores, & warts caused by the same virus: epsteinbarr virus. | treated by antivirals (acloyvir) zoviraxorally, top., or iv |
| Cold Sores | abreve (docosanol)(antiviral-like agent)herpes simplex 1=cold sores |
| Mites use humans as host, lice & scabies inhibit human body.lice are wingless insects, live on various animals. *contagious | . |
| Burn Types | thermal-heat/fire, boiling h20. chemical-acids/bases(bleach, insecticides).electrical-plugs, current. friction- harsh rubbing of skin, road rash, dermabrasion. sunburn-sun. |
| 1st degree2nd degree | 1st- limited damage to epidermis (red, pain) superficial burn.2nd-dam. 2 epidermis & dermis(red blister mild-mod. edema pain. mod burn) |
| 3rd degree4th degree | 3rd- destruction of epidermis, dermis, & subcutaneous tiss. (leathery, dry white, blk or cherry, no blistering, critical burn)4th- total destruction of all skin tissue , muscle, tendons, ligaments, and bones. critical to fatal in natural. |
| Rule of 9's | head 9%chest abdomen 18%upper/mid/lower back & buttocks 18%each arm 9%each leg 18%froin 1% |
| Precancerous & skin cancers | Actinic keratosis- precancerous condition resulting from over exposure to sun. basil cell cacrinoma- most common skin cancer. slow growing, rarelly metastasizes, Over the road truck drives are commonly known for this. |
| contd. | keratoacanthoma-an epithelial tumor that 1st grows rapid but usually regresses & heals.melanoma-malignant cancer forms from melanocytes, sunburn increases risk.squamous cell carcinoma- most rapid growing cancer. metastasis is uncommon. |
| Skin cancer Tx: | retinoid compoundshydrocortisone, lidocaine aloe gel & vitamin A, C, E also used. |