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WEEK 2 STUDY GUIDE
THE SKIN
| Question | Answer |
|---|---|
| WHY IS SKIN CONSIDERED AN ORGAN? | BECAUSE IT'S ALIVE |
| WHAT PERCENTAGE OF BODY WEIGHT IS YOUR SKIN? | 10% |
| HOW MANY ORGANS DOES SKIN HAVE? | 3 |
| WHAT ARE THE THREE ORGANS? | EPIDERMIS, DERMIS, SUBCUTANEOUS |
| EPIDERMIS | CONTAINS MELANOCYTES AND IS RESPONSIBLE FOR CONTAINS MELANOCYTES FOR PIGMENTATION AND COLOR. THIS IS THE THINEST LAYER OF SKIN. |
| DERMIS | CONTAINS COLOGEN, ELASTEN, AND FIBROBAST. RESPONSIBLE FOR MAINTAINING BODY TEMPERTURE. MIDDLE LAYER OF SKIN. |
| SUBCUTANEOUS | ALSO CALLED HYPODERMIS CONTAINS ADIPOST OR FATTY TISSUE AND CONNECTIVE TISSUE. THE INNER MOST LAYER. |
| HOW MANY KNOW SKIN PROBLEMS ARE THERE? | MORE THAN 1000 KNOWN COMMON PROBLEMS |
| HOW MANY CATEGORIES ARE THERE? | 9 |
| WHAT IS THE MOST COMMON SKIN PROBLEM? | RASH |
| ACNE | INFLAMMATION OF SKIN USUALLY ON FACE OR NECK CAUSED BY INCREASED ACTIVITY OF SUBCUTANEOUS GLANDS THAT SECRETE OIL AND AIDS IN THE BODY'S DEFENSE AGAINST BACTERIA USUALLY DURING PUBERTY OR HORMONAL CHANGE. |
| ACNE TREATMENT | BENZOYL PEROXIDE (TOPICAL), TETRACYCLINE (ORAL ANTIBOTIC), ZITHROMAX (INJ.) |
| COMMON FUNGAL INFECTIONS | CANDIDIASIS, RING WORMS, ALTHELE'S FOOT |
| CANDIDIASIS | USUALLY SHOWS UP AS THRUSH OR A VAGINAL YEAST INFECTION |
| RING WORMS | CAUSED BY MICOSCOPIC FUNGIS THAT GETS UNDER THE TOP LAYER OF SKIN AND/OR NAILS |
| ALTHELE'S FOOT | OCCURS WHEN THERE IS TOO MUCH MOISTURE ON THE FEET FOR A LONG PERIOD OF TIME. CAN OCCUR IN OTHER PLACES OTHER THEN FEET. |
| HOW MANY CATEGORIES OF FUNGIS ARE THERE? | 3 |
| WHAT ARE THE 3 CATEGORIES OF FUNGIS? | SYSTEMIC MYCOSES, MUCOCUTANEOUS INFECTIONS, MUCOCUTANEOUS ZONE |
| SYSTEMIC MYCOSES | IF FUNGIS THAT AFFECTS THE ENTIRE BODY INTERNALLY AND EXTERNALLY IN MORE THAN ONE AREA AT A TIME. PATIENTS WITH LOW IMMUNE SYSTEM IS MORE PROWN TO THIS FUNGIS. CAN ALSO CAUSE DEATH. |
| MUCOCTANEOUS INFECTION | AFFECTS REGION OF SKIN CONTAINING BOTH MUCOCSA AND CUTANOUS SKIN. THIS IS WHERE EXTERNAL SKIN STOPS AND INTERNAL SKIN BEGINS. MUCOSA INSIDE SKIN, CUTANOUS OUTSIDE SKIN. |
| MUCOCTANEOUS ZONE | THIS ZONE IS FOUND BY THE EYE, TIP OF PENIS, VALVA, AND PERIANAL ZONE. |
| PURITIS | WHEN YOUR BODY RELEASES THE CHEMICAL HISTAMINE WHEN YOU HAVE AN ALLERGIC REACTION. |
| URTICARIA | HIVES THAT PRODUCE SYSTEMIC ITCHY WHEALS |
| PHOTOSENSITIVITY | IS CAUSED BY MANY DIFFERENT MEDS. SENSITIVITY TO LIGHT AND YOU SUN BURN EASILY. |
| PHOTOTOXICITY | IS A PROPERTY OF SOME CHEMICALS USED IN MEDICATIONS THAT WHEN EXPOSED TO LIGHT BECOME TOXIC TO THE CELLS. |
| EX. OF MEDS THAT CAUSE PHOTOSENSITIVITY | ACE INHIBITORS-ALL, ANTIBIOTIC-GRIFULVIN (GRISOFULVIN), QUINOLONES (CIPRO, LEVAQUIN, ECT.), SULFA MEDS (BACTRIM SMZ-TMP), TCN ANTIBIOTICS (TETRACYCLINE), ANTIDEPRESSANTS- CLOMIPRAMINE, MABROTILINE, ZOLOFT (SERTRALINE), TCA (TRICYCLINE ANTIDEPRESSANTS) |
| MEDS THAT CAUSE PHOTOSENSITIVITY CONT. | ANTIHISTAMINES-BENADRYL (DIPHENHYDRAMINE), CYPROHEPTADINE, CARDIOVASCULAR DRUGS-AMIODARONE, CARDIAZEM (DILTIAZEM), QUINIDINE, ZOCOR (SIMVASTATIN), SOTALOL (BATACAPE), ANTIPSYCHOTICS-GIDONE, CHEMOTHERAPEUTIC AGENTS- ALL, DUIRECTICS- LASIX (FUMOSIDE), |
| MEDS CONT. | HYPOGLYCEMICS-SULFONYLUREAS, NSAIDS-ALL |
| RASH | CONDITION CHARATERIZED BY REDNESS AND INFLAMMATION, MOST COMMON TYPE OF RASH IS AN ALLERGIC REACTERION |
| WHO PRESCRIBS CREAMS AND WHY? | DOCTORS PRESCRIB CREAMS TO TREAT WET, OOZING, LISIONS |
| WHO PRESCRIBS OINTMENTS AND WHY? | DERMOTOLOGIST PRESCRIB OINTMENTS TO TREAT DRY SKIN PROBLEMS. |
| CREAMS AND OINTMENTS | THEY ARE NOT THE SAME AND THEY CAN NOT BE INTERCHANGEABLE. CHANGING COULD CAUSE TREATMENT FAILURE. |
| ECZEMA | IS AN INFLAMMATORY SKIN CONDITION WHICH CAUSES ITCHING, REDNESS, OOZING, AND BLUSTERING. |
| WHAT IS AN IMMUNOMODULATOR? | ANY AGENT THAT AFFECTS THE IMMUNE SYSTEM IN ANY WAY. GOOD OR BAD. |
| WHAT ARE THE 2 NEWLY FDA APPROVED DRUGS FOR ECZEMA? | ELIDEL (PRIMCROLIMS) CREAM TREATS MILD TO MODERATE ATOPIC ECZEMA AND PROTOPIC (TACROLIMUS) OINTMENT WHICH TREATS SEVER ECZEMA |
| PSORISIS | CHRONIC NONCONTAGIOUS CONDITION IN WHICH EPIDERMIS CELLS MULITPLY AND DIE AT AN EXCESSIVE RATE CAUSING RED AND SCALY SKIN. OCCURS DUE TO GENETICS, INJURY, ILLNESS AND EMOTIONAL STRESS. |
| TREATMENTS | AMEVIVE (ALEFACEPT) IM OR IV INFUSION, REMICADE (INFLIZIMAB) IV INFUSION, ENBREL (ETANERCEPT) SC, INJ, PAPTIVA (EFALIZUMAB) SC, INJ Q WEEK, ORAL ELIDEL (PIMECVOLIMUS) 20MG-30MG PO BID |
| DANDRUFF | SHEDING OF SKIN FROM SCALP. |
| TREATMENT | SELENIUM SULFIDE IS THE ACTIVE INGREDIENT IN ALL TREATMENTS |
| ROSACEA | CHRONIC DISORDER WITH AN INFLAMMATORY VESCULAR COMPONENT TRIGGERED BY STRESS, HOT DRINKS, SPICY FOODS, ALCHOLO, TEMP. |
| TREATMENT | ANTIMYCROBIOLS (TOPICAL), AZELEX (ORAL MED), ORACEA |
| SHINGLES, HERPES, CHICKEN POX, COLD SORES, AND WARTS ARE CAUSED BY WHAT VIURS? | EPSTEIBARR VIRUS |
| TREATMENT | ACLOYVIR, ZOVIRAX ORALLY, TOPICAL, OR IV |
| MITES | USE HUMAN BODY AS HOST |
| LICE | WINGLESS INSECTS THAT LIVE ON VARIOUS ANIMALS AND HUMANS. HUMAN BLOOD IS ITS SOURCE OF NURISHMENT. VERY CONTAGIOUS. |
| SCABIES | START ON THE SURFACE OF BODY AND BARRELS SERVERAL LAYERS INTO THE SKIN UNTIL TREATED. |
| PEDICULOSIS | MEANS INFESTATION WITH LICE. THERE ARE THREE TYPES OF LICE HEAD, BODY AND PUBIC. |
| TREATMENT | EURAX (CROTAMITON) CREAM, LOTION, LINDANE SHAMPOO LOTION VERY TOXIC SHOULD ONLY USE ONCE, ELMITE (PERMETHRIN) CREAM, LOTION, RID, NIX |
| BURNS | CAN BE CHARATERIZED BY CAUSE AND CLASSIFIED BY DEGREE. |
| HOW MANY TYPES OF BURNS ARE THERE? | 5 |
| WHAT ARE THE TYPES OF BURNS? | THERMAL, CHEMICAL, ELETRICAL, FRICTION, SUNBURN |
| THERMAL | HEAT OR FIRE EX. BOILING WATER |
| CHEMICAL | CONTACT WITH ACID EX. CONCRETE, BLEACH, BATTERY ACID |
| ELECTRICAL | CONTACT WITH ELECTRICAL CURRENT |
| FRICTION | HARSH RUBBING OF SKIN |
| SUNBURN | SUN |
| HOW MANY DEGREE'S OF BURN ARE THERE? | 4 |
| 1ST DEGREE | LIMITED DAMAGE TO EPIDERIMIS, REDNESS AND PAIN |
| 2ND DEGREE | DAMAGE TO EPIDERMIS AND DERIMIS, REDNESS AND BLISTERING MILD AND MODERATE EDEMA |
| 3RD DEGREE | DESTRUCTION OF EPIDERMIS, DERIMIS, AND SUBCOUTENOUS TISSUE. HAS LEATHERY DRY WHITE, BLACK, OR CHERRY RED APPEARENCE. NO BLISTERING OCCURS CONSIDERED CRITICLE |
| 4TH DEGREE | TOTAL DESTRUCTION OF ALL SKIN TISSUE, LIGMENTS, MUSCLE TENDENTS, BONES, CRITICLE TO FATAL IN NATURE. |
| BODY SURFACE AREA THE RULE OF 9 | USED TO ESTIMATE BSA THAT HAS BEEN BURNED USING PERCENTAGE DEPENDING ON WHERE YOU'RE BURNED. |
| ACTINIC KERATOSIS | PRECANCEROUS CONDITION RESULTING FROM OVER EXPOSURE TO SUNLIGHT |
| BASIL CELL CARCINOMA | SLOW GROWING, RARELY METASTASIZES (SPREAD), CAN BE REMOVED, FOUOND IN OVER THE ROAD (OTR) TRUCK DRIVERS B/C ONE PART OF THEIR BODY IS ALWAYS IN THE SUN. |
| KERATOACANTHOMA | AN EPITHELIAL TUMOR THAT GROWS RAPIDLY THEN HEALS ON ITS OWN. |
| MELANOMA | AN HIGHLY MALIGNANT CANCER THAT FORMS FROM MELENO SITES AND SUNBURN INCREASES RISK. |
| SQUAMOUS CELL | MOST RAPID GROWING SKIN CANCER, MATASIS IS UNCOMMON |
| TREATMENT | RETONOID COMPOUNDS, SIDE EFFECT IS INTENSE ERYTHEMA OCCURS AT THE BEGINING OF TREATMENT. |
| OTHER TREATMENTS | HYDROCORTIZONE, LIDICANE ALOE GEL |