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Integumentary System


Integumentary System Also known as the skin, acts as a shield for the body and is considered the largest body system
Bx or bx Biopsy
C&S Culture & Sensitivity
Derm Dermatology
FS Frozen section
HSV Herpes simplex virus
ID Intradermal
I&D Incision and Drainage
KOH Potassium Hydroxide
sc or sub-q Subcutaneous
UV Ultraviolet
Unbundling Occurs when procedures are performed and services are separately coded and submitted to the insurance company for payment
Fragmenting Is a term used when several procedures are performed during one surgical encounter, and instead of one code to capture all services rendered, each service is broken out, or fragmented, and assigned its own code.
Excisional biopsy Is defined as a specimen that is sent for pathology, the specimen consists of the entire lesion with margins instead of a small sampling from a lesion left otherwise intact
Downcoding Occurs when a service performed can be reported by one code, when explains the service rendered, but the service is instead coded at a lower level to use additional codes
Epidermis Is the outermost layer of the skin. There are no blood vessels or connective tissue within the epidermis, so this layer of skin depends on lower layers for nourishment
Dermis Is the thick layer of tissue located directly below the epidermis
Subcutaneous Layer of skin connects the skin to the muscle surface
Aspiration Is a procedure in which fluid is surgically removed from the body
Fine needle aspiration Is a type of aspiration in which a very fine needle is inserted into the site, and fluid is drawn
Incision and Drainage Involves surgically cutting over the area to be drained and then withdrawing the fluid or draining it
Debridement Is a type of cleansing, it involves removal of dirt or foreign objects along with tissue that is necrotic or damaged in a way that hinders the healing process
Dermatome Is a cutting instrument, but the dermatome cuts slices of skin - the thickness is determined by the surgeon
Scalpel Is actually the handle part of a surgical knife
Hyperkeratotic lesions Overgrowth of skin
Biopsy Is a procedure in which a sampling of tissue is removed for pathological examination to differentiate between malignant and benign tissue
Skin tags Is a small lesion that can be brownish or flesh color and is raised away from the body
Shaving A lesion involves removal of a lesion from the epidermal or dermal layer by a transverse incision or slicing to remove epidermal and dermal lesions
Benign lesion Is one in which the cell growth is abnormal but not life- threatening
Malignant lesion Is one in which the abnormal cell growth is found to be cancerous
Metastasis When a malignant growth or tumor spreads from one part of the body into another part of the boby
Hematoma Is a collection of blood in a particular space or organ
Wedge excision Is a procedure where the physician excises skin in a area of the ingrown portion of the nail in the hopes of freeing the nail enough to relieve pain
Pilonidal cyst Is a closed sac, located in the sacrococcygeal area
Repair Is a surgical closure of an area that may have been injured as a result of trauma or surgery
Simple repair Is a one in which there is a simple, single-layer of a laceration that does not go any deeper than the subcutaneous tissue
Intermediate repair Repair of a laceration or a wound is defined as a repair of the epidermis, dermis, and subcutaneous tissue with a layered closure of one or more of the deepest layers of subcutaneous tissue and superficial (nonmuscle) fascia
Complex repair Requires more than a layered closure
Clean wound Has a very low infection rate and involves on inflammation or break in sterile technique
Clean-contaminated wound Has a low infection rate and involves a minor break in sterile technique, but no inflammation is present
Contaminated wounds Involve a major break in sterile technique, & acute nonpurulent inflammation is present
Dirty and infected wound Involves nonsterile conditions in which infection & inflammation are present
Adjacent tissue transfer Healthy tissue is manipulated or rearranged transferred from a site close to or next to an area that is open because of disease or injury
Pedicle flap Is a flap of skin that hangs on a stem of skin that contains a blood vessel
Donor site Is the area that provides the tissue used to make the repair
Gaft Is a section of tissue that is moved from one site to another in an effort to heal or repair a defect
Homograft (homologous graft) Involves tissue from an individual of the same species
Autogenous graft Where tissue is taken from one part of a person's body & put on another part of the same person's body
Heterodermic graft Where tissue from a different species is used for the repair
Split- skin or split-thickness graft Is one in which the tissue is about half or more of the thickness of the skin
Autograft Involves only one individual
Pinch graft Is a smaller form of autograft
Split-thickness autograft Contains only part of the dermal layer
Epidermal autograft Is a graft of the epidermal layer only
Dermal autograft Involves only the dermal tissue in the harvest process
Tissue-cultured epidermal autograft Where the tissue is harvested in a split-tissue autograft & the cultured tissue is grafted back to the donor
Acellular dermal replacement Is a skin substitute for areas that require a temporary closure
Full thickness graft Contains a portion pf both the epidermis & dermis of the donor site with a section that is equal, continuous, and totally free for transfer
Xenografts Made up of material that is nonhuman
Decubitus ulcer Is the result of continuous pressure in a area that eventually limits or stops the oxygen flow to the area, causing a sore
Osectomy Excising the ulcer & cleansing the area until viable tissue is found
Burn Injury to the body tissue that is a result of heat
1st degree burn Least severe burn
2nd degree burn Burns that forms blisters
3rd degree burn Burn goes to the subcutaneous skin layers
Escharotomy Removal of necrosed tissue
Destruction A procedure that totally destroys or removes something
Mohs mircographic surgery Is a type of chemosurgery
Mastectomy Is a excision of the breast or breast tissue
Melanocytes Cells that produce dark pigment
Melanoma Is a fast-growing cancer of the skin
Cutane Means "skin"
Carbuncles Occur when furuncles cluster and form a pus-filled sac
Cellulitis Type of infection that develops within the layers of the skin that can be a result of an ulcer, laceration, or wound
Abscess Is a localized collection of pus and indicates tissue destruction
Dermatitis Is a inflammation of the upper layer of the skin
Urticaria (hives) Is a skin disorder in which there are raised edermatous areas of skin accompanied by intense itching
Nails Are hardened cells of the epidermis
Hair Is a form of protection used by the body to keep foreign material from entering through the skin
Hirsutism Excessive hair growth
Alopecia The loss of hair
Sebaceous glands Are located in the skin & procedure an oily secretion that conditions the skin
Ulcers Are erosions of the skin in which the tissue becomes inflamed and then is lost
Created by: diasiar
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