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CPC-Integumentary
CPC Study - Integumentary System
| Question | Answer |
|---|---|
| How many layers make up the skin? | 2 - epidermis, dermis |
| Layers of the dermis: | papillare, reticulare |
| Outer layer of epidermis: | stratum corneum |
| Deepest layer of epidermis: | basal layer |
| Hypodermis | fat tissue and fibrous connective tissue connecting skin to underlying muscle |
| Another name for superficial fascia: | hypodermis |
| Lunula | white area at base of nail plate (growth area) |
| Eponychium | narrow band of epidermis at base and sides of nail (cuticle) |
| Paronychium | soft tissue around nail border |
| Types of glands: | sebaceous (lubricate skin, hair), sudoriferous (sweat glands) |
| Homograft or Allograft | same-species graft |
| Anhidrosis | deficiency of sweat |
| Autograft | graft from patient's own body |
| Causalgia | burning pain |
| Delayed Flap | pedicle of skin with blood supply that is separated from origin over time |
| Epidermolysis | loosening of epidermis |
| Epidermomycosis | superficial fungal infection |
| Epithelium | surface covering of internal and external organs of body |
| Erythema | redness of skin |
| Escharotomy | surgical incision into necrotic tissue |
| Furuncle | nodule in skin caused by staphylococci entering through hair follicle (boil) |
| Hematoma | localized collection of blood |
| Ichthyosis | scaling of skin |
| Island pedicle flap | contains a single artery and vein that remains attached to origin temporarily or permanently |
| Leukoderma | depigmentation of skin |
| Leukoplakia | white patch on mucous membrane |
| Lipocyte | fat cell |
| Lipoma | fatty tumor |
| Melanin | dark pigment of skin |
| Melanoma | tumor of epidermis, malignant and black in color |
| Mohs' Micrographic Surgery | removal of skin cancer in layers by a surgeon who also acts as a pathologist during surgery |
| Neurovascular Flap | contains artery, vein, nerve |
| Pedicle | growth attached with a stem |
| Sebum | oil |
| Free full-thickness graft | graft of epidermis and dermis completely removed from donor area |
| split-thickness graft | graft of epidermis and some of dermis |
| Steatoma | fat mass in sebaceous gland |
| Subungual | beneath nail |
| Xanthoma | yellow, fatty tumor |
| Xenograft | different species graft |
| Xeroderma | dry, discolored, scaly skin |
| Macule | flat area of color change (freckle, flat mole) |
| Papule | solid elevation (wart, lichen planus, mole) |
| Nodule | solid elevation 1-2 cm in diameter (lipoma, enlarged lymph nodes) |
| Pustule | elevated area filled with purulent fluid (pimple, impetigo, abscess) |
| Tumor | solid mass (hemangioma, neoplasm, lipoma) |
| Plaque | flat elevated surface 1cm or greater (psoriasis, seborrheic keratosis) |
| Wheal | insect bite, allergic reaction |
| Vesicle | small blister (shingles, chickenpox) |
| Bulla | large blister |
| Scales | flakes of cornified skin |
| Crust | dried exudate on skin (scab) |
| Fissure | crack in skin |
| Erosion | loss of epidermis |
| Scar | excess collagen production following trauma |
| Atrophy | loss of some portion following trauma |
| Ulcer | area of destruction of entire epidermis |
| Define the stages of a pressure ulcer: | I erythema, II partial loss of skin, III full thickness loss of skin up to but not through fascia, IV full thickness loss with extensive destruction and necrosis |
| Keloid | sharply elevated, irregularly shaped scar that progressively enlarges |
| Cicatrix | scar |
| Types of exogenous atopic dermatitis: | irritant dermatitis, allergic contact dermatitis |
| Atopic dermatitis results in the activation of these cells: | mast cells, eosinophils, T lymphocytes, monocytes |
| Allergic contact dermatitis is most common in: | infants and children |
| Stasis dermatitis | dermatitis on legs from venous stasis |
| Psoriasis | chronic, relapsing, proliferating skin disorder (papulosquamous) |
| Pityriasis Rosea | self-limiting inflammatory disorder beginning with herald patch, progresses to circular lesions over the trunk and upper extremities |
| Lichen Planus | pink lesions that turn into violet-colored pruritic papules occuring on skin and mucous membranes |
| Types of acne vulgaris: | noninflammatory (whiteheads, blackheads), inflammatory (follicle walls rupture, pustules result) |
| Bacterial Impetigo | highly contagious pyoderma common in infants and children, caused by staphylococcus |
| Erysipelas | bright red and hot skin infection |
| Acute necrotizing fasciitis | virulent strain of gram-positive, A beta-hemolytic Streptococcus |
| Cold Sore | fever blisters on lips caused by Herpes simplex virus 1 |
| Shingles are caused by this virus: | varicella-zoster virus |
| Verrucae | warts |
| Warts are caused by this virus: | human papillomavirus |
| 4 types of tinea | tinea capitis, tinea corporis (ringworm), tinea pedis (athlete's foot), tinea unguium (onychomycosis) |
| Tinea | superficial skin infection |
| Seborrheic Keratosis | benign skin tumor - proliferation of basal cells, dark lesion on trunk or face |
| Actinic Keratosis | benign skin tumor - pigmented scaly patch caused by exposure to sun (pre-malignant) |
| Keratoacanthoma | benign skin tumor - occurs in hair follicles |
| Nevi | moles (benign skin tumor) |
| Squamous Cell Carcinoma | malignant skin tumor - grows wherever squamous epithelium is located |
| Basal Cell Carcinoma | malignant skin tumor - common, slow growing, easily treated |
| Where does a melanoma originate? | in melanocytes |
| Kaposi's Sarcoma | rare vascular skin cancer associated with AIDS (painful lesions appearing as purple papules) |