Tri - Rivers School of Practical Nursing
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Epidermis | *stratified squamous epitheilum
*normal flora
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What is normal flora? | normal bacteria
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What are the two layers of the epidermis? | *stratum corneum
*stratum germinativum
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Stratum Corneum | *outermost layer
*many layers of dead cells
*keratin is left
*"waterproof"
*barrier to microrganisms
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What makes the stratum corneum almost waterproof? | keratin
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Stratum Germinativum | *innermost layer
*mitosis takes place here
*cells have form of cholesterol
*has keratin - alive
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Where is cholesterol produced? | the liver
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What is cholesterol involved in the production of? | Vit. D
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What are the 4 cells of the epidermis? | keratinocytes, merkle cells, langerhan cells, melanocytes
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Keratinocytes | specialized - produce keratin
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Merkel cells (discs) | Sensory receptor - touch
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Langerhan cells | immunity
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Melanocytes | produce melanin - color (pigmentation)
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Dermis | *fibrous connective tissue (irregular)
*papillary layer
*hair / nail follicles
*receptors
*glands
*arterioles
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What is papillary layer? | top layer of dermis, has capillaries
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Structure of hair follicles | *root: mitosis takes place
*produces keratin & melanin
*arrector pili
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What is the arrector pili? | muscle, causes goosebumps
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Function of hair follicles | produces keratin and die, hair itself protects
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Structure of nail follicles | root is site of mitosis
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Function of nail follicles | Produces keratin& die, protects end of fingers and toes from mechanical injury
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What are the two types of receptors in the dermis? | pain: heat/cold
pressure/touch
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Free or encapsulated nerve ending? Pain - heat/cold | free
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Free or encapsulated nerve ending? Pressure/Touch | encapsulated
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Glands in the dermis | sebaceous, ceremonious, apocrine, eccrine
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Sebaceous gland | oil - sebum
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Functions of sebaceous gland | keep things moist, water barrier, protection
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Ceremonious gland | ear wax
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Apocrine glands | underarm,genitals
*secretions are thicker
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Eccrine glands | forehead, soles of feet, palms of hands
*thin / watery secretions
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Arterioles & capillaries | supplies O2, removes waste, helps with heat
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vasodialation | opens up veins
bp: lower
temp: lower
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vasoconstriction | tightens veins
bp: higher
temp: higher
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What are the two layers of the skin? | dermis, epidermis
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The stratum corneum is the....? | top layer
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Where does mitosis take place? | Stratum germinativuum, hair roots, nail roots
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The dermis is made of fibrous connective tissues and contains ___________ | nerve endings, glands, capillaries, collagen, elastin
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Functions of the epidermis | prevent H2O loss, mitosis, production of melanin, protection
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Functions of the dermis | contains capillaries, insulation, detect changes, produce sebum, produce cerumen, dialate / constrict, converts cholesterol to vit. D
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What are the proteins of the epidermis and dermis? | keratin, melanin, collagen, elastin
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What protein gives hair its color? | melanin
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Subcutaneous tissue Superficial fascia hypodermis | connective membrane
*areolar / adipose
*WBC
*Mast Cells
*under dermis
*greatest blood supply
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Mast Cells | triggers inflammation
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first degree "superficial" burn | *superficial epidermis
*painful
*no blisters
*appears red
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second degree "partial thickness" burn | *deeper layers of epidermis
*painful
*blisters
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third degree "full thickness" burn | *entire epidermis
*may extend to dermis / subcutaneous tissue
*may not be painful at first
*subject to infection and dehydration
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Basal cell carcinoma | *originates in cells at base of epidermis
*common on upper face
*slow growing
*less likely to metastasize
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Squamous cell carcinoma | *slow growing
*will metastasize
*lesions begin as painless, hard raised nodules
*common on scalp and ears
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Malignant melanoma | *very aggressive
*beings in melanocytes
*metastasizes rapidly
*can be all over
*ABCD rule
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What does the A in the abcd rule stand for? | asymmetry (different on sides)
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What does the B in the abcd rule stand for? | border (not round)
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What does the C in the abcd rule stand for? | coloration (heavy to light, light to heavy pigmentation)
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What does the D in the abcd rule stand for? | diameter (more than 6mm)
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At what mm can a lesion possibly be skin cancer? | anything more than 6 mm
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Nathan injured the soft tissues around his ankle, what tissue type is involved? | fibrous connective tissue
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Nathan also cut his arm, and requires 5 stitches, what membrane did they go through? | cutaneous
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Splinter that wasn't bleeding - what layers did it go through? | epidermis only
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