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WOCN program

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Term
Definition
Epidermis characteristics   Outermost layer of skin, avascular, turnover time usually 28 days  
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Layers of epidermis   Stratum corneum, lucidum, granulosum, spinosum, basale (aka germinativum)  
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Stratum Corneum structures   Dead keratinocytes, thin, stacked, anucleated, cells filled with keratin, stratum has lipid matrix, originate in the basal layer, have fully differentiated, shed daily  
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Stratum corneum function   Protection against aqueous, chemical, physical assault Thickness varies with age, gender and disease  
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Keratin   Tough fibrous insoluble protein that is primary component of skin, hair and nails  
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Stratum lucidum structure   1-5 cells thick, has lysosomal enzymes, only found in thick skin areas- palms and soles of feet, is translucent  
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Stratum lucidum function   Degrades nucleus and organelles of keratinocytes  
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Stratum granulosum structure   flattened cells, contain keratohyalin granules, Odland bodies  
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Stratum granulosum function   has Odland bodies that produce lipids and enzymes, the mortar of the epidermis, provides barrier to water loss  
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Stratum spinosum structure   has keratinocytes, Langerhans cells  
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Stratum spinosum function   Provide adhesion between cells, provides resistance against mechanical forces, synthesize keratin filaments  
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Stratum basale structure   Aka germinativum, inner most layer, basal layer, next to basement membrane, active cells,, has rete's pegs, melanocytes, epidermal stem cells  
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Stratum basale function   is reproductive layer, proliferating keratinocytes, anchors the epidermis via Retes pegs cells start here and migrate upwards  
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Basement membrane zone structure   2 zones- lamina lucida and lamina densa , has hemidesmosomes for adhesion fibronectin is the major protein  
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Basement membrane zone function   Anchors the epidermis to the dermis- this is the layer that is affected blister formation, full thickness wounds and third degree burns in wound healing the BMZ is disrupted and must be reformed  
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Dermis structure   2 layers, papillary and reticular fibroblasts present, is vascular and innervated is 2-4mm thick ground substance present, contains collagen and elastin, glands and hair follicles  
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Dermis function   protection, connective tissue  
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Papillary dermis structure   just below Retes ridges, has pappliae that connect with Retes, capillary loops that supply O2 and nutrients via BMZ, lymph vessels present  
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Papillary dermis function   Supply O2 and nutrients to stratum basale  
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Reticular dermis structure   contains sebaceous glands, hair follicles, sweat glands,contains most of the connective tissue , has fibroblasts, mast cells, and macrophages  
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Reticular dermis function   supports the skin, has connective tissue and blood vessels gives skin it's strength and elasticity  
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Dermal proteins   Collagen and elastin  
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Collagen   Fibrous protein with high tensile strength  
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Elastin   Coiled fibers that allow for skin to return to shape  
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Hypodermis structure   Subcutaneous fat,  
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Hypodermis function   Attaches dermis to underlying structures, insulates, distributes pressure  
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Skin functions   barrier/protection, Vit D synthesis, thermoregulation, sensation, insulation, immunity  
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protective functions   Protection against pathogens, UVR, fluid loss, environmental irritants  
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Thermoregulation   Barrier between outside and internal environment to maintain body temp, circulation and sweating are mechanisms  
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explain Sensation   Nerve receptors perceive - pain, touch, temp, itch and pressure - also a protective mechanism - burning itching and tickling are basic sensations  
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Vit D synthesis   UVR converts a sterol to cholecalciferol, then is converted to calcitrol  
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Skin immune system   Langerhans cells, tissue macrophages, mast cells, AMPs (antimicrobial peptides)  
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Langerhans cells   Antigen presenting cells present to T cells  
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explain Tissue macrophages   Bacteriocidal, tumoricidal, antigen presenters, secrete growth factors, cytokines, atherogenisis, coagulation, wound healing and remodeling  
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Mast cells   Usually in reticular dermis, release histamines, chemotactic agents - involved in allergic responses, inflammatory diseases  
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acid mantle   inhibits pathogenic growth, 4-6.5  
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Merkel cells   Sense light touch- are in rete pegs, near hair follicles, , are mechanreceptors-  
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Meissner corpuscles   Touch reception  
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Pacinian corpuscles   Pressure, coarse touch vibration and tension  
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What separates the 2 major layers of the skin   Basement membrane zone  
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How long does it take a cell to go from stratum basale to corneum   14 - 28 days  
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Retes pegs   Epidermal protrusions of the basal layer that point downward into the dermis  
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Melanocytes   Approx. the same # in all skin types, in basal layer, melanin is in the dendritic process as melanosomes  
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Factors that alter skin characteristics   Age, hydration, sun, soaps, nutrition, medications, disease  
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How do Meds effect skin characteristics   Can alter skin flora, alter inflammatory response, cause dermatitis slow wound healing can cause photosensitivity photo toxicity .  
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skin ph ranges from ___ to ___ with a mean of ____   4,6.8, 5.5  
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