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The Integumentary System
The skin
169
Medical
Undergraduate 1
11/09/2012

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Term
Skin
Definition
External covering of the body
Term
Four main functions of skin
Definition
protection, regulation, sensation and secretion.
Term
Epidermis
Definition
outer layer of skin; divided into 4 strata: Stratum corneum, Stratum lucidum, Stratum granulosum and Stratum germinativum.
Term
Stratum corneum
Definition
forms protective covering for the body.
Term
Stratum lucidum
Definition
translucent layer that is frequently absent and not seen in thinner skin
Term
Stratum granulosum
Definition
active in the keratinization process, its cells become hard or horny
Term
Stratum germinativum
Definition
responsible for the regeneration of the epidermis; sometimes called the mucosum or Malpighii. Melanin is formed in this layer.
Term
Dermis
Definition
Nourishes the epidermis, provides strength and supports blood vessels
Term
Papillae
Definition
Produces ridges that are one's fingerprints
Term
Subcutaneous tissue
Definition
Supports, nourishes, insulates and cushions the skin
Term
Hair
Definition
provides sensation and some protection for the head. Hair around the eyes, in the nose and in the ears serves to filter out foreign particles
Term
Nails
Definition
Protects ends of fingers and toes
Term
Sebaceous glands
Definition
lubricates the hair and skin
Term
Sweat (sudoriferous) glands
Definition
secretes sweat or perspiration, which helps to cool the body by evaporation. Also rids the body of waste.
Term
Regulation
Definition
Via radiation and evaporation
Term
Radiation
Definition
When the body needs to lose heat, the blood vessels in the skin dilate, bringing more blood to the surface for cooling
Term
Evaporation
Definition
Sweat glands secrete more sweat for cooling.
Term
Oil
Definition
secreted by body, ______ is used for lubrication.
Term
Sebum
Definition
Acts to protect the body from dehydration and possible absorption of harmful substances.
Term
Keratin
Definition
Dead cells filled with a protein substance found in the stratum corneum.
Term
Dermis
Definition
Sometimes called the corium or true skin, composed of connective tissue containing lymphatics, nerves and nerve endings, blood vessels, sebaceous and sweat glands, elastic fibers and hair follicles.
Term
Dermis
Definition
The _____ is divided into 2 layers: upper/papillary layer and lower/reticular layer.
Term
Hair
Definition
Thin, thread-like structure formed by a group of cells that develop within a hair follicle or socket.
Term
Shaft
Definition
The visible portion of hair
Term
Root
Definition
part of hair embedded within the follicle.
Term
hair papilla
Definition
at the base of each follicle is a loop of capillaries enclosed within connective tissue called____.
Term
Finger/toenails
Definition
horny cell structures of the epidermis and are composed of hard keratin.
Term
Parts of a nail
Definition
body, root, matrix and lunula.
Term
Vernix caseosa
Definition
cheese-like substance that covers a fetus until birth
Term
Milia
Definition
white, pin-head-size papules occuring ont he face and sometimes trunk of a newborn.
Term
Acne
Definition
inflammatory condition of the sebaceous glands and hair follicles.
Term
Xerosis
Definition
Dryness of skin
Term
Pruritus
Definition
itching
Term
acrochordon
Definition
a small outgrowth of epidermal and dermal tissue
Term
actinic dermatitis
Definition
inflammation of the skin caused by exposure to radiant energy, such as x-rays, ultraviolet light and sunlight.
Term
albinism
Definition
absence of pigment in the skin, hair and eyes
Term
alopecia
Definition
loss of hair, baldness
Term
anhidrosis
Definition
a condition in which there is a lack or complete absence of sweating
Term
autograft
Definition
a graft taken from one part of the patient's body and transferred to another part
Term
avulsion
Definition
the process of forcibly tearing off a part or structure of the body, such as a finger or toe.
Term
basal cell carcinoma
Definition
an epithelial malignant tumor of the skin that rarely metastasizes. it usually begins as a small, shiny papule and enlarges to form a whitish border around a central depression
Term
bite
Definition
an injury in which part of the body surface is torn by an insect, animal, or human, resulting in an abrasion, puncture or laceration.
Term
boil
Definition
an acute, painful nodule formed in the subcutaneous layers of the skin, gland or hair follicle; most often caused by the invasion of staphylocci
Term
bulla
Definition
a larger blister; a bleb
Term
burn
Definition
an injury to tissue caused by heat, fire, chemical agents, electricity, lightning, or radiation;
Term
callus
Definition
hardened skin
Term
candidiasis
Definition
an infection of the skin or mucous membranes with any species of Candida, but chiefly Candida albicans.
Term
Carbuncle
Definition
an infection of the subcutaneous tissue, usually composed of a cluster of boils
Term
causalgia
Definition
intense burning pain associated with trophic skin changes in the hand or foot after trauma to the part.
Term
cellulitis
Definition
inflammation of cellular or connective tissue
Term
cicatrix
Definition
the scar left after the healing of a wound
Term
comedo
Definition
blackhead
Term
corn
Definition
a horny induration and thickening of the skin on the toes caused by ill-fitting shoes
Term
cutaneous
Definition
pertaining to the skin
Term
cyst
Definition
a bladder or sac; a closed sac that contains fluid, semifluid or solid material
Term
decubitus
Definition
literally means lying down; a bedsore
Term
dehiscence
Definition
the separation or bursting open of a surgical wound
Term
dermatitis
Definition
inflammation of the skin
Term
dermatologist
Definition
one who specializes in the study of the skin
Term
dermatology
Definition
the study of the skin
Term
dermatome
Definition
an instrument used to cut the skin for grafting
Term
dermomycosis
Definition
a skin condition caused by a fungus
Term
ecchymosis
Definition
a condition in which the blood seeps into the skin causing discolorations ranging from blue-black to greenish yellow
Term
eczema
Definition
an inflammatory skin disease of the epidermis
Term
erythema
Definition
a redness of the skin, may be caused by capillary congestion, inflammation, heat, sunlight or cold temperature
Term
erythroderma
Definition
abnormal redness of the skin occurring over widespread areas of the body
Term
eschar
Definition
a slough, scab
Term
excoriation
Definition
abrasion of the epidermis by scratching, trauma, chemicals, burns, etc.
Term
exudate
Definition
the production of pus or serum
Term
folliculitis
Definition
inflammation of a follicle or follicles
Term
herpes simplex
Definition
an inflammatory skin disease caused by a herpes virus
Term
hidradenitis
Definition
inflammation of the sweat glands
Term
hives
Definition
eruption of itching and burning swellings on the skin.
Term
hyperhidrosis
Definition
a condition of excessive sweating
Term
hypodermic
Definition
pertaining to under the skin or inserted under the skin, as an injection
Term
icteric
Definition
pertaining to jaundice
Term
impetigo
Definition
a skin infection marked by vesicles or bullae; usually caused by streptocooi or staphylococci
Term
integumentary
Definition
a covering; the skin, consisting of the dermis and epidermis
Term
intradermal
Definition
pertaining to within the skin, as an injection
Term
jaundice
Definition
yellow; a symptom of a disease in which there is excessive bile in the blood; the skin, whites of the eyes and mucous membranes are yellow
Term
keloid
Definition
overgrowth of scar tissue caused by excessive collagen formation
Term
lentigo
Definition
a flat, brownish spot on the skin sometimes caused by exposure to the sun and weather; freckle
Term
leukoderma
Definition
localized loss of pigmentation of the skin
Term
leukoplakia
Definition
white spots or patches formed on the mucous membrane of the tongue or cheek; the spots are smooth, hard and irregular in shape and may become malignant
Term
lupus
Definition
originally used to describe a destructive type of skin lesion; current usage of the word is usually in combination with the words vulgaris or erythematosus.
Term
melanocarcinoma
Definition
a cancerous tumor that has black pigmentation
Term
melanoma
Definition
a malignant black mole or tumor
Term
miliaria
Definition
called "prickly heat" and is commonly seen in newborns and/or infants. It is caused by excessive body warmth. There is retention of sweat in the sweat glands, which have become blocked or inflamed, and then rupture or leak into the skin.
Term
mole
Definition
a pigmented, elevated spot above the surface of the skin
Term
onychitis
Definition
inflammation of the nails
Term
onychomycosis
Definition
a condition of the nail caused by a fungus
Term
pachyderma
Definition
thick skin
Term
paronychia
Definition
an infectious condition of the marginal structures around the nail
Term
pediculosis
Definition
a condition of infestation with lice
Term
petechiae
Definition
small, pinpoint, purplish hemorrhagic spots on the skin
Term
pruritus
Definition
a sever itching
Term
psoriasis
Definition
a chronic skin disease characterized by pink or dull-red lesions surmounted by silvery scaling.
Term
purpura
Definition
a purplish discoloration of the skin caused by extravasation of blood into the tissues
Term
rhytidoplasty
Definition
plastic surgery for the removal of wrinkles
Term
roseola
Definition
any rose-colored rash marked by maculae or red spots on the skin
Term
rubella
Definition
a systemic disease caused by a virus and characterized by a rash and fever; also called German measles and three-day measles
Term
rubeola
Definition
a contagious disease characterized by fever, inflammation of the mucous membranes and rose-colored spots on the skin; also called measles
Term
scabies
Definition
a contagious skin disease characterized by papules, vesicles, pustules, burrows and intense itching; it is caused by the itch mite
Term
scar
Definition
the mark left by the healing process of a wound, sore or injury
Term
scleroderma
Definition
a chronic condition with hardening of the skin and other connective tissues of the body
Term
seborrhea
Definition
excessive flow of oil from the sebaceous glands
Term
sebum
Definition
the fatty or oil secretion of sebaceous glands of the skin
Term
senile keratosis
Definition
A condition occurring in older people wherein there is dry skin and localized scaling caused by excessive exposure to the sun.
Term
striae (plural)
Definition
streaks or lines on the breasts, thighs, abdomen, or buttocks caused by weakening of elastic tissue.
Term
subcutaneous
Definition
pertaining to below the skin, as an injection
Term
subungual
Definition
pertaining to below the nail
Term
taut
Definition
tight, firm; to pull or draw tight a surface, such as the skin
Term
telangiectasia
Definition
dilation of small blood vessels that may appear as a "birthmark"
Term
thermanesthesia
Definition
inability to distinguish between the sensations of heat and cold
Term
tinea
Definition
contagious skin diseases affecting both man and domestic animals, caused by certain fungi, and marked by the localized appearance of discolored, scaly patches on the skin; also called ringworm
Term
trichomycosis
Definition
a fungus condition of the hair
Term
ulcer
Definition
an open lesion or sore of the epidermis or mucous membrane
Term
varicella
Definition
a contagious viral disease characterized by fever, headache, and a crop of red spots that become macules, papules, vesicles and crusts; also called chicken pox
Term
vitiligo
Definition
a skin condition characterized by milk-white patches surrounded by areas or normal pigmentation
Term
wart
Definition
an elevation of viral origin on the epidermis
Term
wound
Definition
an injury to soft tissue caused by trauma; generally classified as open or closed
Term
xanthoderma
Definition
yellow skin
Term
xanthoma
Definition
yellow tumor
Term
xeroderma
Definition
dry skin
Term
xerosis
Definition
abnormal dryness of skin, mucous membranes or the conjunctiva.
Term
Decubitus ulcer
Definition
also known as a bedsore or pressure ulcer, it is an area of skin and tissue that becomes injured or broken down
Term
Stage I Decubitus ulcer
Definition
a reddened area on the skin that, when pressed, is "non-blanchable".
Term
Stage II Decubitus ulcer
Definition
The skin blisters or forms an open sore. The area around the sore may be red and irritated
Term
Stage III Decubitus ulcer
Definition
The skin breakdown now looks like a crater where there is damage to the tissue below the skin.
Term
Stage IV Decubitus ulcer
Definition
The pressure ulcer has become so deep that there is damage to the muscle and bone, and sometimes tendons and joints.
Term
Skin cancer
Definition
disease in which malignant cells are found in the epidermis.
Term
squamous, basal & melanocytes
Definition
Three types of cells in the epidermis
Term
ABCDs of melanoma
Definition
Asymmetry; the shape of one half does not match the other
Border; edges are ragged, notched or blurred
Color; is uneven. Shades of black, brown or tan. Areas of white, red or blue may be seen
Diameter; there is a change in size.
Term
Emollients
Definition
Substances that are generally oily in nature; used for dry skin caused by aging, excessive bathing and psoriasis.
Ex. Dermassage and Desitin
Term
Keratolytics
Definition
Agents that cause or promote loosening of horny (keratin) layers of the skin; may be used for acne, warts, psoriasis, corns, calluses and fungal infections.
Ex. Compound W.
Term
Local Anesthetic Agents
Definition
Agents that inhibit the conduction of nerve impulses from sensory nerves and thereby reduce pain and discomfort; may be used topically to reduce discomfort associated with insect bites, burns and poison ivy.
Ex. Xylocaine
Term
Antipruritic Agents
Definition
Agents that prevent or relieve itching
Ex. Denadryl
Term
Antibiotic Agents
Definition
Agents that destroy or stop the growth of microorganisms; used to prevent infection associated with minor skin abrasions and to treat superficial skin infections and acne.
Ex. Neosporin
Term
Antifungal Agents
Definition
Agents that destroy or inhibit the growth of fungi and yeast; used to treat fungus and/or yeast infection of the skin, nails and scalp.
Ex. Lotrimin
Term
Antiviral Agents
Definition
Agents that combat specific viral diseases.
Term
Anti-inflammatory Agents
Definition
used to relieve the swelling, tenderness, redness and pain of inflammation. Topically applied corticosteroids are used in the treatment of dermatitis and psoriasis.
Ex. Hydrocortisone
Term
Antiseptic Agents
Definition
prevent or inhibit the growth of pathogens; generally applied to the surface of living tissue.
Term
tuberculosis skin tests
Definition
Tests performed to identify the presence of the Tubercle bacilli. The tine, Heaf or Mantoux test may be used. The tine and Heaf test are intradermal tests performed using a sterile, disposable, multiple-puncture lancet. The tuberculin is on metal tines that are pressed into the skin. A hardened raised area at the test site 48-72 hours later indicates the presence of the pathogens in the blood.
Term
sweat test (chloride)
Definition
Test performed on sweat to determine the level of chloride concentration on the skin.
Term
Tzanck test
Definition
A microscopic examination of a small piece of tissue that has been surgically scraped from a pustule. The specimen is placed on a slide and stained and the type of viral infection can be identified.
Term
wound culture
Definition
A test done on wound exudate to determine the presence of microorganisms. An effective antibiotic can be prescribed for identified microbes.
Term
biopsy (skin)
Definition
Any skin lesion that exhibits signs or characteristics of malignancy may be excised and examined microscopically to establish a diagnosis. Usually only a small piece of living tissue is needed for examination
Term
decubitis
Definition
decub
Term
dermatology
Definition
derm
Term
foreign body
Definition
FB
Term
fever of undetermined origin
Definition
FUO
Term
Hypodermic
Definition
H
Term
history
Definition
Hx
Term
intradermal
Definition
ID
Term
incision and drainage
Definition
I&D
Term
National Pressure Ulcer Advisory Panel
Definition
NPUAP
Term
psoralen-ultraviolet light
Definition
PUVA
Term
skin graft
Definition
SG
Term
systemic lupus erythematosus
Definition
SLE
Term
staphylococcus
Definition
staph
Term
Skin test done
Definition
STD
Term
stretococcus
Definition
strep
Term
split thickness skin graft
Definition
STSG
Term
subcutaneous
Definition
subcu, subq
Term
temperature
Definition
T
Term
topical immunomodulators
Definition
TIMS
Term
transdermal therapeutic system
Definition
TTS
Term
ointment
Definition
ung
Term
ultraviolet
Definition
UV
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