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| Keratin Layer, Granular Layer, Prickle Cell Layer, Basal Layer, Dermis |
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| Developmental growth patterns of the skin |
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| Epidermis is mainly composed of |
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| Type of cells mostly found within the basal layer |
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| Type of cells mostly found within the prickle cell layer |
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| composed of 2-3 layers of Flattened cells that have lost their nuclei due to continued differentiation |
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| composed of sheets of overlapping polyhedral Corneocytes |
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| Elongated, membrane bound organelles where melanin is produced |
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| Brown/black common form of melanin |
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| Growing phase of hair growth |
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| Resting stage of Hair Growth |
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| Shedding phase of hair growth |
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Percentage of scalp hairs in - Anagen - Catagen - Telogen |
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| White part at the base of the nail |
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| Interface between epidermis and dermis |
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| Interface between epidermis and dermis |
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| Interface between epidermis and dermis |
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| local overgrowth of the blood vessels |
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| Skin glands found mainly in the palms, soles and axilla. Excretory ducts opens onto skin surface |
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| Aprocine gland (larger than eccrine) |
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| Gland develops as part of pilosebaceous unit. Found mainly axilla and perineum. Opens into hair follicle. |
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| Widely distributed gland. Associated with hair follicles and formed from epidermis derived cells |
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| Result of mixture of increased Sebum (from sebaceous gland), blocked ducts and bacterial activity |
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| electromagnetic radiation that is mainly absorbed by the keratin layer |
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| Touch/vibration receptors |
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| Localised flat area of colour change <1cm |
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| Localised elevated area <5mm |
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| Nodule (larger version of papule) |
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| Localised elevated area >5mm |
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| Small fluid filled blister <5mm with/below epidermis |
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| Large fluid filled Blister >5mm within/below epidermis |
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| Red skin due to vascular dilatation, Blanches on pressure |
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| Red skin due to extravasatino of blood, will not Blanche on pressure |
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| Localised flat area of colour change >1cm |
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| compressable dermal swelling |
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| area of skin loss extending through epidermis into dermis |
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| Innate (non specifice) immunity |
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Definition
| Immunity = No memory, first line in defence of host, immediate maximum response |
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| NK cells, Mast Cells, Dendritic cells, Phagocytes |
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| Innate immunity cells (name 4) |
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| Adaptive (specific) immunity |
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| Immunity = Memory, specific, diverse |
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| Specialised protein produced in response to an antigen |
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| Specialised cells react with antigen on host cell surface, kills infected host cell and activates macrophages |
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| Produced in bone marrow, mature in thymus. Basis of cell mediated immunity, only recognise PROTEIN Ag |
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| Basis of humoral immunity, produce antibodies |
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| Loss of tolerance leads to... |
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- IgE - Degranulation of mast cells and basophils - Inflammatory mediators (histamine, prostaglandins) - Immediate |
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Hypersensitivity Type 1 - Antibody mediated is - Ag Binding caused by... - Releases... - Type of response |
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- TH1 cells - delayed - NO - Patch testing |
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Hypersensitivity Type 4 - cell mediated is - type of response - response to antu-histamines? - Investigation |
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| Direct and reduced systemic toxicity |
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| Topical treatment advantages |
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| Time consuming, messy, difficult to apply correct dosage |
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| Topical treatment Disadvantages |
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| Liquid vehicle, aqueous or alcohol based, Used to treat scalp and other hair bearing areas |
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| Semisolid emulsion of oil-in-water. Non greasy, cosmetically acceptable |
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| semisolid grease/oil, best for treating dry skin conditions eg eczema. Less accepted by patients |
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| Transparent semi-solid, non greasy aq emulsion. Best for scalp and hair bearing areas aswell as face |
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| Ointment based with high proportion of powder. Stiff constistency, ideal for applying to well defined areas. Used in cooling, drying and soothing bandages. |
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| Helps dry skin conditions - reestablishes surface ipid layer. Cosmetically acceptable. 250g-500g weekly. |
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| Reduce inflammation by acting as an immune suppressant |
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| Used in acute exudative eczema, eczema of hands) |
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| Function is collagen synthesis |
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| Function is histamine release |
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| Acne, Rosacea and Impetigo |
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| Topical antibiotics can be used to treat |
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| Herpes Simplex (cold sore) would be treated with |
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| Oral Antiviral could be used to treat |
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| Antiyeast is used to treat |
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| Antifungal is used to treat |
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Viral warts, corns, calluses, Keratin plaques. Salicylic acid. |
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| Keratinolytics are used to treat..And give an example of a keratinolytic |
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| Liquid nitrogen treatment of viral warts |
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| Emollients, Coal tar, vitamin D analogue, topical steroid |
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Definition
| Topical psoriasis treatment |
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| greasy ointments, tar shampoo, steroids in alcohol base |
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| Treatment for scalp psoriasis |
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Burning Irritation Contact allergic dermatitis Local or systemic toxicity |
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Definition
| Side effects of topical therapies |
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| Allergy investigation that detects type 1. |
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Cheap, quick, easy More senstive than specific IgE Test |
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| Skin prick test advantages |
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| Nickel hypersensitivity, TB, type 1 diabetes, psoriasis |
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Definition
| Disease associated with Type 4 hypersensitivity |
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| Transcription factor activated in response to DNA damage to stop cell division |
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| The process by which a normal cell becomes a malignant cancer cell |
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| The formation of new blood cells |
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Solar Radiation genetics HPV p53 age chemicals |
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| Risk factors for skin cancer |
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| Types of non melanoma skin cancer (most common) |
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| Malignant Tumour derived from keratinocytes, occurs mainly in sun damaged skin, white people over 55, males immunosuppressed patients |
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| Actinic Keratosis (red spots with scaly surface) |
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| typically on face, locally invasive, no precursors |
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| Rare aggressive tumour arising from neuroendocrine cells |
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| cyclobutane pyrimidine dimer (CPD) |
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