Medical Terminology Integumentary System Chapter 6 Student Objectives • Define the main functions of the integumentary system and its appendages. • Identify combining forms, suffixes, and prefixes related to the integumentary system. • Identify several primary and secondary skin lesions. • Explain major skin problems caused by exposure. Student Objectives • Identify diagnostic, symptomatic, and therapeutic terms and procedures related to the integumentary system. • Define the abbreviations related to the integumentary system. • Explain pharmacology related to the treatment of integumentary disorders. Functions of the Integumentary System • skin – – – – – – protects against bacterial invasion reservoir for food and water sensory receptor synthesis of vitamin D regulate body temperature and water prevents dehydration Epidermis • outermost layer • epithelium – strata or layers – keratin (a fibrous protein) • no blood vessels or nerve supply in epidermis Dermis or Corium Living Tissue capillaries lymphatics nerve endings hair follicles glands (sebaceous and sweat) Subcutaneous or Hypodermis • connective tissue layer • specializes in formation of fat • adipose or fat cells provide a food reserve and insulation Appendages of the Skin • • • • Hair Glands Nails Breasts Hair • • • • hair shaft hair follicles papilla alopecia Glands of the Skin • sudoriferous – sweat glands – cool the body • sebaceous – sebum(oil) • ceruminous glands – modified sweat glands located in ear canals – cerumen Nails • cuticle • lunula Breasts or Mammary Glands • Present in both males and females • estrogen stimulation causes adipose tissue and increased size • progesterone stimulation causes formation of lobules for milk production Suffixes • • • • • • • • -cyte -derma -gram -graph -graphy -logist -logy -therapy Prefixes • • • • Epihyperhyposub- Pathology • Primary Skin Lesions – often due to healing process • Secondary Skin Lesions – result of the primary skin lesions • • • • • • • excoriation abrasion contusion laceration ulcers cicatrix keloid Primary Lesions • • • • • • • • • macule papule nodule vesicle bulla pustule wheal scales fissure Burns-First Degree Superficial • • • • Outer Layer of Epidermis erythema hyperesthesia Example: Sunburn Burns-Second Degree Partial Thickness • damages portion of epidermis and dermis • vesicles or bullae • regeneration can occur if no infection Burns-Third Degree Full-Thickness • involves epidermis and dermis • can extend into subcutaneous tissue, bone and muscle • cannot heal spontaneously • dermatoplasty Frostbite • Local skin destruction • Result of freezing • Classified according to severity – first, second, third Oncology • Neoplasm – malignant or benign – metastsize • TNM system – T-size and extent of primary tumor – N-number of lymph nodes involved – M-metastases of primary tumor Carcinoma • Basal Cell Carcinoma • Carcinoma of the Breast – nulliparous, menarche • Squamous Cell Carcinoma – in situ, invasive • Malignant Melanoma – melanocytes Diagnostic, Symptomatic, Therapeutic Terms • • • • • • • Chloasma comedo decubitus ulcer dermatomycosis desqumation ecchymosis eczema Diagnostic, Symptomatic, Therapeutic Terms • • • • • • • • Erythema eschar hirsutism impetigo keratosis lentigo pallor pediculosis Diagnostic, Symptomatic, Therapeutic Terms • • • • • • • • • • Pemphigus petechia, petechiae pruritus psoriasis purpura scabies tinea urticaria vitiligo verruca Diagnostic Procedures • Mammography, mammogram • xeromammography Surgical and Therapeutic Procedures • • • • • • • Allograft, skin graft, xenograft biopsy debridement dermabrasion fulguration lumpectomy mammoplasty, mastectomy Pharmacology • • • • • • • • Anti-infectives, antibacterials, antifungals anti-inflammatory, topical corticosteriods antipruritics antiseptics keratolytics parasiticides protectives topical anesthetics Abbreviations • • • • • • • • Bx decub. Derm. FS I&D ID SC, sc, subcu, subq ung End of Chapter 6