1. Skin Homeostatic Imbalances

2. Slide 4.23 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Infections  Athletes foot  Caused by fungal infection  Boils and carbuncles  Caused by bacterial infection  Cold sores  Caused by virus

3. Skin Homeostatic Imbalances Slide 4.24 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Infections and allergies  Contact dermatitis  Exposures cause allergic reaction  Impetigo  Caused by bacterial infection  Psoriasis  Cause is unknown  Triggered by trauma, infection, stress

4. Skin Homeostatic Imbalances Slide 4.25 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Burns  Tissue damage and cell death caused by heat, electricity, UV radiation, or chemicals  Associated dangers  Dehydration  Electrolyte imbalance  Circulatory shock

5. Rules of Nines Slide 4.26 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Way to determine the extent of burns  Body is divided into 11 areas for quick estimation  Each area represents about 9%

6. Severity of Burns Slide 4.27 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  First-degree burns  Only epidermis is damaged  Skin is red and swollen  Second degree burns  Epidermis and upper dermis are damaged  Skin is red with blisters  Third-degree burns  Destroys entire skin layer  Burn is gray-white or black

7. Classification of burns Slide 4.27 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Partial thickness - characterized by the varying depth.  Superficial - includes only the epidermis  Deep - involve entire epidermis and part of the dermis  Full thickness - goes through the epidermis, dermis, and possibly part of the subcutaneous layer, muscle and/or bone

9. Critical Burns Slide 4.28 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Burns are considered critical if:  Over 25% of body has second degree burns  Over 10% of the body has third degree burns  There are third degree burns of the face, hands, or feet

10. Tissue Repair- Two Types Slide 3.69 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings 1.Regeneration  Replacement of destroyed tissue by the same kind of cells. 2.Fibrosis  Repair by dense fibrous connective tissue (scar tissue)  What determines the method?  Type of tissue damaged  Severity of the injury

11. Events in Tissue Repair Slide 3.70 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings 1.Capillaries become very permeable  Introduce clotting proteins  Wall off injured area 2.Formation of granulation tissue 3.Regeneration of surface epithelium Can result in blistering.

12. Regeneration of Tissues Slide 3.71 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Tissues that regenerate easily  Epithelial tissue  Fibrous connective tissue and bone  Tissues that regenerate poorly  Skeletal muscle  Tissues that are replaced largely with scar tissue  Cardiac muscle  Nervous tissue within the brain and spinal cord

13. Skin Cancer Slide 4.29 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Cancer – abnormal cell mass  Two types  Benign  Does not spread (encapsulated)  Malignant  Metastasized (moves) to other parts of the body  Skin cancer is the most common type of cancer

14. Skin Cancer Types Slide 4.30 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Basal cell carcinoma  Least malignant  Most common type  Arises from statum basale  Squamous cell carcinoma  Arises from stratum spinosum  Metastasizes to lymph nodes  Early removal allows a good chance of cure

15. Skin Cancer Types Slide 4.31 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  Malignant melanoma  Most deadly of skin cancers  Cancer of melanocytes  Metastasizes rapidly to lymph and blood vessels  Detection uses ABCD rule

16. ABCD Rule Slide 4.32 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings  A = Asymmetry  Two sides of pigmented mole do not match  B = Border irregularity  Borders of mole are not smooth  C = Color  Different colors in pigmented area  D = Diameter  Spot is larger then 6 mm in diameter