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Chapter 4 Integumentary System

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1 Chapter 4 Integumentary System
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

2 Clicker Question Which of the following means “eating or swallowing”?
pachy/o -phagia -plasty Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

3 Disease and Disorder Terms Built From Word Parts
dermatitis dermatoconiosis dermatofibroma hidradenitis leiodermia oncychocryptosis onychomalacia onychomycosis onychophagia pachyderma paronychia seborrhea trichomycosis xeroderma Present the disease and disorder terms built from word parts and their meanings. Discuss how word parts form these terms and how to use the meaning of the word parts to define the meaning of the terms. Hypnotherapy, used in complementary alternative medicine (CAM) is sometimes used to decrease the stress associated with exacerbating dermatitis and eczema. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

4 The -a Ending The -a ending in the terms “pachyderma,” “xeroderma,” “erythroderma,” “leukoderma,” and “xanthoderma” is a noun suffix and has no meaning Discuss this concept with the students and have them come up with other terms ending in “-a.” Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

5 Common Skin Disorders (cont’d.)
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

6 Common Skin Disorders (cont’d.)
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

7 Cancers of the Skin Squamous cell carcinoma Melanoma Actinic keratosis
What can cause the three types of skin cancer? Of these three, which is the most common form of skin cancer? Actinic keratosis Basal cell carcinoma Kaposi sarcoma Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

8 Clicker Question Shingles is also called tinea herpes zoster impetigo
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

9 Routes of Administration
1. Intradermal 3. Transdermal 2. Subcutaneous, hypodermic Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

10 Burn Keloid What is a keloid? What would cause a keloid to develop?
Have the class discuss the various degrees of burns and what each might do to the integumentary system. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

11 Stage 2 Pressure Ulcer What might cause a pressure ulcer?
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

12 Clicker Question The term which means profuse sweating is ecchymosis
emollient diaphoresis Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

13 Chapter 5 Respiratory System
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

14 Organs of the Respiratory System
What is the relationship between the epiglottis and the trachea? Which have a larger diameter, bronchi or bronchioles? Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

15 Clicker Question Which of the following is the combining form
that means chest? -thorax -pexy thorac/o pleur/o Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

16 Disease and Disorder Terms Built from Word Parts
adenoiditis atelectasis bronchiectasis bronchitis bronchogenic carcinoma bronchopneumonia diaphragmatocele epiglottitis hemothorax laryngitis laryngotracheobronchitis (LTB) lobar pneumonia nasopharyngitis pansinusitis pharyngitis pleuritis What is the Greek form for atelectasis? When is the term atelectasis used? What is another term for rhinorrhagia? Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

17 Disease and Disorder Terms Built from Word Parts (cont’d.)
pneumatocele pneumoconiosis pneumonia pneumonitis pneumothorax pulmonary neoplasm pyothorax rhinitis rhinomycosis rhinorrhagia thoracalgia tonsillitis tracheitis tracheostenosis Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

18 Atelectasis Showing Collapsed Alveoli
What could cause the collapse of the alveoli? Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

19 Clicker Question Which of the following correctly labels the diagram?
pneumothorax pleurothorax Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

20 Clicker Question Which of the following correctly labels the diagram?
thoracocentesis tracheoplasty Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

21 Pulse Oximetry What does an oximeter measure?
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

22 Spirometer Capnometer Spirometer What does a spirometer measure?
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

23 Clicker Question Which of the following is a diagnostic imaging term?
pulse oximetry chest radiograph AFB smear PPD skin test Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

24 Compare and Contrast a/pne/a dys/pne/a eu/pne/a hyper/pne/a hypo/pne/a
orth/o/pne/a tachy/pne/a Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

25 Clicker Question Acapnia, hypocapnia and hypercapnia are
terms describing the amount of ______ in the blood. carbon dioxide oxygen Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

26 Chapter 6 Urinary System
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

27 The Urinary System Name some unique anatomical features of the urinary system. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

28 Male and Female Urinary System
Identify the unique anatomical features of the male and female urinary tract. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

29 Male Urinary Bladder Discuss the urinary bladder.
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

30 Combining Forms for the Urinary System
cyst/o, vesic/o glomerul/o meat/o nephr/o, ren/o pyel/o ureter/o urethr/o Cyst/o and vesic/o refer to the urinary bladder, unless otherwise identified. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

31 Clicker Question Olig/o is a word root combining vowel combining form
suffix Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

32 Urinary Tract Infection
Discuss urinary tract infections. Cystitis Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

33 Clicker Question Which term means stones in the kidney?
renal hypertension hydronephrosis renal calculi nephromegaly Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

34 Clicker Question (renal pelvis) / cv / (stone) / cv / (incision)
The correct term to label the diagram is? a) pyelolithostomy b) pyelolithotomy Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

35 Nephrotomogram Nephrosonogram Types of imaging.
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

36 Clicker Question Which of the following may be used to diagnose
a stone in the tube leading from the kidney to the bladder? cystoscopy urethroscope ureteroscopy renogram Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

37 Clicker Question Which of the following may be used to
withdraw fluids: ESWL VCUG cath SC Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

38 Male Reproductive System
Chapter 7 Male Reproductive System Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

39 Male Reproductive Organs
What are the principal male reproductive organs? Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

40 Clicker Question Ochid/o, orchi/o, orch/o and test/o are all
combining forms for testicle. T F Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

41 Benign Prostatic Hyperplasia
Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

42 Varicocele What type of body part is the scrotum?
What does the condition known as varicocele entail? Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

43 Clicker Question Which of the following means discharge from
the prostate gland? phimosis hydrocele prostatorrhea prostatitis Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

44 Vasectomy Incision is made into the covering of the vas.
Vas is exposed. Segment of vas is excised. Vas is replaced and skin is sutured. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

45 Suprapubic Prostatectomy Large Incision Surgery
What procedure is being depicted in the figure? Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

46 Laparoscopic Prostatectomy
Laparoscopic radical prostatectomy is a form of endoscopic surgery. The procedure is used to treat the early stages of prostate cancer, especially for men younger than age 70. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

47 Transurethral Resection
Transurethral resection is used to treat benign prostatic hyperplasia. A resectoscope is inserted through the urethra to the prostate gland. The end of the instrument is equipped to remove small pieces of the enlarged prostate gland. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

48 Clicker Question Which of the following is the surgical removal of
the forskin of the penis? vasectomy vesiculectomy circumcision hydrocelectomy Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

49 Clicker Question Which of the following is an STD? orgasm
digital rectal exam coitus chlamydia Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.

50 Interact with Medical Records
CHIEF COMPLAINT: Severe lower abdominal pain and the inability to void for the past 12 hours. PRESENT ILLNESS: Andrew Nguyen is a 75-year-old Asian-American man who came into the emergency department at 3:00 am stating that he was in great pain and could not urinate. He had not been seen by a physician for several years but claimed to be in good health except for “a little high blood pressure.” The patient reports urinary frequency, nocturia x2, hesitancy, intermittency, and diminished force and caliber of the urinary stream. He also has postvoid dribbling and the sensation of not having completely emptied the bladder. Earlier today, he had hematuria at the end of urination. MEDICATION ALLERGIES: None CURRENT MEDICATIONS: Benadryl 25 mg. at bedtime. PHYSICAL EXAM: Temperature 98.6ºF. Blood pressure 140/90. Pulse 98. Respirations 24. Palpation of the abdomen shows a suprapubic mass approximately three fingerbreadths below the umbilicus, dull to percussion and slightly tender. IMPRESSION: Urinary bladder distention caused by urinary outlet obstruction, probably from benign prostatic hyperplasia. PLAN: Indwelling Foley catheter for relief of urinary obstruction. Urology consult. Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.


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