1. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. CHAPTER The Integumentary System - Dermatology 3

2. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. Learning Outcomes After studying this chapter, you will be able to: 3.1Identify the roots/word parts associated with the integumentary system. 3.2Translate the Subjective terms associated with the integumentary system. 3.3Translate the Objective terms associated with the integumentary system. 3.4Translate the Assessment terms associated with the integumentary system. 3-2

3. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.5Translate the Plan terms associated with the integumentary system. 3.6Use abbreviations associated with the integumentary system. 3.7 Distinguish terms associated with the integumentary system in the context of electronic health records. 3-3 Learning Outcomes

4. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. Introduction and Overview of Dermatology Skin serves as protection to the body –First line defense from germs and irritants –First point of contact with its surroundings 3-4

5. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.1 Word Parts of the Integumentary System The integumentary system is made up of: –Skin Epidermis Dermis –Hair –Nerves –Glands Sweat Sebaceous –Nails 3-5

6. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.1 Word Parts of the Integumentary System Skin –Epidermis Made up of squamous cells –Dermis Made up of a few cells and many thick fibers Strong and flexible Contains hair follicles, nerves, and glands 3-6

7. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.1 Word Parts of the Integumentary System Hair follicles –Functions: Hold the hair into the dermis Nourish the hair Nerves –Detect pressure, temperature, and pain Glands –Sweat glands release sweat –Sebaceous glands release sebum (oil) Nails 3-7

8. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.1 Word Parts of the Integumentary System fat –adip/o –lip/o –steat/o skin –cutane/o –derm/o –dermat/o hair –pil/o –trich/o 3-8

9. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.1 Word Parts of the Integumentary System sweat –hidr/o nail –onych/o –ungu/o scale –squam/o oil –seb/o –sebace/o 3-9

10. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.1 Word Parts of the Integumentary System Word parts associated with pathology –Unusual skin texture ichthyo- kerato- pachyo- xero- rhytido- 3-10

11. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.1 Word Parts of the Integumentary System Word parts associated with pathology (cont.) –Unusual skin color leuko- erythro- xantho- melano- 3-11

12. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.1 Word Parts of the Integumentary System 3-12 1.keratoderma 2.onychocryptosis 3.rhytidoplasty 4.xeroderma 5.pachyderma A.thick skin B.hard skin C.hidden nail D.dry skin E.surgical repair of wrinkles Match each term on the left with the correct definition on the right.

13. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.1 Word Parts of the Integumentary System 3-13 1.albinism 2.melanoma 3.leukotrichia 4.erythroderma 5.xanthopsia A.unable see the color yellow B.white hair C.black-colored tumor D.lack of skin pigment E.redness of the skin Match each term on the left with the correct definition on the right.

14. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.1 Word Parts of the Integumentary System Skin color is due to the amount of melanin produced 3-14

15. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.2 Patient History, Problems, Complaints Subjective terms are those that the patient reports to the health care provider Common complaint in regard to the skin is a new rash –pruritus –seborrhea –xerosis –macerate –hyperhidrosis –anhidrosis 3-15

16. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.2 Patient History, Problems, Complaints Subjective terms that describe a change from normal skin color –depigmentation –hypermelanosis Subjective terms associated with hair problems –alopecia –hypertrichosis 3-16

17. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.2 Patient History, Problems, Complaints Some words cannot be broken into word parts –comedo –macerate –urticaria Break the medical term into smaller word parts to determine its meaning: –dermatalgia –dermatodynia –dermatolysis –hemathidrosis 3-17

18. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.2 Patient History, Problems, Complaints Define each medical term: –xanthoderma –rhytidermia –onychophagia –hypomelanosis 3-18

19. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.3 Observation and Discovery Objective terms are used by the practitioner to describe what he or she detects The appearance of a rash will help the practitioner diagnose its cause Description of the rash includes: –Location –Size –Color –Texture –Filling of the rash (pustules) 3-19

20. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.3 Observation and Discovery Location of a rash –Localized vs. generalized –Spreading Centrifugal vs. centripetal Presence of bumps and their size –Papules <1cm –Nodules >1cm –Plaques are large and flat 3-20

21. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.3 Observation and Discovery Bumps that are filled with fluid: –Vesicles are <1 cm and filled with clear fluid –Bulla are >1 cm and filled with clear fluid –Pustules are filled with pus –Abscesses are large pustules Flat spots: –Freckles are small flat spots called macules –Large macules are called patches 3-21

22. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.3 Observation and Discovery Skin conditions caused by blood vessels: –Collection of blood vessels cherry angioma – raised telangiectasia – flat –Bruises petechiae – small ecchymosis – large 3-22

23. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.3 Observation and Discovery Diagnostic procedures –Skin biopsy excisional shave punch 3-23

24. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.3 Observation and Discovery Scar formations –cicatrix –keloid Epidermal tumors –nevus –dysplastic nevus –verucca 3-24

25. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.3 Observation and Discovery Diagnostic procedures –culture and sensitivity –biopsy (Bx) –excisional vs. incisional biopsy –dermatoscope –dermoscopy 3-25

26. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.3 Observation and Discovery Pathological findings –adipocele –dermatofibroma –erythrocyanosis –keratogenic 3-26

27. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.3 Observation and Discovery Pathological conditions of the nail (all have onych- as part of the word) –onycholysis –onychomalacia –onychopathy –onychophagia –onychocryptosis –paronychia 3-27

28. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.4 Diagnosis and Pathology Assessment terms are those that describe the diagnosis of the condition Skin problems –Infections –Inflammations –Tumors –Changes in the skin 3-28

29. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.4 Diagnosis and Pathology General skin changes –dermatosis –decubitus ulcer –dermopathy –eczema 3-29

30. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.4 Diagnosis and Pathology General skin changes –Associated with hair: hypertrichosis postpartum alopecia –Associated with skin atopic dermatitis ichthyosis sclerodermatitis xanthosis –Associated with nails scleronychia 3-30

31. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.4 Diagnosis and Pathology Tumors –malignant cutaneous neoplasms basal cell carcinoma malignant melanoma squamous cell carcinoma –benign skin tumors actinic keratosis hidradenoma 3-31

32. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.4 Diagnosis and Pathology Infections –Fungal infections mycosis dermatomycosis mycodermatitis onychomycosis trichomycosis –Miscellaneous infections acne vulgaris impetigo onychodystrophy 3-32

33. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.4 Diagnosis and Pathology Inflammations –steatitis –dermatitis –actinic dermatitis –seborrheic dermatitis –dermatoconiosis 3-33

34. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.5 Treatments and Therapies Plan terms explain how patients will be treated for their conditions Medications –Anti-infection or cleansing –Anti-immune –Anti-itch or allergy 3-34

35. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.5 Treatments and Therapies Procedures to treat the integumentary system: –Chemicals –Vacuums –Cold –Lasers –Electricity –Surgery Mohs micrographic surgery Skin grafting 3-35

36. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.5 Treatments and Therapies General terms –epidermal –intradermal –hypodermic and subdermal –percutaneous and transdermal 3-36

37. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.5 Treatments and Therapies Procedures –chemosurgery –cryosurgery –chemotherapy –dermabrasion –electrocauterization –electodesiccation –incision and drainage (I&D) 3-37

38. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.5 Treatments and Therapies Procedures (cont.) –onychectomy –onychotomy –liposuction –lipectomy –rhytidoplasty 3-38

39. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.5 Treatments and Therapies 3-39 1.heterograft 2.xenograft 3.homograft 4.autograft A.graft from the same species B.graft from another part of the patient’s body C.graft from another species Match each term on the left with the correct definition on the right. One definition is used twice.

40. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.5 Treatments and Therapies 3-40 1.antipruritic 2.antibiotic 3.anesthetic 4.antiseptic 5.antihistamine A.opposes effect of histamine B.temporarily blocks sensation C.opposes growth of microorganisms D.prevents sepsis by killing organisms E.prevents itching Match each medication on the left with the correct definition on the right.

41. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.6 Abbreviations 3-41

42. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.7 Electronic Health Records 3-42

43. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.7 Electronic Health Records 3-43

44. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. 3.7 Electronic Health Records 3-44

45. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. After studying this chapter, you should be able to: 3.1Identify the roots/word parts associated with the integumentary system. 3.2Translate the Subjective terms associated with the integumentary system. 3.3Translate the Objective terms associated with the integumentary system. 3.4Translate the Assessment terms associated with the integumentary system. 3-45 Chapter Summary: Learning Outcomes

46. Copyright © 2016 McGraw-Hill Education. Permission required for reproduction or display. Chapter Summary: Learning Outcomes 3.5Translate the Plan terms associated with the integumentary system. 3.6Use abbreviations associated with the integumentary system. 3.7 Distinguish terms associated with the integumentary system in the context of electronic health records. 3-46