Assessment – Skin |
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,Terms in this set (175)
epidermis thin, outmost layer but tough
avascular-gets nourishment from dermis
stratified into zones
stratum of epidermis corneum, lucidum, granulosum, spinosum , basale
stratum germinavitum forms new cells
major ingredient: keratin, tough fiberous protein
melanocytes found in this layer = skin color
dermis vascular, inner supportive layer
mostly made of connective tissue or collagen
fiberous protein prevents skin from tearing
where nerves, blood vessels, sensory receptors an lymphatics are
appendages: hair follicles, sebaceous glands, and sweat glands are embedded
Melanin brownish pigment, is genetically determined and increased by exposure to
sunlight
pallor indicates anemia
jaundice yellowing of the skin, results from increased bilirubin (arises from the
breakdown of heme in the RBCs)
cyanosis blue color, can indicate decreased oxygen in the blood or decreased blood
flow in response to a cold environment
, subcutaneous layer of skin adipose tissue
anchors dermis to muscle/bone
made of lobules of fat cells
stores fat for energy, gives insulation for temperature control
aids in protection by cushioning
Hair follicle is attached in dermis layer
errector pilli The muscle that causes hair to stand up is called the
2 types of hair vellus- fine hair covers most of body
and terminal- coarse hair- scalp, eyebrows, pubic regions, face/chest of males
nails hard plates of kerratin, sit on nail plate, average growth 0.1mm/day; toenails
grow slower
sebacious glands make lipid sebum, secreted through hair follicles, lubricate skin/hair, found
everywhere but palms/soles of hands/feet, more so on scalp, forehead, face,
chin
2 types of sweat glands eccrine-coiled tubes open directly to skin, make dilute saline sweat; help
control body temp
apocrine- make thick milky secretion opening to hair follicle- found in axillae,
anogenital, nipples navel, active w/ puberty, bacterial flora reacts w/ apocrine=
B.O. smell
functions of skin protection, Perception, temperature and BP regulation, Vitamin synthesis,
exretion, communication, indentificaiton, wound repair
common or concerning symptoms of skin growths, rashes, hair loss or nail changes
most common cancer in US skin cancer
Risk assessemnt of Derm according to different groups AA of derm: annual total skin assessment
American Cancer society: every 3 years peopel b/t 20-40, yearly>40
Am Col of Prevention Med: total body skin exam in high risk individuals
Am Col of OB: yearly >13 based on risk factors
NIH consensus panel: screening for melanoma part of routine primary care