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The INTEGUMENTARY System Vocabulary • Word parts 1. cutane/oskin Subcutaneous (beneath the skin) 1. Dermat/oskin Dermatologist (one who studies the skin) 1. Trich/ohair Trichopathy (any disease of the hair) 1. Pil/o- (pil/i-) hair Pilocystic (a cyst containing hair) 1. - plasty surgical repair Dermoplasty ( surgical repair of the skin) Vocabulary • Avascular • Metastasis having no blood flow • Melanin causes coloration of skin hair and eye • Keratin causes skin to be waterproof • PA physician assistant movement from one part of the body to another, used often to describe cancer Functions of the Skin • • • • • Protection Vitamin D Production Sensory Organ Temperature Regulation Protection against UV Light Layers of the Skin • Epidermis • Dermis • Subcutaneous Epidermis • Outer layer of skin • Avascular - no blood vessels Dermis • Layer of skin under the epidermis • Made up of collagen and elastic connective tissue fibers • Contains the blood vessels, glands, hair follicles, and nerve endings of the skin Subcutaneous Layer • Not part of the true skin • Connective tissue that connects the skin to the muscle and organs underneath • Also called the hypodermis • Contains nerve endings responsible for deep pressure • May contain enlarged fat cells in obese individuals Nails • Plates of tightly packed cells of the epidermis • Helps to grasp and manipulate small objects Glands of the Skin • Sudoriferous Glands (Sweat Glands) • Sebaceous Glands (Oil Glands) Sudoriferous Glands (Sweat Glands) • Glands secrete sweat - a mixture of: – water – ammonia – sugar - salts - urea -lactic acid - amino acids - uric acid -ascorbic acid • Primary function - regulates body temperature by evaporation of water • Eliminates some waste products Sebaceous Glands • Oil glands usually associated with hair follicles • Secrete an oily substance called sebum a mixture of fats, cholesterol, protein and inorganic salts • Keeps hair from drying out and becoming brittle • Keeps skin soft and pliable • Inhibits growth of certain bacteria Hair • Composed of dead (Keratinized) skin cells • Primary function is protection – guards the scalp from injury and sunlight – eyebrows - eyelashes protect the eye – ears and nostrils keep out foreign objects • Helps regulate body temperature • Touch receptors associated with hair follicles Hair Structures Diseases and Disorders Acne • An inflammation of the sebaceous glands and hair follicles • Much more active at puberty – Affects boys more severely than girls • Caused by bacteria that colonize in the sebaceous follicles • Can be treated with over-thecounter medications or for severe cases, prescription medications Athletes Foot • • • • A common infection caused by the tinea fungus Symptoms include itching, burning, and cracked, scaly skin between the toes and on the feet It grows best in damp, dark, warm places Treatment includes over-the-counter antifungal creams for most cases and prescription medicines for more serious infections. Ring Worm • Caused by tinea fungus • Causes a red skin rash that forms a ring on normal looking skin • This is not caused by a worm • Common treatment includes over-thecounter antifungal creams Jock Itch • Cause by the tinea fungus • Causes an itchy, burning rash in the groin area • Common treatment includes overthe-counter- antifungal creams Skin Cancers • Cancerous growths of skin tissue • The sun is responsible for over 90% of all skin cancers • Three main types of skin cancers – Basal Cell Carcinomas – Squamous Cell Carcinomas – Malignant Melanomas – to 16 year old me/ and Steinfeld clips Basal Cell Carcinoma • The most common form of cancer – 1 million new cases estimated in the U.S. each year – Occurs most frequently on the sun-exposed areas of the body (face, ears, neck, scalp, shoulders, and back) Squamous Cell Carcinoma • The second most common form of skin cancer – Over 250,000 new cases per year • Most cases are caused by chronic overexposure to the sun • Tumors apperar most frequently on the sun exposed face, neck, bald scalp, ears, and lips Melanoma • Arises from the melanocytes • The least common but most dangerous form of skin cancer • In men is most common on the trunk, head, and neck. How cancer spreads video – In women is most common on the lower legs ABCDE Method to Assess Skin Cancer • • • • • A - Asymmetry B - Border C - Color D - Diameter E – Evolution or Elevation Careers • • • • Dermatologist Medical Photographer Physician Assistant Plastic surgeon Dermatologist • Concerned with the diagnosis and treatment of diseases of the skin, hair and nails • 8 years school + residency + specialization • $100,000 - $200,000 • Prevention and treatment, surgery, cancer and laser surgery, cosmetic procedures- Botox, liposuction, chemical peeling, cryosurgery, eyelid surgery…… • discovery/ dermatology Medical Photography • Biomedical photographers • Demonstrate artistic ability and scientific knowledge • Textbooks, pamphlets, advertisements, civil/legal procedures, teaching models, surgical procedures, medical progress or autopsy • Create prints, charts, graphs… • $30,000-50,000 • Schooling emphasis on study of photography • how to become a medical photographer • award winning medical photographer Physician Assistant • Practice medicine under the supervision of a physician/surgeon • Diagnose, examine and treat patients, suture, splinting, casting and prescribing medicine • $60000-90000 • 6-8 years school • pumping blood into the medical field Plastic Surgeon • Medical specialty that uses surgical / nonsurgical techniques to change appearance and function of the body • Functionally reconstructive or cosmetic enhancements • Burns, traumatic injuries, congenital abnormalities (cleft lip), removal of cancers, mastectomy- reconstructive • 8 years school + residency + specialization • $90,000 ++++ a year