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Introduction toWrd Parts and Word The Integumentary System Lesson Plan Chapter 5 Lesson 5 Learning Objectives 1. Define the word parts used to create medical terms of the integumentary system. 2. Break down and define common medical terms used for symptoms, diseases, disorders, procedures, treatments, and devices associated with the integumentary system. 3. Build medical terms from the word parts associated with the integumentary system. 4. Pronounce and spell common medical terms associated with the integumentary system. Learning Concepts for Lecture Teaching Notes Objective LO 1 Define the word parts used to create medical terms of the integumentary system. ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e Teaching Tips The purpose of the skin is to: 1. Provide a physical barrier that protects against loss of body fluids, damage due to physical injury or ultraviolet light, and invasion of microorganisms 2. Help regulate body temperature 3. House sensory receptors that provide information about the outside environment— temperature, touch, pain, and pressure 4. Secrete fluids • Say each term in class, and have the students repeat the terms out loud. • Make abbreviation flash cards. Shuffle and place them facedown on a table. Have students randomly make selections and provide the class with the meaning. Teaching Tips Use anatomical charts and models to illustrate features of the skin as they relate to function. Classroom Activities Review the anatomy of the skin by dissecting a simulated cross section of it. Make a layered dessert (made of gelatin, pudding, whipped cream, etc.). Represent each layer of skin with a different layer of food. Use a variety of mix-ins to represent some of the smaller structures in the skin (licorice for hair/hair follicles or blood vessels, grapes for sweat/sebaceous glands, etc.). Serve each student a slice, and provide a “legend” of what each layer/mix-in represents. ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e Ask students to locate various structures in their “specimen.” Ask them to reflect on which layers of the skin are internal/external and which layers contain most of the “working parts” of the skin (like sweat glands, sebaceous glands, blood vessels). When the dissection is complete, you can eat up! You could also have students make their own models of the skin using food items or modeling dough. Visual Learners Visual learners will benefit from watching an animation of integumentary repair. Critical Thinking Questions 1. Explain why people get “gooseflesh.” 2. Why do you think a burn on the skin, even a superficial one, can be so dangerous? 3. If ultraviolet light is dangerous to the health of skin, why do you think people do tanning? Homework Assignments Study the pronunciation for ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e medical terms in this chapter in the: • Text in parentheses following the term • Glossary at Medical Terminology Interactive LO 2 Break down and define common medical terms used for symptoms, diseases, disorders, procedures, treatments, and devices associated with the integumentary system. Word Root/Combining Vowel Definition actin/o radiation aden/o gland albin/o white carcin/o cancer cellul/o little cell chym/o juice crypt/o hidden derm/o, dermat/o skin follicul/o follicle kerat/o horny tissue leuk/o white melan/o black myc/o fungus onych/o nail ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e Teaching Tips • Say each new term in class, and have the students repeat it. • Stress the importance of using instructional aids to practice pronunciation. Did You Know? Dermis comes from a Greek word meaning “skin.” Collagen comes from a Greek word meaning “glue.” Teaching Tips Encourage/remind students to add new word parts to flash cards. Emphasize that it is more important to memorize word parts than individual terms because many important terms can easily be pedicul/o body louse seb/o sebum, oil scler/o hard trich/o hair xer/o dry defined by just breaking them down. Teaching Tips Reinforce how the meaning of unfamiliar medical terms can be figured out by simple translation of familiar word parts. Write sentences on the board using common words. Have students substitute correct medical terms. Emphasize to students the importance of correctly spelling terms and how sounding out terms can assist in learning how to spell them. Classroom Activities Ask the students to practice saying each word. The use of a medical dictionary in French, Spanish, and German can be very helpful in the translation of new terms. Classroom Activities Medical Terminology Bee Create PowerPoint flash cards of new combining ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e forms and suffixes presented in this chapter. Have all students stand, and ask one to define the word part. If the student is correct, he/she remains standing. If the student is wrong, he/she sits down. Continue until only one student is standing. Did You Know? Integument means “something that covers or encloses.” When all the fields around lay bound and hoar, Beneath a thick integument of snow. — Henry David Thoreau (1817–1862), U.S. author. Did You Know? Elephants are sometimes referred to as pachyderms because of their thick skin. Every minute you shed between 30,000 and 40,000 dead skin cells. Critical Thinking Questions 1. How do you know when it is time to seek medical advice about a mark or lesion on the ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e skin? 2. What impact does the sun have on the development of skin cancer? 3. What would you recommend to another person about protecting the skin from skin cancer? 4. Explain why the skin is an organ of the body. 5. Describe the type of person who is more likely to suffer from skin cancer. 6. Is it true the hair grows faster after it has been cut? Why or why not? Homework Assignments Have students complete the Phonetic Spelling Challenge and the Spelling Challenge associated with this chapter. Study the pronunciation for medical terms in this chapter in the: • Text in parentheses following the term • Glossary at Medical Terminology Interactive LO 3 Build medical terms from the word parts associated with the integumentary system. Teaching Tips • Invite a wound care nurse ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e to speak to the class. Signs and Symptoms • At the beginning of the lesson, see how many accessory organs of the skin students can name. Medical Term Definition abrasion a skin wound caused by scraping abscess a collection of pus from a localized infection alopecia a loss or lack of scalp hair; also called “baldness” Classroom Activities cellulite a local uneven surface of the skin caused by fat deposition, usually in the thighs and buttocks Have the students construct sentences using abbreviations. cicatrix a scar Abbreviation Definition comedo an elevated lesion formed from the buildup of sebum and keratin; also called a pimple BCC basal cell carc bx biopsy contusion an injury to the skin or deeper tissue causing discoloration and swelling without breaking the skin surface; also called a bruise SLE systemic lupu cyanosis a blue tinge of color to an area of the skin SqCCa squamous cel cyst a closed sac or pouch containing fluid TBSA total body sur edema swelling caused by accumulation of fluid erythema a general term for redness of the skin fissure a narrow break or slit in the skin furuncle a localized skin infection originating from a hair follicle induration the formation of a local hard area on the skin or elsewhere jaundice an abnormal yellow coloring of the skin; also called xanthoderma keloid an overgrowth of scar tissue laceration a torn or jagged wound lesion a change in tissue due to disease or injury ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e Did You Know? Cyst comes from a Greek word meaning “bladder” or “fluidfilled sac.” Did You Know? Erythema is a Greek word meaning “flushed skin.” Visual/Verbal Learners Show images of skin diseases and have students describe exactly what they see (blisters, macule a discolored flat spot, such as a freckle nevus a circumscribed pigmented area, a mole, or a birthmark; the plural form is nevi pallor abnormal lack of skin color; paleness papule a small, solid, circumscribed skin elevation petechia pinpoint skin hemorrhage; the plural form is petechiae pruritis a symptom of itching purpura a purple-red discoloration resulting from hemorrhage into the skin pustule a small, circumscribed skin elevation that contains pus ulcer an eroded lesion of the skin or mucous membrane urticaria skin eruption, usually caused by an allergic reaction to food, infection, or injury; also called hives verruca a small, circumscribed skin elevation caused by a virus; also called a wart vesicle small elevation of the epidermis that contains fluid; also called a blister wheal a temporary, itchy elevation of the skin, usually with a white center and red perimeter; also called a welt Diseases and Disorders Prefix Definition Combining Form Definition Suffix Definition ec- out, outside aden/o gland -a singular actin/o radiation albin/o white -ia condition of par- alongside, abnormal ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e spots, bumps, etc.). Then challenge them to translate their observations into medical terminology. Visual Learners Visual learners will benefit from watching videos on the topics of skin cancer and eczema. Visual learners will benefit from watching a video on the topic of acne. Visual learners will benefit from watching a video on the topic of decubitus ulcers. Classroom Activities Select two students to do 5minute presentations of their Internet research in class. Visual Learners Show images for as many skin disorders as possible. Encourage students to visualize disorders as they memorize them. Suggest the use of online search engines to call up images during home study, and ask students to consider using such images when carcin/o cancer -ic cellul/o small cell -ism chym/o juice -itis making flash cards. The gorier the picture, the better the term condition or disease will stick! inflammation crypt/o hidden -malacia softening derm/o, dermat/o skin -oma tumor follicul/o small follicle -osis condition of hidr/o sweat -pathy disease kerat/o horny tissue -rrhea discharge leuk/o white melan/o black myc/o fungus onych/o nail pedicul/o body louse scler/o hard trich/o hair xer/o dry pertaining to Medical Term Definition acne an inflammatory eruption of the skin caused by bacterial infection of sebaceous glands and ducts actinic keratosis a precancerous skin condition caused by exposure to sunlight; it is marked by overgrowth of the outer epidermal layer albinism a genetic condition characterized by the lack of production of melanin; an individual with this condition is referred to as an albino ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e Did You Know? • People of African or Asian descent are more likely to get keloids than are people with lighter skin. (In this respect, keloids are exactly the opposite of most skin cancers, which tend to occur in light-skinned people and not people of color.) • All decubitus ulcers have a course of injury similar to a burn wound. This can be from a mild redness of the skin and/or blistering, such as a first-degree burn, to a deep open wound with blackened tissue, as in a third-degree burn. This blackened tissue is called eschar. Seborrheic dermatitis is a common disease that affects 2% to 4% of the general population. However, up to 85% of HIVinfected people experience seborrheic dermatitis at some time after they acquire the infection. The cause of seborrheic dermatitis is unknown, but many investigators believe the yeast Pityrosporum ovale plays a role in the disease. alopecia a loss or lack of scalp hair; also known as baldness basal cell carcinoma a tumor arising from the epithelium of the epidermis; it can spread locally if not treated, but seldom metastasizes burn an injury to the skin caused by excessive exposure to fire, electricity, chemicals, or sunlight carbuncle a skin infection composed of a cluster of boils caused by staphylococci bacteria cellulitis inflammation of connective tissue (in the dermis) caused by infection decubitus ulcer a skin sore caused by pressure or immobility while lying down; also called a bedsore dermatitis inflammation of the skin ecchymosis a purplish patch on the skin caused by leaking blood vessels eczema an inflammatory skin disease characterized by redness, blisters, scaling, and sensations of itching and burning herpes a skin eruption characterized by clusters of deep blisters that appear periodically; there are many variations, all of which are caused by members of the virus family herpesvirus hidradenitis inflammation of a sweat gland impetigo contagious skin infection characterized by blisters that later erupt to Classroom Activities form a yellowish crust Guest speaker: Invite a dera form of skin cancer characterized by the formation of purple or matologist or plastic surgeon brown patches on the feet that spread by way of lymphatics; interto describe their practice to preted as a sign of AIDS the class. Surgeons who volabnormally light-colored skin unteer to help children with birth defects such as cleft a malignant skin tumor that arises from melanocytes palate would be especially in- Kaposi’s sarcoma leukoderma melanoma ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e • Kaposi’s sarcoma, or KS, is a type of cancer that men with AIDS might develop. It is rarely seen in women. A superficial infection of axillary and pubic hairs that results in adherent yellow, black, or red concretions surrounding the hair shaft is often caused by grampositive corynebacteria. The usually asymptomatic infection occurs in both temperate and tropical climates and is not limited by race or sex. onychocryptosis an ingrown nail (abnormally buried in skin) onychomalacia softening of the nails teresting and inspirational to students. Critical Thinking Questions 1. Would it ever be suffiparonychia infection around the nail cient to document that a patient has a “rash” in pediculosis infestation of the hair and skin with lice the medical record withpsoriasis a chronic skin condition characterized by red lesions covered with out further explanation? silvery scales Why or why not? scabies skin eruption caused by the female itch mite, which burrows into 2. Can you think of some the skin to extract blood; this disorder causes mild dermatitis skin conditions that suggest problems with body scleroderma thickening of the skin caused by swelling and thickening of fibrous systems other than the connective tissue integumentary system? squamous cell carcinoma a skin cancer arising from the epidermis, it usually appears as a What are they? What firm, red elevation with scales; it grows relatively slowly, but is camight be some adpable of metastasis in its later stages vantages of using the skin to help diagnose systemic lupus erythema- a chronic inflammatory disease of connective tissue affecting the systemic disease? tosus skin and many other organs; its early stages are characterized by red patches on the face and joint pain; commonly called lupus 3. An elderly woman artinea a fungal infection of the skin; also called ringworm rives at the clinic and is transported in a wheeltrichomycosis fungus on the hair surface chair by her daughter, xeroderma abnormally dry skin who is her caretaker. On examination, you find a Treatments, Procedures, and Devices large stage III decubitus ulcer on the patient’s hip. Prefix Combining Form Definition Suffix Definition What causes decubitus (none) abras/o to rub away -ectomy surgical removal ulcers to form, and what aut/o self -ion process does this suggest about the quality of care this onychomycosis fungal infection of the nails ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e derm/o, dermat/o skin -plasty surgical repair rhytid/o wrinkle -tome a cutting instrument Medical Term Definition biopsy surgical removal of tissue for evaluation debridement removal of diseased or dead tissue and foreign matter from a wound dermabrasion removal of skin scars with abrasives, such as sandpaper dermatoautoplasty surgical repair using the patient’s skin for skin graft; also called autograft Homework Assignments Have students complete the Word Search Exercise associated with this chapter. Study the pronunciation for medical terms in this chapter in the: dermatoplasty surgical repair using a skin source other than that of the patient for a skin • Text in parentheses following the term graft; also called allograft • Glossary at Medical Teran instrument used to cut skin minology Interactive surgical repair of the skin emollient an agent that softens or smoothes the skin rhytidectomy excision of wrinkles rhytidoplasty surgical repair of wrinkles dermatoheteroplasty dermatome LO 4 patient has been receiving? Pronounce and spell common medical terms associated with the integumentary system. Teaching Tips • Say each term in class, and have the students repeat the terms out loud. • Make abbreviation flash cards. Shuffle and place them facedown on a table. Have students randomly ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e make selections and provide the class with the meaning. Classroom Activities • Divide students into two groups, and have them discuss the pros and cons of face-lifts for cosmetic reasons. • List the different types of hair loss, and give a short explanation of each. • Find out the meaning of “fifth disease.” • Determine the differences between acute and chronic urticaria, and give the causes of each type. • Discuss the abnormalities associated with AIDS and how they physically affect the patient. • Go to the Facial Plastic Surgery Network Website, and learn about the different types of procedures used in face-lifts. Did You Know? We have approximately five mil©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e lion hairs on our body. Of these, about 150,000 (more if you’re blond, less if you’re a redhead) are found on our scalp. The only parts of our body where there are no hair follicles are the palms of the hands, soles of the feet, lips, tip of the penis, clitoris, and labia minora. Homework Assignments • Have students complete the Dictation Report Exercise associated with this chapter. • Have students complete the True/False, Fill in the Blank, and Short Answer Exercises associated with this chapter. • Have students complete the Abbreviation Matchup Exercise associated with this chapter. • Have students investigate how the cosmetic industry incorporates medical terminology into the marketing of its products by reading the labels on shampoo, cosmetics, nail products, ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e and so forth. • Have the students watch a “makeover” show and write down all the terms relating to the integumentary system, with their corresponding definitions. • Have the students find an article from the popular press that deals with controversial cosmetic skin procedures. Study the pronunciation for medical terms in this chapter in the: • Text in parentheses following the term • Glossary at Medical Terminology Interactive Worksheets Worksheet 1: Chapter Review Worksheet 2: Dictation Report Worksheet 3: Word Surgery Worksheet 4: Case Study Worksheet 5: Medical Report Analysis Worksheet 6: Which Term Does Not Belong? Worksheet 7: Labeling Worksheet 8: Key Terms ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e Double Check ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e ©2012 by Pearson Education, Inc. Wingerd Lesson Plans for Medical Terminology Complete!, 2/e