Transcript CH05

Lecture Notes
A PowerPoint Presentation
Classroom Activity to
Accompany Medical
Terminology Systems,
Seventh Edition
Barbara A. Gylys ∙ Mary Ellen Wedding
5
Integumentary
System
5
INTEGUMENTARY SYSTEM
Structure and Function
•Epidermis
•Dermis
•Subcutaneous tissue
•Accessory organs
•Glands
•Sebaceous (oil)
•Sudoriferous (sweat)
•Hair
•Nails
2
5
INTEGUMENTARY SYSTEM
Structure and Function (continued)
• Covers and protects the body from pathogens
and other harmful substances
• Produces secretions from sweat and oil glands
• Provides nerve endings for various sensations,
including heat, cold, pressure, and touch
• Regulates body temperature
• Synthesizes vitamin D
• Gives color to the skin from melanocytes
produced in the basal layer
3
5
INTEGUMENTARY SYSTEM
Structure and Function Exercise
1. What does the term integument mean?
2. What are the accessory structures of the
skin?
3. What are the functions of the subcutaneous
layer of tissue?
4
5
INTEGUMENTARY SYSTEM
Structure and Function Exercise
1. What does the term integument mean? The
term integument refers to the skin.
2. What are the accessory structures of the
skin? These structures are hair, nails, and
glands (sweat and oil).
3. What are the functions of the subcutaneous
layer of tissue? It binds the dermis to
underlying structures, stores fats, insulates
and cushions the body, and regulates
temperature.
5
5
INTEGUMENTARY SYSTEM
Structure and Function Exercise
4. In the basal layer, what specialized cells
protect the skin from damaging effects of the
sun?
5. Which accessory organs produce oil?
6. List the sensations provided by the skin?
6
5
INTEGUMENTARY SYSTEM
Structure and Function Exercise
4. In the basal layer, what specialized cells
protect the skin from damaging effects of the
sun? Melanocytes, which produce melanin,
protect the skin from sun damage.
5. Which accessory organs produce oil? The
sebaceous glands produce oil.
6. List the sensations provided by the skin? The
skin provides nerve endings that sense heat,
cold, pressure, and touch.
7
5
INTEGUMENTARY SYSTEM
Combining Forms Exercise
List the CF(s) for:
1. skin:
2. sebum,
sebaceous:
3. hair:
4. sweat:
8
5
INTEGUMENTARY SYSTEM
Combining Forms Exercise
1. skin: cutane/o, derm/o,
dermat/o
2. sebum, sebaceous: seb/o
3. hair: pil/o, trich/o
4. sweat: sudor/o, hidr/o
9
5
INTEGUMENTARY SYSTEM
Combining Forms Exercise
5. blue:
6. red:
7. fungus:
8. black:
10
5
INTEGUMENTARY SYSTEM
Combining Forms Exercise
5. blue: cyan/o
6. red: erythem/o, erythemat/o, erythr/o
7. fungus: myc/o
8. black: melan/o
11
5
INTEGUMENTARY SYSTEM
Combining Forms Exercise
9. fat:
10. nerve:
11. arteriole:
12. dry, scaly:
12
5
INTEGUMENTARY SYSTEM
Combining Forms Exercise
9. fat: adip/o, lip/o, steat/o
10. nerve: neur/o
11. arteriole: arteriol/o
12. dry, scaly: ichthy/o
13
5
INTEGUMENTARY SYSTEM
Combining Forms Exercise
13. horny tissue; hard; cornea:
14. dry:
15. hardening; sclera (white of eye):
14
5
INTEGUMENTARY SYSTEM
Combining Forms Exercise
13. horny tissue; hard; cornea: kerat/o
14. dry: xer/o, ichthy/o
15. hardening; sclera (white of eye): scler/o
15
5
INTEGUMENTARY SYSTEM
Complete the Medical Word Exercise
1. Abnormal condition without sweat:
an/
/
2. treatment with cold:
3. resembling skin:
/o/
/
4. pertaining to under the skin: sub/
/
16
5
INTEGUMENTARY SYSTEM
Complete the Medical Word Exercise
1. abnormal condition without sweat:
an/hidr/osis
2. treatment with cold: cry/o/therapy
3. resembling skin: derm/oid
4. pertaining to under the skin: sub/cutane/ous
17
5
INTEGUMENTARY SYSTEM
Complete the Medical Word Exercise
5. abnormal condition of blue (skin):
6. condition of sweat:
7. softening of a nail:
/
suder/
/o/
18
5
INTEGUMENTARY SYSTEM
Complete the Medical Word Exercise
5. abnormal condition of blue (skin): cyan/osis
6. condition of sweat: sudor/esis
7. softening of a nail: onych/o/malacia
19
5
INTEGUMENTARY SYSTEM
Build a Medical Word Exercise
1. white cell:
2. black cell:
3. skin that is dry:
4. transplantation of same (species):
20
5
INTEGUMENTARY SYSTEM
Build a Medical Word Exercise
1. white cell: leuk/o/cyte
2. black cell: melan/o/cyte
3. skin that is dry: xer/o/derma
4. transplantation of same (species):
homo/graft or allo/graft
21
5
INTEGUMENTARY SYSTEM
Build a Medical Word Exercise
5. tumor (composed of) cancer:
6. skin (condition associated) with pus:
7. discharge or flow of sebum:
8. treatment with cold:
22
5
INTEGUMENTARY SYSTEM
Build a Medical Word Exercise
5. tumor (composed of) cancer: carcin/oma
6. skin (condition associated) with pus:
py/o/derma
7. discharge or flow of sebum: seb/o/rrhea
8. treatment with cold: cry/o/therapy
23
5
INTEGUMENTARY SYSTEM
Build a Medical Word Exercise
9. abnormal condition of dry or scaly (skin):
10. pertaining to heat:
24
5
INTEGUMENTARY SYSTEM
Build a Medical Word Exercise
9. abnormal condition of dry or scaly (skin):
ichthy/osis
10. pertaining to heat: therm/al
25
5
INTEGUMENTARY SYSTEM
Diseases and Conditions
Basal Cell Carcinoma
• Most common type of
skin cancer
• Arises in basal cell layer
of the epidermis
• Flesh colored (early stage
shown in the figure) or
brown
26
5
INTEGUMENTARY SYSTEM
Diseases and Conditions
(continued)
Basal Cell Carcinoma (continued)
• Slow growing and destructive
• Rarely metastasizes but is invasive
• Occurs most commonly in blonde, fairskinned individuals
27
5
INTEGUMENTARY SYSTEM
Diseases and Conditions
(continued)
Basal Cell Carcinoma (continued)
• Signs and symptoms
• Tumor mainly seen on sun-exposed areas of the
body, especially the face
• Can also occur on parts of the body rarely exposed
to sunlight
• Pearly white or waxy bump, often with visible blood
vessels
• Bump may bleed, develop a crust, or form a
depression in the center
28
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Basal Cell Carcinoma (continued)
•Treatment
•Goal of complete eradication of the lesions
•Type of treatment determined by size, shape,
location, and invasiveness of the carcinoma
•Curettage and electrodesiccation
29
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Basal Cell Carcinoma (continued)
•Treatment
(continued)
•Cryotherapy and laser therapy
•Chemotherapeutic drugs
•Surgical excision (used in 90% of cases)
•Irradiation or chemosurgery
30
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. Mr. T. is advised that the basal cell
carcinoma on his face will probably not
spread but will remain localized. It will
eventually destroy underlying and adjacent
tissue. The spread of cancer from one part of
the body to another site is called
.
31
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. Mr. T. is advised that the basal cell
carcinoma on his face will probably not
spread but will remain localized. It will
eventually destroy underlying and adjacent
tissue. The spread of cancer from one part of
the body to another site is called metastasis.
32
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
2. A 70-year-old male is diagnosed with basal
cell carcinoma due to overexposure to the
sun. He is advised that the most common
site of this skin cancer is the (armpit, face,
stomach).
33
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
2.A 70-year-old male is diagnosed with basal
cell carcinoma due to overexposure to the
sun. He is advised that the most common site
of this skin cancer is the (armpit, face,
stomach).
34
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
3. After closely examining a growth on Ms. A.’s
arm, she is informed that it is noncancerous.
The dermatologist charts the noncancerous
growth as (benign, cancerous, malignant).
4. Mr. J. is diagnosed with basal cell carcinoma
and asks the nurse to explain this type of
cancer. How should the nurse respond?
35
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
3. After closely examining a growth on Ms. A.’s
arm, she is informed that it is noncancerous.
The dermatologist charts the noncancerous
growth as (benign, cancerous, malignant).
4. Mr. J. is diagnosed with basal cell carcinoma
and asks the nurse to explain this type of
cancer. How should the nurse respond?
It is a malignancy of the basal layer of the
skin commonly caused by repeated
overexposure to the sun.
36
5
INTEGUMENTARY SYSTEM
Diseases and Conditions
Abscess
•Illustration: Localized
collection of pus at the
infection site (characteristically
a staphylococcal infection)
•Most common sites on hairy
parts of the body exposed to
irritation, pressure, friction, or
moisture
37
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Abscess
(continued)
•Two types
• Furuncle (or boil )— abscess in a hair follicle and
adjacent subcutaneous tissue
• Carbuncle — several furuncles developing in
adjoining hair follicles with multiple drainage
sinuses (as shown in the illustration on the previous
slide)
38
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Abscess
(continued)
•Signs and symptoms
• Affected portion of skin possibly extremely tender,
painful, and swollen
• Abscess possibly enlarged, softened, and open,
discharging pus and necrotic material
• Erythema and edema possibly persisting at the site
for days or weeks
• Possibly accompanied by mild fever
39
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Abscess
(continued)
•Treatment
• Cleaning the infected area thoroughly with soap and
water
• Applying hot, wet compresses to the area to
promote vasodilation and drainage from lesions
• Administering topical antibiotics
• Incision and drainage (I&D) possibly necessary after
the lesion has matured
40
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. Mrs. K. presents with redness and edema of
the neck. The term to describe reddening of
the skin is
.
2. Upon diagnosis of a furuncle, the nurse
explains that this is an infection caused by
a(n) (bacterium, injury, virus).
41
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. Mrs. K. presents with redness and edema of
the neck. The term to describe reddening of
the skin is erythema or erythematous.
2. Upon diagnosis of a furuncle, the nurse
explains that this is an infection caused by a
(bacterium, injury, virus).
42
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
3. The physician charts a cluster of furuncles in
the subcutaneous tissue as a(n)
.
4. Ms. S. is diagnosed with an abscess on her
knee. She asks the physician to explain this
condition. How should the physician
respond?
43
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
3. The physician charts a cluster of furuncles in
the subcutaneous tissue as a carbuncle.
4. Ms. S. is diagnosed with an abscess on her
knee. She asks the physician to explain this
condition. How should the physician
respond?
It is a localized collection of pus at the
infection site, characteristically caused by the
bacterium known as Staphylococcus.
44
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Psoriasis
•Chronic, noninfectious,
inflammatory skin
disease
•Circumscribed red
patches covered by thick,
dry, silvery, adherent
scales (as shown in the
illustration)
45
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Psoriasis
(continued)
•Epidermal cells produced six to nine times
faster than normal
•Commonly a family history is seen
•May begin at any age
•Condition possibly severe if onset is in childhood
46
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Psoriasis
(continued)
•Signs and symptoms
• Excessive development of the basal layer of the skin
• Affected areas that typically appear dry, cracked, and
encrusted
• Build-up of skin composed of living and dead tissue
47
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Psoriasis
(continued)
•Signs and symptoms
(continued)
•Pruritus (common complaint)
•Common sites on scalp, knees, elbows, umbilicus,
and genitalia
48
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Psoriasis
(continued)
•Treatment
• Depends on type, disease extent, and effect on
patient
• Palliative only; no cure
• Topical application of medications, such as coal tar,
vitamin D, corticosteroid drugs, and wet dressings
49
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Psoriasis
(continued)
•Treatment
(continued)
•Ultraviolet (UV) light therapy to retard cell production
• Exposure amount depends on condition, pigmentation, and
susceptibility to burning
• UVB light or natural sunlight to the point of minimal erythema
• UVA light from an artificial source, such as special mercury lamps
• Excrimer laser, a more powerful form of UVB light therapy, directed
to eliminate stubborn plaques and control scaling and inflammation
50
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. Mr. W. presents for treatment of psoriasis
with ultraviolet (UV) light therapy. The doctor
explains that UV therapy retards cell
production and slows horny growths on the
skin. Overgrowth of the horny layer of the
epidermis is a condition called (keratoid,
keratolysis, hyperkeratosis).
51
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. Mr. W. presents for treatment of psoriasis
with ultraviolet (UV) light therapy. The doctor
explains that UV therapy retards cell
production and slows horny growths on the
skin. Overgrowth of the horny layer of the
epidermis is a condition called (keratoid,
keratolysis, hyperkeratosis).
52
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
2. Mrs. M. is diagnosed with psoriasis. The
physician explains that the most common
sites of psoriasis are the
.
3. For chronic psoriasis, a powerful form of UV
light therapy directed to plaques is effective
in controlling scaling and inflammation. This
type of laser is called (UVA, UVB, excrimer)
laser.
53
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
2. Mrs. M. is diagnosed with psoriasis. The
physician explains that the most common
sites of psoriasis are the scalp, knees,
elbows, umbilicus, and genitalia.
3. For chronic psoriasis, a powerful form of UV
light therapy directed to plaques is effective
in controlling scaling and inflammation. This
type of laser is called (UVA, UVB, excrimer)
laser.
54
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Acne Vulgaris
•Common inflammatory skin
disease of the sebaceous glands
and their hair follicles
•Characterized by appearance of
comedos (blackheads or
whiteheads), papules (solid
elevation less than 1 cm), and
pustules (small raised areas of
the skin filled with pus), as
shown in the illustration
55
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Acne Vulgaris
(continued)
• Usually on the face, chest, upper back, and
shoulders
• Most commonly caused by hormone changes
during puberty, but can appear at any age
• Underlying cause of genetic predisposition
• Possible contributing factors, including stress
and external irritants, such as soaps and
cosmetics
56
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Acne Vulgaris
(continued)
•Signs and symptoms
• Acne plug that commonly appears first as an open
comedo (blackhead) or a closed comedo (whitehead)
• Color in the comedo caused by the melanin produced by the
hair follicle, not by dirt
57
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Acne Vulgaris
(continued)
•Signs and symptoms
(continued)
• Eventual enlargement and rupture or leak of plug,
spreading contents to the dermis
•Resulting in inflammation and acne pustules or papules
•Development of scars if chronic irritation continues over a period of
time
58
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Acne Vulgaris
(continued)
•Treatment
• Goals of reducing bacterial count, decreasing
sebaceous gland activity, and preventing
inflammation of the follicle
• Antibacterial solution applied to the skin, orally
administered antibiotics, or both
• Topical agents, which may be used alone or in
combination and are applied with clean hands
• Skin kept as clean and dry as possible
59
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. John, an adolescent, suffers from a chronic
inflammatory skin disorder on his face and
chest. The patient has been squeezing the
blackheads and whiteheads, and those areas
on his face are inflamed. The medical term
for blackheads and whiteheads is
.
60
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. John, an adolescent, suffers from a chronic
inflammatory skin disorder on his face and
chest. The patient has been squeezing the
blackheads and whiteheads, and those areas
on his face are inflamed. The medical term
for blackheads and whiteheads is comedos.
61
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
2. Elisa has been diagnosed with an
inflammatory skin disease known as acne
vulgaris. To decrease sebaceous gland
activity and prevent the follicle from
becoming inflamed, the physician prescribes
an (antibacterial, antibromic, antifungal)
solution to apply to the skin.
62
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
2. Elisa has been diagnosed with an
inflammatory skin disease known as acne
vulgaris. To decrease sebaceous gland
activity and prevent the follicle from
becoming inflamed, the physician prescribes
an (antibacterial, antibromic, antifungal)
solution to apply to the skin.
63
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Scabies
• Contagious skin disease
that is the result of
infestation by the itch mite
• Transmitted by direct
skin-to-skin contact
• Transmitted by prolonged
contact with infected
clothing, bedding, or small
animals (dogs, cats)
64
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Scabies (continued)
•Signs and symptoms
• Patient asymptomatic while the parasite multiplies
• Burrowing of parasite into the superficial layer of
skin, appearing as short, wavy, brownish black lines
• Itching and rash (major complaints)
• Lesions typically excoriated and possibly appear
threadlike
•Commonly appear between the fingers, in the axillae, at the
waist, and on the wrists, elbows, nipples, buttocks, and
genitalia
65
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Scabies (continued)
•Treatment
• Topical scabicide (cream or lotion) for chemical
disinfection
• Usually applied in a thin layer to the entire body from neck to
feet (including genitals, umbilicus, and skin-fold areas), left
on overnight, and washed off in the morning
• Usually curative in one or two applications, depending on the
agent prescribed
• Antipruritics and oral antihistamines to reduce
itching
66
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. A 16-year-old girl visited her grandparents
at their farm last month and petted many of
the animals. Now she complains of itching
and a rash that appears between her fingers
and on her wrist folds. The physician
examines her rash and prescribes a topical
disinfectant cream to destroy the parasite
known as “itch mite.” He charts her skin
disease as (eczema, keloids, scabies).
67
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. A 16-year-old girl visited her grandparents
at their farm last month and petted many of
the animals. Now she complains of itching
and a rash that appears between her fingers
and on her wrist folds. The physician
examines her rash and prescribes a topical
disinfectant cream to destroy the parasite
known as “itch mite.” He charts her skin
disease as (eczema, keloids, scabies).
68
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Impetigo
• Common contagious,
superficial skin infection
• Marked by a fluid-filled
blister that becomes
pustular, ruptures, and
forms a yellow crust
•Vesicle (small fluid-filled
blister)
•Bulla (large fluid-filled blister)
69
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Impetigo (continued)
•Signs and symptoms
• Lesions beginning as macules, vesicles, and
pustules, usually accompanied by pruritus
• Rupture of primary lesion, leaving a honey-colored
serous liquid
• Hardening of liquid and eventual formation of a
thick, yellow crust over the infected site
70
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Impetigo (continued)
•Signs and symptoms
(continued)
• Possibly occurring anywhere, but most commonly on
the mouth, nose, neck, or extremities
• Possible erythema with ulcerations and scarring
71
5
INTEGUMENTARY SYSTEM
Diseases and Conditions (continued)
Impetigo (continued)
•Treatment
•Topical antibiotics, oral antibiotics, or both
• Thorough cleansing of the lesions two to three times
daily
• Good hygiene to prevent skin-to-skin or person-toperson spread
72
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. Carl is diagnosed with a bacterial,
inflammatory skin disease characterized by
vesicles, pustules, and crusted lesions that
form a yellow crust. The physician advises
him to cleanse the lesion 3x/day and
prescribes a topical antibiotic to treat this
contagious skin infection, known as (a
furuncle, impetigo, psoriasis).
73
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. Carl is diagnosed with a bacterial,
inflammatory skin disease characterized by
vesicles, pustules, and crusted lesions that
form a yellow crust. The physician advises
him to cleanse the lesion 3x/day and
prescribes a topical antibiotic to treat this
contagious skin infection, known as (a
furuncle, impetigo, psoriasis).
74
5
INTEGUMENTARY SYSTEM
Vocabulary Challenge Exercise
1. alopecia:
2. debridement:
75
5
INTEGUMENTARY SYSTEM
Vocabulary Challenge Exercise
1. alopecia: absence or loss of hair, especially
of the head; also known as baldness
2. debridement: removal of necrotized tissue
from a traumatic or infected area by surgical
excision, enzymes, or chemical agents; used
to promote healing and prevent infection
76
5
INTEGUMENTARY SYSTEM
Vocabulary Challenge Exercise
3. diaphoresis:
4. hirsutism:
77
5
INTEGUMENTARY SYSTEM
Vocabulary Challenge Exercise
3. diaphoresis: medical condition in which a
person sweats excessively and unpredictably
even when the temperature is cool or when
they are at rest
4. hirsutism: excessive growth of hair in
unusual places, especially in women; may be
due to hypersecretion of testosterone
78
5
INTEGUMENTARY SYSTEM
Medical and Surgical Procedures
•Debridement
•Removal of foreign material and dead or damaged
tissue, especially in a wound
•Mohs surgery
•Fixation of tumor tissue in place and subsequent
removal of one layer of tumor tissue, which is then
examined microscopically
•Repetition of procedure until entire tumor is
removed
79
5
INTEGUMENTARY SYSTEM
Medical and Surgical Procedures
(continued)
•Skin graft
•Allograft
•Autograft
•Synthetic
•Xenograft
80
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. To prevent infection, the physician removes
foreign and necrosed material from Mr. K’s
wound. The therapeutic procedure is charted
as (allograft, cryotherapy, debridement).
2. Ms. J. is diagnosed with verrucae on her left
hand. The dermatologist freezes and
destroys the lesion with nitrogen. This
procedure is known as (cryosurgery,
debridement, UV).
81
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. To prevent infection, the physician removes
foreign and necrosed material from Mr. K’s
wound. The therapeutic procedure is charted
as (allograft, cryotherapy, debridement).
2. Ms. J. is diagnosed with verrucae on her left
hand. The dermatologist freezes and
destroys the lesion with nitrogen. This
procedure is known as (cryosurgery,
debridement, UV).
82
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
3. The surgeon informs Mrs. T. that layer-bylayer her skin tumor will be excised until it is
removed. What is this type of surgery called?
4. Mrs. X. is informed that pus will be removed
from her abscess by incising and draining it.
The procedure is abbreviated as
.
83
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
3. The surgeon informs Mrs. T. that layer-bylayer her skin tumor will be excised until it is
removed. What is this type of surgery called?
Mohs surgery
4. Mrs. X. is informed that pus will be removed
from her abscess by incising and draining it.
The procedure is abbreviated as I&D.
84
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
5. Mr X., a burn patient, is given a transplant of
healthy tissue from his son. What is this type
of transplant known as?
6. Mr. G., a fireman who suffers from chemical
burns, is having healthy tissue transplanted
from a pig. What is this type of transplant
called?
85
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
5. Mr X., a burn patient, is given a transplant of
healthy tissue from his son. What is this type
of transplant known as?
homograft or allograft
6. Mr. G., a fireman who suffers from chemical
burns, is having healthy tissue transplanted
from a pig. What is this type of transplant
called?
xenograft or heterograft
86
5
INTEGUMENTARY SYSTEM
Diagnostic Procedures
• Scratch (prick) skin test
• Identification of suspected
allergens via placement of
a small quantity of the
suspected allergen on a
lightly scratched area of
the skin (allergy skin
scratch testing kit shown
in the illustration)
87
5
INTEGUMENTARY SYSTEM
Diagnostic Procedures (continued)
• Intradermal allergy skin
test
• Identification of suspected
allergens via
subcutaneous injection of
small amounts of extracts
on the suspected
allergens and observation
of the skin for subsequent
reaction
88
5
INTEGUMENTARY SYSTEM
Diagnostic Procedures (continued)
• Biopsy
• Tissue sample removed from the body for
microscopic examination, usually to establish a
diagnosis
89
5
INTEGUMENTARY SYSTEM
Build a Medical Word Exercise
1. instrument to cut skin:
2. pertaining to within the skin:
3. study of skin:
90
5
INTEGUMENTARY SYSTEM
Build a Medical Word Exercise
1. instrument to cut skin: derm/a/tome or
dermat/o/tome
2. pertaining to within the skin: intra/derm/al
3. study of skin: dermat/o/logy
91
5
INTEGUMENTARY SYSTEM
Pharmacology
•Antibiotics
•Antifungals
•Antipruritics
•Corticosteroids
92
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. To treat a bacterial skin infection, the
physician prescribes a(n) (antifungal,
antibiotic, corticosteroid).
2. Ms. B. developed a poison ivy rash after a
camping trip. A topical drug is prescribed to
decrease inflammation and itching. This drug
is called a(n) (antifungal, antibiotic,
corticosteroid).
93
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
1. To treat a bacterial skin infection, the
physician prescribes an (antifungal,
antibiotic, corticosteroid).
2. Ms. B. developed a poison ivy rash after a
camping trip. A topical drug is prescribed to
decrease inflammation and itching. This drug
is called a (antifungal, antibiotic,
corticosteroid).
94
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
3. Mrs. K. is diagnosed with ringworm and is
treated with a(n) (antifungal, antibiotic,
corticosteroid).
4. Mr. J. develops a rash between his toes which
is diagnosed as athlete’s foot. His physician
suspects it was caused from walking
barefoot in the locker room. The doctor
treats this infection with an (antifungal,
antiviral, antibacterial) drug.
95
5
INTEGUMENTARY SYSTEM
Clinically Related Exercise
3. Mrs. K. is diagnosed with ringworm and is
treated with an (antifungal, antibiotic,
corticosteroid).
4. Mr. J. develops a rash between his toes which
is diagnosed as athlete’s foot. His physician
suspects it was caused from walking
barefoot in the locker room. The doctor
treats this infection with an (antifungal,
antiviral, antibacterial) drug.
96
Copyright © 2013 by F.A. Davis Company. All rights
reserved. This product is protected by copyright. No
part of it may be reproduced, stored in a retrieval
system, or transmitted in any form or by any means—
electronic, mechanical, photocopying, recording, or
otherwise—without written permission from the
publisher.
97