Outer barrier (layer)
Epidermis
Collagen, elastic fibers, glands *
(layer)
Dermis
Fat insulation (layer)
Subcutaneous layer
Hair follicles, nails, sebaceous (oil) glands, sweat glands.
Appendages
Oil glands are absent on _____ and _____, explaining dryness there.
Palms and soles
Skin weight accounts for about __% of total body weight, making it the body’s largest organ
15
Hair loss; physiologic nonscarring type often follows childbirth
Alopecia
Deep skin infection of adjoining follicles treated with systemic antibiotics
Carbuncle
Rapidly spreading inflammation of skin and subcutaneous tissue
Cellulitis
Controlled scarping of superficial skin layers to smooth wrinkles or scars
Dermabrasion
Warts caused by human papillomavirus
Verrucae
Scaly, itchy inflammatory skin condition
Eczema
Parasitic infestation by the itch mite
Scabies
ABCDE Rule
Asymmetry, Border irregularity, Color Variation, Diameter >6 mm, Evolving (warning signs of melanoma)
Scrape or burn
Excoriation
5 Primary Functions of the Integumentary system
Temperature regulation, absorption of lipid-soluable vitamins, perception of touch/pain, protection from pathogens, limited excretion of wastes
Elastic fibers shrink while collagen degenerates, leading to wrinkles and thinner skin
Aging Changes
Intact stratum corners blocks microbes ; breaks can invite cellulitis or impetigo
Immune barrier
Ance Vulgaris
Signs- Conedones, papules, pustules
Management- Topical antibacterials, oral antibiotics, oral contraceptives in females
Eczema
Signs- Dry, scaly, itchy patches
Management- Emollients, topical steroids, trigger avoidance
Carbuncles, Furuncles
Signs- painful, red boils (F- single, C-cluster)
Manegment- Systemic antibodies; reduce irritation, pressure, friction
Cellulitis
Signs- Swollen, warm, tender area with spreading redness
Management- Prompt systemic antibodies, elevation
Rosacea
Signs- Presistent facial redness with papules
Management- Topical metronidazole, trigger avoidance (heat, alcohol)
Verrucae (Warts)
Signs- Raised rough lesions, often on hand/feet
Management- Cryotherapy, salicylic acid