The document provides an overview of the anatomy and physiology of the integumentary system. It discusses the three layers of the skin - epidermis, dermis, and subcutaneous tissue - and describes their composition and functions. Key points covered include the structure and cellular makeup of the epidermis, roles of melanocytes and keratinocytes, structure of hair follicles and nails, and glands of the skin. The functions of the skin in protection, sensation, fluid balance, and temperature regulation are also summarized.
The document summarizes the structure and function of the integumentary system. It describes the two main layers of the skin - the epidermis and dermis - as well as various cell types found in the epidermis like keratinocytes, melanocytes, and Langerhans cells. It also discusses skin appendages such as hair follicles, sebaceous glands, and sweat glands. The summary concludes by noting the integumentary system acts as a protective barrier and regulates temperature and moisture.
Dermatitis is an inflammation of the skin that makes it red, swollen, and itchy. There are many types, including allergic and irritant contact dermatitis, atopic dermatitis (eczema), and seborrheic dermatitis (dandruff). It affects people of all ages but often begins in childhood. Symptoms include a red rash, blisters, dry cracked skin, itching, pain, swelling, and flaking. Treatment depends on the type but may include moisturizers, topical corticosteroids, oral antibiotics, and lifestyle changes to avoid irritants.
The skin is composed of three layers: the epidermis, dermis, and hypodermis. The epidermis contains keratinocytes and dendritic cells. It has multiple layers including the basal, spinous, granular, clear, and horny layers. The dermis contains fibrous and cellular connective tissue with nerve and vascular networks. The hypodermis contains adipose tissue and larger blood vessels and nerves. The skin has several functions including serving as a barrier, regulating temperature, sensation, vitamin D synthesis, and as a blood reservoir. Primary skin lesions include macules, papules, vesicles, pustules, nodules, and plaques. Secondary lesions develop from primary lesions and include scales
Human skin consists of three layers - the epidermis, dermis and hypodermis. The epidermis is made up of keratinocytes and contains four sublayers - stratum basale, stratum spinosum, stratum granulosum and stratum corneum. The dermis lies below the epidermis and contains collagen, elastin and glycosaminoglycans which provide strength, elasticity and hydration to the skin. The dermis can be divided into the papillary and reticular layers. Various cell types including melanocytes, Langerhans cells and Merkel cells are also present in the epidermis.
The document defines carbohydrates and classifies them as monosaccharides, disaccharides, oligosaccharides, and polysaccharides. It discusses the daily requirement of carbohydrates, their main sources, and functions like providing energy, sparing protein, and aiding mineral absorption. It describes the digestion of carbohydrates by enzymes into simpler sugars, their absorption and metabolism. Deficiencies can cause ketosis while overconsumption may lead to dental caries, heart disease, obesity, and intestinal irritation.
epidemiology reservoir & incubation periodaram mustafa
Reservoirs of infectious diseases include humans, animals, arthropods, soil, and other substances where infectious agents live and multiply. There are different types of reservoirs such as human carriers like incubatory or convalescent carriers, animal reservoirs like cattle and sheep, soil reservoirs like tetanus, and arthropod reservoirs like mosquitoes. The incubation period is the time between infection and symptoms appearing, and can vary based on host resistance, the infectious agent, and route of infection. It provides advantages for clinical diagnosis/treatment and implementing preventive public health measures.
1. The skin receives its blood supply from a superficial and deep plexus of vessels that are richly anastomosed throughout the dermis.
2. Histologically, the vessels include arterioles with smooth muscle layers, capillaries with continuous or fenestrated endothelia, and venules. Glomus bodies act as arterio-venous shunts for temperature regulation.
3. Dermal lymphatics arise in the upper dermis and have single endothelial layers, draining fluid and macromolecules. Vascular and lymphatic abnormalities can cause skin conditions like lymphedema or hemangiomas.
This document summarizes the anatomy and physiology of the various glands in skin - sweat glands, sebaceous glands and apocrine glands. It describes the two main types of sweat glands - eccrine and apocrine, as well as apoeccrine glands. Details are provided on the structure, development, distribution and functions of each gland type. The hormonal control of sebaceous gland activity is also summarized, noting the effects of androgens, estrogens and other hormones.
The document summarizes the structure and function of the integumentary system. It describes the two main layers of the skin - the epidermis and dermis - as well as various cell types found in the epidermis like keratinocytes, melanocytes, and Langerhans cells. It also discusses skin appendages such as hair follicles, sebaceous glands, and sweat glands. The summary concludes by noting the integumentary system acts as a protective barrier and regulates temperature and moisture.
Dermatitis is an inflammation of the skin that makes it red, swollen, and itchy. There are many types, including allergic and irritant contact dermatitis, atopic dermatitis (eczema), and seborrheic dermatitis (dandruff). It affects people of all ages but often begins in childhood. Symptoms include a red rash, blisters, dry cracked skin, itching, pain, swelling, and flaking. Treatment depends on the type but may include moisturizers, topical corticosteroids, oral antibiotics, and lifestyle changes to avoid irritants.
The skin is composed of three layers: the epidermis, dermis, and hypodermis. The epidermis contains keratinocytes and dendritic cells. It has multiple layers including the basal, spinous, granular, clear, and horny layers. The dermis contains fibrous and cellular connective tissue with nerve and vascular networks. The hypodermis contains adipose tissue and larger blood vessels and nerves. The skin has several functions including serving as a barrier, regulating temperature, sensation, vitamin D synthesis, and as a blood reservoir. Primary skin lesions include macules, papules, vesicles, pustules, nodules, and plaques. Secondary lesions develop from primary lesions and include scales
Human skin consists of three layers - the epidermis, dermis and hypodermis. The epidermis is made up of keratinocytes and contains four sublayers - stratum basale, stratum spinosum, stratum granulosum and stratum corneum. The dermis lies below the epidermis and contains collagen, elastin and glycosaminoglycans which provide strength, elasticity and hydration to the skin. The dermis can be divided into the papillary and reticular layers. Various cell types including melanocytes, Langerhans cells and Merkel cells are also present in the epidermis.
The document defines carbohydrates and classifies them as monosaccharides, disaccharides, oligosaccharides, and polysaccharides. It discusses the daily requirement of carbohydrates, their main sources, and functions like providing energy, sparing protein, and aiding mineral absorption. It describes the digestion of carbohydrates by enzymes into simpler sugars, their absorption and metabolism. Deficiencies can cause ketosis while overconsumption may lead to dental caries, heart disease, obesity, and intestinal irritation.
epidemiology reservoir & incubation periodaram mustafa
Reservoirs of infectious diseases include humans, animals, arthropods, soil, and other substances where infectious agents live and multiply. There are different types of reservoirs such as human carriers like incubatory or convalescent carriers, animal reservoirs like cattle and sheep, soil reservoirs like tetanus, and arthropod reservoirs like mosquitoes. The incubation period is the time between infection and symptoms appearing, and can vary based on host resistance, the infectious agent, and route of infection. It provides advantages for clinical diagnosis/treatment and implementing preventive public health measures.
1. The skin receives its blood supply from a superficial and deep plexus of vessels that are richly anastomosed throughout the dermis.
2. Histologically, the vessels include arterioles with smooth muscle layers, capillaries with continuous or fenestrated endothelia, and venules. Glomus bodies act as arterio-venous shunts for temperature regulation.
3. Dermal lymphatics arise in the upper dermis and have single endothelial layers, draining fluid and macromolecules. Vascular and lymphatic abnormalities can cause skin conditions like lymphedema or hemangiomas.
This document summarizes the anatomy and physiology of the various glands in skin - sweat glands, sebaceous glands and apocrine glands. It describes the two main types of sweat glands - eccrine and apocrine, as well as apoeccrine glands. Details are provided on the structure, development, distribution and functions of each gland type. The hormonal control of sebaceous gland activity is also summarized, noting the effects of androgens, estrogens and other hormones.
This document discusses various types of disasters including fire, explosions, floods, and earthquakes. It provides guidance on first aid for each type of disaster such as remaining calm during a fire, controlling bleeding for explosion victims, evacuating to higher ground during floods, and dropping and covering during earthquakes. The document also discusses the roles of nurses in immediate disaster response like assessing airways and providing first aid, and later roles like monitoring patients and preventing disease outbreaks. Rehabilitation for disaster victims is also summarized, including primary treatment, physiotherapy, occupational therapy, and assistance with readjustment.
ECZEMA presentation for physiotherapy pptKemzyEkam
1. Eczema is a group of skin diseases characterized by irritation and inflammation of the skin. There are various types of eczema, which can be classified by age, cause, location, duration and other factors.
2. The document outlines the main stages, clinical features, and classifications of eczema. It also discusses specific types like atopic eczema, seborrheic dermatitis, and irritant/allergic contact eczema.
3. Treatment involves the use of emollients, mild-to-strong topical steroids, immunosuppressants, antibiotics if infected, and antihistamines to relieve itching.
This presentation is on functions of skin and physiology of skin including thermoregulatory function, barrier function, vitamin D synthesis, cosmetic functions.
Dermatitis is an inflammation of the skin that causes redness, swelling and itchiness. There are many types of dermatitis including atopic dermatitis, contact dermatitis and seborrheic dermatitis. Contact dermatitis occurs when the skin comes into contact with an irritant or allergen and can be either irritant or allergic in nature. Symptoms vary depending on the type but may include a rash, blisters, dry cracked skin and itchiness. Treatment involves identifying and avoiding triggers, using moisturizers and topical or oral medications like corticosteroids and antihistamines.
The skin is composed of two main layers - the epidermis and dermis. The epidermis is made up of stratified squamous epithelium with the basal layer containing keratinocytes that divide and push outward. As they move upward through the granular and stratum corneum layers, the keratinocytes produce more keratin and eventually shed their nuclei. The dermis lies below and contains collagen, fibers and vasculature that provide strength and nutrients to the epidermis. The basement membrane separates the two layers and is important for structural integrity of the skin.
basics of skin, review of skin, Integumentary system, the structure of the skin, Functions of skin, skin appendages, Hair, sweat glands, sebaceous glands, Nails, dermis, epidermis,
subcutaneous tissue. anatomy and physiology
The document discusses the planning phase of the nursing process. It defines planning as the systematic phase where goals and expected outcomes are established and nursing interventions are selected based on evidence. There are three types of planning: initial planning done on admission, ongoing planning done by nurses on each shift, and discharge planning which starts on admission to anticipate post-discharge needs. The planning process involves prioritizing issues, establishing goals and interventions, and developing a formal written nursing care plan.
The document defines and explains the nursing process, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. It is a systematic, critical thinking process used by nurses to provide individualized, evidence-based care. Assessment involves collecting client data through various methods. Nursing diagnosis identifies actual or potential health problems based on assessment findings. Planning establishes goals and interventions. Implementation involves applying the interventions. Evaluation assesses progress towards goals and effectiveness of the care plan.
Dermatitis is inflammation of the skin characterized by redness and pain or itching. There are four main types: contact dermatitis caused by external agents; atopic dermatitis which is chronic and more common in children; seborrheic dermatitis affecting the scalp, face and trunk; and exfoliative dermatitis where the skin peels excessively. Symptoms vary depending on the type and phase but include rashes, scaling, itching and infection risks. Treatment focuses on removing triggers, moisturizing the skin and using corticosteroids, antibiotics and antihistamines.
The document discusses the vasculature and innervation of skin. It describes in detail the blood vessels of skin including the superficial and deep plexuses, communicating vessels, and venous drainage. It discusses the histology of arteries, arterioles, capillaries and venules. It also covers lymphatics, vascular development, angiogenesis, factors affecting vascular tone, and various clinical conditions related to the cutaneous vasculature. For innervation, it describes the somatic sensory and autonomic nervous systems that supply the skin and provides details on specialized receptors like Pacini corpuscles, Meissner's corpuscles and mucocutaneous end organs.
This document describes the key features to note when describing basic skin lesions, including size, shape, color, and distribution. It categorizes lesions as primary, secondary, or special and defines common types such as macules, papules, vesicles, bullae, and pustules. Secondary lesions include scales, crusts, erosions, and fissures. The document provides examples of different lesions and explores their characteristic arrangements, colors, and predilection for specific body sites.
The document discusses integumentary disorders and provides information on the anatomy and function of the skin. It describes the three layers of the skin - epidermis, dermis and subcutaneous tissue. It then discusses factors that influence skin integrity such as immobility, trauma, and malnutrition. Common dermatological terms and methods of describing skin lesions are also outlined. Finally, it provides an overview of common dermatological conditions like eczema, bacterial infections, fungal infections and viral infections.
This document defines and describes various types of dermatitis (inflammation of the skin). It introduces dermatitis/eczema as characterized by itchiness, redness, and rashes. The main types discussed are atopic dermatitis (eczema), allergic contact dermatitis, irritant contact dermatitis, and stasis dermatitis. Each type is further defined, such as atopic dermatitis resulting in itchy, red, swollen and cracked skin. Causes, symptoms and ICD-10 codes are provided for several dermatitis types.
Skin appendages like hair, glands and nails serve functions of sensation, lubrication and heat regulation. Common skin appendages are hair, arrector pilli muscles, sebaceous glands, sweat glands and nails. There are two main types of sweat glands - eccrine glands which produce watery sweat, and apocrine glands which produce an oily, odorous sweat mainly in axillary and inguinal regions. Common disorders of skin appendages include onycholysis where the nail detaches from the nail bed, alopecia areata which is an autoimmune hair loss, and hypertrichosis which is abnormal hair growth over the body.
2. unit no iii dynamic of disease, Community Health NursingSANJAY SIR
it is uploaded to help medics, paramedics and nursing educators to teach their students about dynamic of disease. it also help to create awareness in general people about it.
Impetigo is a skin infection that involves only the epidermis. There are two types: bullous caused by Staphylococcus aureus and non-bullous caused by S. aureus or Streptococcus. It starts as vesicles or pustules and causes itching and burning. Ecthyma is a deep skin infection that causes punched out ulcers and surrounding erythema. Folliculitis causes multiple pustules around hair follicles, while furuncle is a deeper, nodular pus-filled infection. A carbuncle is a cluster of furuncles commonly seen in diabetics in the neck region and may require oral antibiotics.
This document defines and describes common paediatric skin lesions. It discusses primary lesions such as macules, papules, vesicles and pustules. It also covers secondary lesions including scaling, lichenification and crusting. The document provides details on the etiology, pathophysiology, clinical features, diagnosis and treatment of common paediatric skin conditions like acne, warts and scabies.
This document discusses protein-energy malnutrition (PEM), a major public health problem in India that affects children under 5 years old. It defines PEM as resulting from protein and calorie deficiencies. The most severe forms are kwashiorkor and marasmus. PEM is classified based on severity and symptoms. Kwashiorkor involves edema while marasmus is severe wasting. Risk factors include low birth weight and infections. Treatment focuses on nutrition, infection prevention, and educating parents to prevent relapse. Nursing care includes assessment, addressing nutritional deficits and risks, and monitoring for complications.
The document provides information on conducting a health assessment, including its purpose and process. A health assessment involves taking a health history and performing a physical examination. The health history collects biographical data, chief complaints, and past and family medical histories. A physical exam evaluates each body system through inspection, palpation, percussion, and auscultation. The head-to-toe assessment examines all body systems and informs care providers of the patient's overall condition.
This document provides an overview of integumentary (skin) disorders. It begins with an introduction to the skin's anatomy and functions. The three layers of the skin - epidermis, dermis, and subcutaneous tissue - are then described in detail. The document discusses the skin's role in protection, sensation, and fluid balance regulation. Specific cell types, glands, hair, and nails are also examined. A variety of bacterial, viral, and inflammatory skin conditions are listed for further discussion.
The skin has two main layers - the epidermis and dermis. The epidermis is composed of stratified squamous epithelium and provides a protective barrier. It contains no blood vessels. The dermis lies below the epidermis and is composed of connective tissue containing collagen, elastic fibers, and fibroblasts. It also contains structures like hair follicles, sweat and sebaceous glands, and nerves. The skin regulates body temperature, protects the body from microbes and injury, and contains sensory receptors for touch, temperature, and pain.
This document discusses various types of disasters including fire, explosions, floods, and earthquakes. It provides guidance on first aid for each type of disaster such as remaining calm during a fire, controlling bleeding for explosion victims, evacuating to higher ground during floods, and dropping and covering during earthquakes. The document also discusses the roles of nurses in immediate disaster response like assessing airways and providing first aid, and later roles like monitoring patients and preventing disease outbreaks. Rehabilitation for disaster victims is also summarized, including primary treatment, physiotherapy, occupational therapy, and assistance with readjustment.
ECZEMA presentation for physiotherapy pptKemzyEkam
1. Eczema is a group of skin diseases characterized by irritation and inflammation of the skin. There are various types of eczema, which can be classified by age, cause, location, duration and other factors.
2. The document outlines the main stages, clinical features, and classifications of eczema. It also discusses specific types like atopic eczema, seborrheic dermatitis, and irritant/allergic contact eczema.
3. Treatment involves the use of emollients, mild-to-strong topical steroids, immunosuppressants, antibiotics if infected, and antihistamines to relieve itching.
This presentation is on functions of skin and physiology of skin including thermoregulatory function, barrier function, vitamin D synthesis, cosmetic functions.
Dermatitis is an inflammation of the skin that causes redness, swelling and itchiness. There are many types of dermatitis including atopic dermatitis, contact dermatitis and seborrheic dermatitis. Contact dermatitis occurs when the skin comes into contact with an irritant or allergen and can be either irritant or allergic in nature. Symptoms vary depending on the type but may include a rash, blisters, dry cracked skin and itchiness. Treatment involves identifying and avoiding triggers, using moisturizers and topical or oral medications like corticosteroids and antihistamines.
The skin is composed of two main layers - the epidermis and dermis. The epidermis is made up of stratified squamous epithelium with the basal layer containing keratinocytes that divide and push outward. As they move upward through the granular and stratum corneum layers, the keratinocytes produce more keratin and eventually shed their nuclei. The dermis lies below and contains collagen, fibers and vasculature that provide strength and nutrients to the epidermis. The basement membrane separates the two layers and is important for structural integrity of the skin.
basics of skin, review of skin, Integumentary system, the structure of the skin, Functions of skin, skin appendages, Hair, sweat glands, sebaceous glands, Nails, dermis, epidermis,
subcutaneous tissue. anatomy and physiology
The document discusses the planning phase of the nursing process. It defines planning as the systematic phase where goals and expected outcomes are established and nursing interventions are selected based on evidence. There are three types of planning: initial planning done on admission, ongoing planning done by nurses on each shift, and discharge planning which starts on admission to anticipate post-discharge needs. The planning process involves prioritizing issues, establishing goals and interventions, and developing a formal written nursing care plan.
The document defines and explains the nursing process, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. It is a systematic, critical thinking process used by nurses to provide individualized, evidence-based care. Assessment involves collecting client data through various methods. Nursing diagnosis identifies actual or potential health problems based on assessment findings. Planning establishes goals and interventions. Implementation involves applying the interventions. Evaluation assesses progress towards goals and effectiveness of the care plan.
Dermatitis is inflammation of the skin characterized by redness and pain or itching. There are four main types: contact dermatitis caused by external agents; atopic dermatitis which is chronic and more common in children; seborrheic dermatitis affecting the scalp, face and trunk; and exfoliative dermatitis where the skin peels excessively. Symptoms vary depending on the type and phase but include rashes, scaling, itching and infection risks. Treatment focuses on removing triggers, moisturizing the skin and using corticosteroids, antibiotics and antihistamines.
The document discusses the vasculature and innervation of skin. It describes in detail the blood vessels of skin including the superficial and deep plexuses, communicating vessels, and venous drainage. It discusses the histology of arteries, arterioles, capillaries and venules. It also covers lymphatics, vascular development, angiogenesis, factors affecting vascular tone, and various clinical conditions related to the cutaneous vasculature. For innervation, it describes the somatic sensory and autonomic nervous systems that supply the skin and provides details on specialized receptors like Pacini corpuscles, Meissner's corpuscles and mucocutaneous end organs.
This document describes the key features to note when describing basic skin lesions, including size, shape, color, and distribution. It categorizes lesions as primary, secondary, or special and defines common types such as macules, papules, vesicles, bullae, and pustules. Secondary lesions include scales, crusts, erosions, and fissures. The document provides examples of different lesions and explores their characteristic arrangements, colors, and predilection for specific body sites.
The document discusses integumentary disorders and provides information on the anatomy and function of the skin. It describes the three layers of the skin - epidermis, dermis and subcutaneous tissue. It then discusses factors that influence skin integrity such as immobility, trauma, and malnutrition. Common dermatological terms and methods of describing skin lesions are also outlined. Finally, it provides an overview of common dermatological conditions like eczema, bacterial infections, fungal infections and viral infections.
This document defines and describes various types of dermatitis (inflammation of the skin). It introduces dermatitis/eczema as characterized by itchiness, redness, and rashes. The main types discussed are atopic dermatitis (eczema), allergic contact dermatitis, irritant contact dermatitis, and stasis dermatitis. Each type is further defined, such as atopic dermatitis resulting in itchy, red, swollen and cracked skin. Causes, symptoms and ICD-10 codes are provided for several dermatitis types.
Skin appendages like hair, glands and nails serve functions of sensation, lubrication and heat regulation. Common skin appendages are hair, arrector pilli muscles, sebaceous glands, sweat glands and nails. There are two main types of sweat glands - eccrine glands which produce watery sweat, and apocrine glands which produce an oily, odorous sweat mainly in axillary and inguinal regions. Common disorders of skin appendages include onycholysis where the nail detaches from the nail bed, alopecia areata which is an autoimmune hair loss, and hypertrichosis which is abnormal hair growth over the body.
2. unit no iii dynamic of disease, Community Health NursingSANJAY SIR
it is uploaded to help medics, paramedics and nursing educators to teach their students about dynamic of disease. it also help to create awareness in general people about it.
Impetigo is a skin infection that involves only the epidermis. There are two types: bullous caused by Staphylococcus aureus and non-bullous caused by S. aureus or Streptococcus. It starts as vesicles or pustules and causes itching and burning. Ecthyma is a deep skin infection that causes punched out ulcers and surrounding erythema. Folliculitis causes multiple pustules around hair follicles, while furuncle is a deeper, nodular pus-filled infection. A carbuncle is a cluster of furuncles commonly seen in diabetics in the neck region and may require oral antibiotics.
This document defines and describes common paediatric skin lesions. It discusses primary lesions such as macules, papules, vesicles and pustules. It also covers secondary lesions including scaling, lichenification and crusting. The document provides details on the etiology, pathophysiology, clinical features, diagnosis and treatment of common paediatric skin conditions like acne, warts and scabies.
This document discusses protein-energy malnutrition (PEM), a major public health problem in India that affects children under 5 years old. It defines PEM as resulting from protein and calorie deficiencies. The most severe forms are kwashiorkor and marasmus. PEM is classified based on severity and symptoms. Kwashiorkor involves edema while marasmus is severe wasting. Risk factors include low birth weight and infections. Treatment focuses on nutrition, infection prevention, and educating parents to prevent relapse. Nursing care includes assessment, addressing nutritional deficits and risks, and monitoring for complications.
The document provides information on conducting a health assessment, including its purpose and process. A health assessment involves taking a health history and performing a physical examination. The health history collects biographical data, chief complaints, and past and family medical histories. A physical exam evaluates each body system through inspection, palpation, percussion, and auscultation. The head-to-toe assessment examines all body systems and informs care providers of the patient's overall condition.
This document provides an overview of integumentary (skin) disorders. It begins with an introduction to the skin's anatomy and functions. The three layers of the skin - epidermis, dermis, and subcutaneous tissue - are then described in detail. The document discusses the skin's role in protection, sensation, and fluid balance regulation. Specific cell types, glands, hair, and nails are also examined. A variety of bacterial, viral, and inflammatory skin conditions are listed for further discussion.
The skin has two main layers - the epidermis and dermis. The epidermis is composed of stratified squamous epithelium and provides a protective barrier. It contains no blood vessels. The dermis lies below the epidermis and is composed of connective tissue containing collagen, elastic fibers, and fibroblasts. It also contains structures like hair follicles, sweat and sebaceous glands, and nerves. The skin regulates body temperature, protects the body from microbes and injury, and contains sensory receptors for touch, temperature, and pain.
The anatomy of the skin consists of three main layers - the epidermis, dermis and subcutaneous fat. The epidermis contains five layers and produces keratinocytes, melanocytes, Merkel cells and Langerhans cells. The dermis lies underneath and contains collagen, elastin and ground substance. It is divided into the papillary and reticular layers. Skin appendages include hair follicles, sebaceous and eccrine glands. The skin has blood and lymphatic vessels, nerves and muscles like the arrector pili. Skin thickness and structure varies in different areas and changes with ageing.
The skin has three main layers - the epidermis, dermis and subcutaneous layer. The epidermis has multiple layers of keratinized cells that help protect the body. The dermis contains collagen, elastin and blood vessels that provide strength and nourishment to the skin. Accessory structures like hair, nails and glands also have important protective and sensory functions. The skin acts as a barrier against pathogens and regulates temperature, while also producing vitamin D and sensing touch.
The document provides information on the integumentary system, skeletal system, and joints. It includes sections on the structure and functions of skin, as well as the structure of the skull, vertebral column, thoracic cage, and types of bones. Key points covered are the layers of the skin (epidermis and dermis), structures in the skin (sweat glands, hair follicles, sebaceous glands), functions of skin (protection, temperature regulation, sensation), and divisions of the skeletal system into the axial skeleton and appendicular skeleton.
The document describes the structure and functions of the integumentary system. It discusses that the system consists of skin, hair, nails, and glands. The skin has two main layers - the epidermis and dermis. The epidermis acts as a protective barrier while the dermis contains blood vessels, nerves, and glands. The system protects the body, regulates temperature and water balance, and plays a role in sensation and vitamin synthesis.
The integumentary system consists of the skin, hair, nails, and glands. The skin is the largest organ and has two main layers - the epidermis and dermis. The epidermis is made of keratinized epithelial tissue and contains keratinocytes, melanocytes, Langerhans cells, and Merkel cells. The dermis is made of connective tissue. Hair, nails, sebaceous glands, and sweat glands are accessory structures that develop from the epidermis and serve protective and temperature regulating functions. The integumentary system maintains body temperature, protects the internal organs, and detects sensations.
The skin is the largest organ of the body that protects us from damage and regulates body temperature. It is made up of three main layers - the epidermis, dermis, and hypodermis. The epidermis is the outermost layer and contains keratinocytes that produce keratin, while the dermis lies underneath and contains structures like hair follicles, sebaceous glands, and sweat glands.
The epidermis is the outermost layer of skin composed of keratinocytes and other cell types. It forms a protective barrier against pathogens and regulates water loss. The epidermis consists of several layers - the stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, and stratum corneum. The dermis lies beneath the epidermis and contains structures like hair follicles, sweat and oil glands, blood vessels, nerves. The hypodermis is the lowest layer and stores fat. Together these layers comprise the integumentary system which acts as a protective barrier for the body.
The document summarizes the structure and function of the integumentary system. It describes the three main layers of the skin - the epidermis, dermis and hypodermis/subcutaneous layer. The epidermis is made of four layers and contains keratinocytes, melanocytes, Langerhans cells and Merkel cells. The dermis lies underneath and contains connective tissue, hair follicles, sweat and sebaceous glands. The hypodermis connects the skin to underlying muscles and tissue. Accessory structures include hair and nails. The skin functions to regulate temperature, protect the body, and sense touch. It interacts with many other body systems.
The document discusses the anatomy of skin and its appendages. It describes skin as the outer covering of the body made of two layers - epidermis and dermis. The epidermis is stratified squamous epithelium and the dermis is made of connective tissue. Skin contains pigments like melanin, carotene and haemoglobin. It has structures like hair follicles, sweat and sebaceous glands. Skin has functions like protection, regulation of temperature and synthesis of vitamin D. Some clinical conditions associated with skin like bed sores, fungal infections and vitiligo are also mentioned.
This document summarizes the structure and function of human skin. It describes the two main layers of skin - the epidermis and dermis. The epidermis contains 5 layers including the stratum corneum, stratum granulosum, and stratum basale. The dermis lies below the epidermis and contains collagen, blood vessels, nerves, hair follicles, and glands. The skin acts as a protective barrier, regulates temperature and moisture, senses touch and pain, and plays a role in vitamin D production, acid-base balance, and waste excretion. The document also describes sweat glands and their role in thermoregulation.
The document discusses the integumentary system, specifically focusing on the skin and its structures and functions. It describes the skin as comprising two main layers - the outer epidermis and inner dermis. The epidermis contains keratin and has no direct blood supply, while the dermis contains blood vessels, fibers, and nerve endings. The document also discusses sweat glands that release sweat to regulate temperature, sebaceous glands that produce sebum, hair follicles, melanocytes that produce pigment, and keratinocytes that form the outer protective layer and produce keratin. Vitamin D is also synthesized in the skin when exposed to sunlight.
The skin : هذا العرض يتحدث عن الجلد الذي يعتبر اكبر عضو بالجسم وشرح الطبقاة المكونة للجلد :
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https://t.me/GoldenAlzaidy
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youtube::: https://www.youtube.com/watch?v=Orumw-PyNjw
Brief Anatomy of Skin and Skin GraftingRishi Gupta
Brief Anatomy of Skin and Skin Grafting.
Anatomy of Skin
History of skin grafting.
Recent Advances in Skin Grafting.
Dermal Substitutes.
Cell cultures in skin grafting.
Normal histology of skin with pathological skin conditions.pptxDr.Sunil mitran
The skin has three main layers - the epidermis, dermis, and hypodermis. The epidermis is made of stratified squamous epithelium and contains keratinocytes, melanocytes, Langerhans cells, and Merkel cells. It is divided into five layers from superficial to deep: stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, and stratum basale. The dermis lies below the epidermis and contains fibroblasts, mast cells, and adipocytes. It is divided into the papillary and reticular dermis. Skin appendages include hair follicles, sweat glands, sebaceous glands, and nails
The integumentary system consists of the skin and its accessory structures. The skin is the largest organ of the body and has several layers, including the epidermis and dermis. The epidermis is made of stratified squamous epithelium with keratinocytes that produce keratin. The dermis contains collagen, fibers and structures like hair follicles. Accessory structures include hair, nails, and glands. Hair provides protection while glands like sebaceous glands secrete oils to moisturize the skin. The integumentary system acts as a barrier and helps regulate body temperature.
This document summarizes benign prostatic hyperplasia (BPH). It discusses the pathology and pathogenesis of BPH, including that it affects glandular epithelium, stromal cells, and causes increased growth. It also covers the symptomatology, evaluation, and various treatment options for BPH including watchful waiting, medical therapy, and prostatectomies. Surgical treatments discussed are transurethral resection of the prostate (TURP), retropubic prostatectomy (RPP), and transvesical prostatectomy (TVP).
This document provides an introduction to pathology. It defines pathology as the study of disease through scientific methods and examines the mechanisms of disease from etiology to clinical manifestation. The key points are:
1. Pathology studies the etiology, pathogenesis, morphologic changes, and functional derangements that result from disease processes.
2. Diseases are examined through diagnostic techniques including histopathology, cytopathology, and biochemical/immunological testing to identify structural and molecular alterations.
3. The natural course of a disease involves stages from initial exposure through biological onset, clinical onset, potential resolution or death.
This document provides an overview of preeclampsia and eclampsia. It begins with an introduction and outlines risk factors and classifications. It then describes clinical features such as hypertension and proteinuria. The pathophysiology section explains how abnormal placentation leads to reduced blood flow and imbalance of prostaglandins. Complications are also discussed, including renal failure, pulmonary edema, and intrauterine growth restriction. The document provides information on diagnosis and management of preeclampsia and eclampsia.
This seminar presentation discusses hypersensitivity reactions, which are exaggerated or inappropriate immune responses to benign antigens. It covers the objectives, mechanisms, classification, complications, and references related to hypersensitivity reactions. There are four main types of hypersensitivity reactions: Type I involves IgE antibodies and mast cell degranulation, Type II involves antibody-mediated cell cytotoxicity, Type III involves immune complex formation and deposition, and Type IV involves T-cell mediated reactions. The presentation provides examples and details of each type of hypersensitivity reaction and their clinical implications.
This document discusses inflammation. It defines inflammation as the body's local response to injury or infection aimed at eliminating the cause of injury and initiating repair. The cardinal signs of inflammation are redness, swelling, heat, pain, and loss of function. The early response involves vasodilation and increased permeability, causing swelling. The late response involves neutrophils in acute inflammation and macrophages in chronic cases, which work to destroy pathogens and initiate healing. Understanding inflammation is important for diagnosing conditions like appendicitis and treating diseases.
This document provides an overview of hyaline membrane disease (HMD), also known as respiratory distress syndrome (RDS), for nursing students. It defines RDS as a lack of pulmonary surfactant, outlines its pathophysiology and risk factors. The document discusses the clinical presentation of RDS, including respiratory distress, radiographic findings and laboratory abnormalities. It also covers diagnosis, differential diagnoses, treatment including surfactant replacement and supportive care, complications and prevention of RDS through antenatal corticosteroids.
1. Acute inflammation is rapid in onset and short in duration, characterized by fluid and protein exudation and neutrophil accumulation. Chronic inflammation is slower in onset and longer lasting, characterized by mononuclear cell infiltration, ongoing tissue destruction, and attempts at repair through fibrosis.
2. The key features of acute inflammation are vasodilation, increased vascular permeability, and recruitment of leukocytes from the blood vessels to the site of injury. Chronic inflammation features mononuclear cell infiltration, persistent tissue damage, and attempts to repair through fibrosis and angiogenesis.
3. Granulomatous inflammation is a pattern of chronic inflammation seen with certain infections, featuring focal collections of activated macrophages that develop an epithelial-like appearance known
Cellular injury can result in adaptation, reversible injury, irreversible injury leading to necrosis or apoptosis, or intracellular accumulation. The outcome depends on the injurious agent and cell type. Adaptations include hypertrophy, hyperplasia, atrophy, and metaplasia. Reversible injury includes fatty changes and pigment accumulation. Necrosis is cell death resulting from hypoxia, free radicals, membrane damage, or calcium influx. There are several types of necrosis including coagulative, liquefactive, fat, caseous, and gangrenous. Apoptosis is programmed cell death that does not cause inflammation.
This document discusses pelvic inflammatory disease (PID) and ectopic pregnancy. It defines PID as an infection of the upper female genital tract that spreads to involve the uterus, fallopian tubes, and ovaries. Common causes are Neisseria gonorrhoeae, Chlamydia trachomatis, and bacterial vaginosis. Risk factors include multiple sexual partners and past gynecological procedures. Symptoms can range from mild to severe abdominal pain. Diagnosis involves clinical exams and tests. Complications include infertility and ectopic pregnancy. Ectopic pregnancy is defined as implantation outside the uterus, most commonly in the fallopian tube. Causes may include anatomical obstructions or abnormalities in the fallop
The document discusses acid-base balance and disturbances. It defines the two main buffer systems - metabolic (kidneys) and respiratory (lungs) - that work to maintain blood pH between 7.35-7.45. Five primary acid-base imbalances are described: metabolic acidosis, metabolic alkalosis, respiratory acidosis, respiratory alkalosis, and mixed disturbances. Diagnosis involves blood tests including arterial blood gases and electrolytes to classify the disturbance based on pH, PCO2, and bicarbonate levels. Treatment focuses on addressing the underlying cause rather than just the pH effect.
This document provides an overview of autoimmune diseases. It defines autoimmune diseases as conditions where the immune system mistakenly attacks and destroys healthy body tissue. The causes include genetic factors, environmental triggers like infections, and defects in immunologic tolerance. Some specific autoimmune diseases discussed are rheumatoid arthritis, type 1 diabetes, Hashimoto's thyroiditis, Graves' disease, myasthenia gravis, and systemic sclerosis. The mechanisms, clinical features, pathology, and treatment options are described for each condition.
Patient safety is a fundamental principle of healthcare. Adverse events may result from problems in practice, products, procedures or systems. Improving patient safety demands a complex, system-wide effort involving performance improvement, risk management, infection control, safe clinical practices, and a safe environment of care. Unsafe injections expose millions of people to infections worldwide each year. Ensuring single-use injection devices and safety boxes are available in every healthcare facility can prevent reuse and unsafe waste disposal.
The document discusses integumentary disorders and provides information on the anatomy and functions of the skin. It describes common skin conditions like eczema, acne, and psoriasis. Eczema is characterized by redness, dryness, and itching. Acne presents as inflamed papules and pustules on the face and back. Psoriasis causes thickened red patches covered with silvery scales. The document outlines signs, causes, and management approaches for various dermatological disorders and skin lesions.
A nebulizer converts liquid medication into a mist that can be inhaled directly into the lungs, allowing for rapid onset of medication effects. There are different types of nebulizers that administer medication via mouthpiece or mask. Nebulizers are commonly used to treat conditions involving airflow obstruction like asthma. Proper use involves preparing equipment and medication, positioning the patient, administering the treatment, and monitoring for side effects.
This document provides an overview of the endocrine system, including the major glands and hormones. It describes the hypothalamus and pituitary glands which regulate many other endocrine glands. Other glands covered include the thyroid, parathyroid, adrenal, pancreas, ovaries, testes, thymus, and pineal. The document outlines how to assess endocrine disorders and lists some common laboratory studies. It also provides details on diabetes mellitus, describing the main types of diabetes including type 1, type 2, and gestational diabetes.
This document provides guidance on performing a cardiac and abdominal examination. It outlines the objectives, symptoms, and physical examination techniques for assessing the cardiovascular and abdominal systems. The cardiovascular section covers inspection of the jugular veins, palpation of pulses, auscultation of heart sounds, and measurement of blood pressure. The abdominal section reviews inspection, auscultation, percussion and palpation techniques. Proper examination order and identification of normal versus abnormal findings are emphasized.
This document summarizes several endocrine system disorders including hyperthyroidism, hypothyroidism, hyperparathyroidism, hypoparathyroidism, Cushing's syndrome, Conn's syndrome, Addison's disease, and pituitary adenomas. It provides epidemiological data on certain disorders and describes associated symptoms, diagnostic evaluations, and medical management approaches. Multiple endocrine neoplasia syndromes are also briefly discussed.
This document provides guidance on effectively breaking bad news to patients. It discusses the importance of this communication skill for healthcare professionals. The document outlines best practices for setting, perception checking, invitation, knowledge sharing, exploring the patient's response, and summarizing. Key aspects include ensuring privacy, empathy, clarity, and allowing time for the patient's questions and reactions. The SPIKES protocol is presented as a framework for structuring the discussion. Examples of both best practices and things to avoid are also highlighted.
2 Assessment of patient with respiratory disorder.pptxMohammedAbdela7
This document provides guidelines for performing a physical examination of the thorax and lungs. It begins by outlining the session objectives and general examination guidelines. It then discusses pertinent history data to obtain, such as cough characteristics and sputum type/color. The physical exam involves inspection, palpation, percussion, and auscultation of the chest. Inspection evaluates breathing patterns, respiratory distress signs, and overall appearance. Palpation assesses tracheal position, chest expansion, tactile fremitus, and tenderness. Percussion and auscultation are also performed to evaluate the lungs. Proper equipment, patient positioning, and exam techniques are emphasized throughout.
This document provides an overview of critical thinking, evidence-based medicine, and how to practice evidence-based medicine. It defines critical thinking as the process of conceptualizing and evaluating information to guide beliefs and actions. Evidence-based medicine is defined as integrating the best research evidence with clinical expertise and patient values/circumstances. The history of evidence-based medicine is discussed, from Cochrane's work in the 1970s highlighting gaps between research and practice, to Guyatt coining the term "evidence-based medicine" in 1991 and Sackett explaining the combination of research, expertise, and patient factors in 1996. The five steps to practice evidence-based medicine are described as developing questions, finding evidence, appraising evidence, integrating
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
3. Introduction
• The largest organ system of the body, the skin is indispensable
for human life.
• Skin forms a barrier between the internal organs and the
external environment
• The skin is contiguous with the mucous membrane at the
external openings of the digestive, respiratory, and urogenital
systems.
• Dermatologic complaints are commonly the primary reason
for a patient to seek health care.
3
4. Anatomy- overview
• The skin is composed of three layers: epidermis, dermis, and
subcutaneous tissue
• The epidermis is an outermost layer of stratified epithelial cells
and composed predominantly of keratinocytes.
• It ranges in thickness from about 0.1 mm on the eyelids to about
1 mm on the palms of the hands and soles of the feet.
• Five distinct layers compose the epidermis: Stratum basale,
stratum germinativum, stratum granulosum, stratum lucidum,
and stratum corneum.
4
6. Epidermis
• The epidermis consists of live, continuously dividing cells
covered on the surface by dead cells.
• This external layer is almost completely replaced every 3 to 4
weeks.
• The dead cells contain large amounts of keratin - has the
capacity to repel pathogens and prevent excessive fluid loss
from the body.
• Keratin is the principal hardening ingredient of the hair and
nails.
6
7. Epidermis continued
• Melanocytes are the special cells of the epidermis that are
primarily involved in producing the pigment melanin, which
colors the skin and hair.
• The more melanin in the tissue, the darker is the color.
• Normal skin color depends on race
• Systemic disease affects skin color as well.
7
8. Epidermis . . .
• It is believed that melanin can absorb ultraviolet light in
sunlight.
• Two other cells are common to the epidermis: Merkel and
Langerhans cells.
• Merkel cells are receptors that transmit stimuli to the axon
through a chemical synapse.
• Langerhans cells are believed to play a significant role in
cutaneous immune system reactions.
8
9. Epidermis continued
• The epidermis is modified in different areas of the body.
• It is thickest over the palms of the hands and soles of the feet and
contains increased amounts of keratin.
• The junction of the epidermis and dermis is an area of many
undulations and furrows called rete ridges.
• This junction permits the free exchange of essential nutrients
between the two layers.
• This interlocking between the dermis and epidermis produces
ripples on the surface of the skin.
• On the fingertips, these ripples are called fingerprints.
9
10. Dermis
• The dermis makes up the largest portion of the skin, providing
strength and structure.
• It is composed of two layers: papillary and reticular.
• The papillary dermis lies directly beneath the epidermis and is
composed primarily of fibroblast cells
• The reticular layer lies beneath the papillary layer and also
produces collagen and elastic bundles.
• The dermis is also made up of blood and lymph vessels, nerves,
sweat and sebaceous glands, and hair roots.
• The dermis is often referred to as the “true skin.”
10
11. Subcutaneous Tissue
• or hypodermis, is the innermost layer of the skin
• It is primarily adipose tissue, which provides a cushion between the skin
layers, muscles, and bones
• It promotes skin mobility, molds body contours, and insulates the body.
• Fat is deposited and distributed according to the person’s gender and in
part accounts for the difference in body shape between men and women.
• The subcutaneous tissues and amount of fat deposited are important
factors in body temperature regulation.
11
12. Hair
• An outgrowth of the skin, hair is present over the entire body
except for the palms and soles.
• The hair consists of a root formed in the dermis and a hair shaft
that projects beyond the skin.
• It grows in a cavity called a hair follicle.
• Proliferation of cells in the bulb of the hair causes the hair to
form.
• Hair follicles undergo cycles of growth and rest.
• The rate of growth varies; beard growth is the most rapid,
followed by hair on the scalp, axillae, thighs, and eyebrows. 12
13. Hair . . . .
• During telogen, hair sheds from the body.
• The hair follicle recycles into the growing phase
spontaneously, or it can be induced by plucking out hairs.
• Growing and resting hair can be found side by side on all parts
of the body.
• About 90% of the 100,000 hair follicles on a normal scalp are
in the growing phase at any one time, and 50 to 100 scalp hairs
are shed each day.
13
15. Hair . . .
• There is a small bulge on the side
of the hair follicle that houses the stem
cells that migrate down to the follicle
root and begin the cycle of reproducing
the hair shaft.
• The location of these cells on the
side of the hair shaft rather than at
the base is a factor in hair loss.
• In conditions in which inflammation causes damage to the root
of the hair, regrowth is possible.
• However, if inflammation causes damage to the bulge on the
side, stem cells are destroyed and hair does not grow. 15
16. Hair . . . .
• Hair in different parts of the body serves different functions.
• The hairs of the eyes (ie, eyebrows and lashes), nose, and ears
filter out dust, bugs, and airborne debris.
• Hair color is supplied by various amounts of melanin within
the hair shaft.
• Gray or white hair reflects the loss of pigment.
16
17. Nails
• On the dorsal surface of the fingers and toes, a hard, transparent
plate of keratin, called the nail, overlies the skin.
• The nail grows from its root, which lies under a thin fold of skin
called the cuticle.
• The nail protects the fingers and toes by preserving their highly
developed sensory functions, such as for picking up small objects.
• Nail growth is continuous throughout life, with an average growth of
0.1 mm daily.
• Growth is faster in fingernails than toenails and tends to slow with
aging.
• Complete renewal of a fingernail takes about 170 days, whereas
toenail renewal takes 12 to 18 months.
17
18. Glands of the Skin
• There are two types of skin glands: sebaceous and sweat glands.
• The sebaceous glands are associated with hair follicles.
• The ducts of the sebaceous glands empty sebum (ie, oily secretion)
onto the space between the hair follicle and the hair shaft.
• For each hair there is a sebaceous gland, the secretions of which
lubricate the hair and render the skin soft and pliable.
• Sweat glands are found in the skin over most of the body surface.
• Only the glans penis, the margins of the lips, the external ear, and
the nail bed are devoid of sweat glands.
18
19. Glands . . .
• Sweat glands are subclassified into two categories: eccrine and
apocrine.
• The eccrine sweat glands are found in all areas of the skin.
• Their ducts open directly onto the skin surface.
• The thin, watery secretion called sweat is produced in the basal
coiled portion of the eccrine gland and is released into its narrow
duct.
• Sweat is composed of predominantly water and contains about
one half of the salt content of the blood plasma.
• Sweat is released from eccrine glands in response to elevated
ambient and body temperature.
• Excessive sweating of the palms and soles, axillae, forehead,
and other areas may occur in response to pain and stress.
19
20. FUNCTIONS OF THE SKIN
Protection
• It provides very effective protection against invasion by
bacteria and other foreign matter.
• The thickened skin of the palms and soles protects against the
effects of the constant trauma.
• The stratum corneum provides the most effective barrier to
epidermal water loss and penetration of environmental factors
such as chemicals, microbes, and insect bites.
20
21. Protection . . .
• Various lipids are synthesized in the stratum corneum and are
the basis for the barrier function of this layer.
• The presence of these lipids in the stratum corneum creates a
relatively impermeable barrier for water loss and for the entry
of toxins, microbes, and other substances that come in contact
with the surface of the skin.
21
22. Protection . . .
• Some substances do penetrate the skin but meet resistance in
trying to move through the channels between the cell layers of
the stratum corneum.
• Microbes and fungi cannot penetrate unless there is a break in
the skin barrier.
• The basal layer serves four functions.
– It acts as a scaffold for tissue organization and a template
for regeneration;
– it provides selective permeability for filtration of serum;
– it is a physical barrier between different types of cells;
– it adheres the epithelium to underlying cell layers.
22
23. Sensation
• The receptor endings of nerves in the skin allow the body to
constantly monitor the conditions of the immediate environment.
• The primary functions of the receptors in the skin are to sense
temperature, pain, light touch, and pressure (or heavy touch).
• Different nerve endings respond to each of the different stimuli.
• Although the nerve endings are distributed over the entire body,
they are more concentrated in some areas than in others.
E.g. the fingertips are more densely innervated than the skin on the
back.
23
24. Fluid Balance
• The stratum corneum has the capacity to absorb water, thereby
preventing an excessive loss of water and electrolytes from the
internal body and retaining moisture in the subcutaneous tissues.
• When skin is damaged, as occurs with a severe burn, large
quantities of fluids and electrolytes may be lost rapidly, possibly
leading to circulatory collapse, shock, and death.
• Small amounts of water continuously evaporate from the skin
surface.
24
25. Fluid Balance
• This evaporation, called insensible perspiration, amounts to
approximately 600 mL daily in a normal adult.
• Insensible water loss varies with the body and ambient
temperature.
• In a person with a fever, the loss can increase.
25
26. Temperature Regulation
• The body continuously produces heat as a result of the
metabolism of food, which produces energy.
• This heat is removed primarily through the skin.
• Three major physical processes are involved in loss of heat from
the body to the environment.
• Radiation, conduction and convection are the three ways of heat
transfer
26
27. Temperature . . .
• Heat is conducted through the skin into water molecules on its
surface, causing the water to evaporate.
• The water on the skin surface may be from insensible
perspiration, sweat, or the environment.
• Normally, all of these mechanisms for heat loss are used.
• When the ambient temperature is very high, however, radiation
and convection are ineffective, and evaporation becomes the
only means for heat loss.
27
30. Bacterial Infections: Pyodermas
• Pus-forming bacterial infections of the skin may be primary or
secondary.
• Primary skin infections originate in previously normal-appearing
skin and are usually caused by a single organism.
• Secondary skin infections arise from a preexisting skin disorder or
from disruption of the skin integrity from injury or surgery.
• The most common primary bacterial skin infections are impetigo
and folliculitis.
• Folliculitis may lead to furuncles or carbuncles.
30
31. IMPETIGO
• Impetigo is a superficial infection of the skin caused by
staphylococci, streptococci, or multiple bacteria.
• Bullous impetigo, a more deep-seated infection of the skin
caused by S. aureus, is characterized by the formation of
bullae (i.e., large, fluid-filled blisters) from original vesicles.
• The bullae rupture, leaving raw, red areas.
31
34. Impetigo . . . .
• Face, neck, and extremities are most frequently involved.
• Impetigo is contagious and may spread to other parts of the
patient’s skin or to other members of the family who touch the
patient or use towels or combs that are soiled with the exudate
of the lesions.
• Although impetigo is seen at all ages, it is particularly
common among children living in poor hygienic conditions.
34
35. Impetigo . . . .
• It often follows pediculosis capitis (head lice), scabies (itch
mites), herpes simplex, insect bites, or eczema.
• Chronic health problems, poor hygiene, and malnutrition may
predispose an adult to impetigo.
• Some people have been identified as asymptomatic carriers of
S. aureus, usually in the nasal passages.
35
36. Clinical Manifestations
• The lesions begin as small, red macules, which quickly
become discrete, thin-walled vesicles that soon rupture and
become covered with a loosely adherent honey-yellow crust.
• These crusts are easily removed to reveal smooth, red, moist
surfaces on which new crusts soon develop.
• If the scalp is involved, the hair is matted, which distinguishes
the condition from ringworm.
36
37. Medical Management
• Systemic antibiotic therapy is the usual treatment.
• It reduces contagious spread, treats deep infection, and prevents
acute glomerulonephritis
• In nonbullous impetigo, benzathine penicillin or oral penicillin
may be prescribed.
• Bullous impetigo is treated with a penicillinase-resistant
penicillin (eg, cloxacillin, dicloxacillin).
• In penicillin-allergic patients, erythromycin is an effective
alternative.
37
38. Medical management . . .
• Topical antibacterial therapy (eg, mupirocin) may be
prescribed when the disease is limited to a small area.
• However, topical therapy requires that the medication be
applied to the lesions several times daily for a week.
– are not as effective as systemic therapy in eradicating or
preventing the spread of streptococci from the respiratory
tract.
38
39. Medical management . . .
• When topical therapy is prescribed, lesions are soaked or
washed with soap solution to remove the central site of
bacterial growth, giving the topical antibiotic an opportunity to
reach the infected site.
• After the crusts are removed, a topical medication may be
applied.
• Gloves are worn when providing patient care.
• An antiseptic solution may be used to clean the skin, reduce
bacterial content in the infected area, and prevent spread.
39
40. ……. Management
• The nurse instructs the patient and family members to bathe at
least once daily with bactericidal soap.
• Cleanliness and good hygiene practices help prevent the spread
of the lesions from one skin area to another and from one
person to another.
• Each person should have a separate towel and washcloth.
• Because impetigo is a contagious disorder, infected people
should avoid contact with other people until the lesions heal.
40
41. Assignment (5%)
1. Describe the process of wound healing including factors
affecting it.
2. Describe the development of pressure ulcer, its stages and
management.
Submission with in 7 days.
N.B. The report should be handwritten
41
42. FOLLICULITIS, FURUNCLES, AND CARBUNCLES
• Folliculitis is an infection of bacterial or fungal origin that
arises within the hair follicles.
• Lesions may be superficial or deep.
• Single or multiple papules or pustules appear close to the hair
follicles.
42
43. Folliculitis . . .
• Folliculitis commonly affects the beard area of men who shave
and women’s legs.
• Other areas include the axillae, trunk, and buttocks.
• Pseudofolliculitis barbae (ie, shaving bumps) are an
inflammatory reaction that occurs as a result of shaving.
• The sharp in growing hairs have a curved root that grows at a
more acute angle and pierces the skin, provoking an irritative
reaction.
43
44. Folliculitis . . . .
• The only entirely effective treatment is to avoid shaving.
• Other treatments include using special lotions or antibiotics.
• If the patient must remove facial hair, a depilatory cream or
electric razor may be more appropriate than a straight razor.
44
45. Furuncle (Boil)
• A furuncle (ie, boil) is an acute inflammation arising deep in
one or more hair follicles and spreading into the surrounding
dermis.
• It is a deeper form of folliculitis.
45
46. Furunculosis
• Furunculosis refers to multiple or recurrent lesions.
• Furuncles may occur anywhere on the body but are more
prevalent in areas subjected to irritation, pressure, friction, and
excessive perspiration, such as the back of the neck, the axillae,
and the buttocks.
• A furuncle may start as a small, red, raised, painful pimple.
• Frequently, the infection progresses and involves the skin and
subcutaneous fatty tissue, causing tenderness, pain, and
surrounding cellulitis.
46
47. Furunculosis
• The area of redness and induration represents an effort of the
body to keep the infection localized.
• The bacteria (usually staphylococci) produce necrosis of the
invaded tissue.
• The characteristic pointing of a boil follows in a few days.
• When this occurs, the center becomes yellow or black, and the
boil is said to have “come to a head.”
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48. Carbuncles
• A carbuncle is an abscess of the skin and subcutaneous tissue
that represents an extension of a furuncle that has invaded
several follicles and is large and deep seated.
• It is usually caused by a staphylococcal infection.
• Carbuncles appear most commonly in areas where the skin is
thick and inelastic.
• The back of the neck and the buttocks are common sites.
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50. • Furuncles and carbuncles are more likely to occur in patients
with underlying systemic diseases and in those receiving
immunosuppressive therapy for other diseases.
• Both are more prevalent in hot climates, especially on skin
beneath occlusive clothing.
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51. Medical Management
• In treating staphylococcal infections, it is important not to
rupture or destroy the protective wall of induration that
localizes the infection.
• The boil or pimple should never be squeezed.
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52. Management . . . .
• Systemic antibiotic therapy is generally indicated.
• Oral cloxacillin, dicloxacillin, and flucloxacillin are first-line
medications.
• Cephalosporins and erythromycin are also effective.
• Bed rest is advised for patients who have boils on the perineum
or in the anal region, and a course of systemic antibiotic therapy
is indicated to prevent the spread of the infection.
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53. Management
• When the pus has localized and is fluctuant, a small incision
with a scalpel can speed resolution by relieving the tension and
ensuring direct evacuation of the pus and slough.
• The patient is instructed to keep the draining lesion covered
with a dressing.
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54. …… Management
• Intravenous fluids, fever reduction, and other supportive treatments are
indicated for patients who are very ill or suffering with toxicity.
• Warm, moist compresses increase vascularization and hasten resolution of the
furuncle or carbuncle.
• The surrounding skin may be cleaned gently with antibacterial soap, and an
antibacterial ointment may be applied.
• Soiled dressings are handled according to standard precautions.
• Nursing personnel should carefully follow isolation precautions to avoid
becoming carriers of staphylococci.
• Disposable gloves are worn when caring for these patients.
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55. Burns
• Burns are caused by a transfer of energy from a heat source to
the body.
• Heat may be transferred through conduction or
electromagnetic radiation.
• Burns are categorized as thermal (which includes electrical
burns), radiation, or chemical.
• Tissue destruction results from coagulation, protein
denaturation, or ionization of cellular contents.
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56. Burns . . .
• The skin and the mucosa of the upper airways are the sites of
tissue destruction.
• Deep tissues, including the viscera, can be damaged by
electrical burns or through prolonged contact with a heat
source.
• Disruption of the skin can lead to increased fluid loss,
infection, hypothermia, scarring, compromised immunity, and
changes in function, appearance, and body image.
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57. Types of Burn
• Chemical burn
• Flame burn
• Scald burn
• Electric burn
• Inhalation burn/injury
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58. Classification Of Burns
• Burn injuries are described according to the depth of the injury
and the extent of body surface area injured.
Burn Depth
• Superficial partial-thickness injuries
• Deep partial-thickness injuries
• Full-thickness injuries
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59. Superficial partial-thickness burn
• the epidermis is destroyed or injured and a portion of the
dermis may be injured.
• The damaged skin may be painful and appear red and dry, as in
sunburn, or it may blister.
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60. Deep partial-thickness burn
• Involves destruction of the epidermis and upper layers of the
dermis and injury to deeper portions of the dermis.
• The wound is painful, appears red, and exudes fluid.
• Capillary refill follows tissue blanching.
• Hair follicles remain intact.
• take longer to heal and are more likely to result in
hypertrophic scars.
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61. Full-thickness burn
• involves total destruction of epidermis and dermis and, in
some cases, underlying tissue as well.
• Wound color ranges widely from white to red, brown, or black.
• The burned area is painless because nerve fibers are destroyed.
• The wound appears leathery; hair follicles and sweat glands are
destroyed.
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65. Factors those determine the depth of burn
• How the injury occurred
• Causative agent, such as flame or scalding liquid
• Temperature of the burning agent
• Duration of contact with the agent
• Thickness of the skin
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66. Extent of Body Surface Area Injured
• Various methods are used to estimate the TBSA affected by
burns
• among them are the rule of nines, the Lund and Browder
method, and the palm method.
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67. RULE OF NINES
• An estimation of the TBSA involved in a burn is simplified by
using the rule of nines
• The rule of nines is a quick way to calculate the extent of
burns.
• The system assigns percentages in multiples of nine to major
body surfaces.
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69. PALM METHOD
• In patients with scattered burns, a method to estimate the
percentage of burn is the palm method.
• The size of the patient’s palm is approximately 1% of TBSA.
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70. Lund Browder Chart used for determining BSA
4/1/2011 71
Evans, 18.1, 2007)
72. Extent of Burn injury
Minor Burn Injury
• Second-degree burn of less than 15% total body surface area
(TBSA) in adults or less than 10% TBSA in children
• Third-degree burn of less than 2% TBSA not involving special
care areas (eyes, ears, face, hands, feet, perineum, joints)
• Excludes electrical injury, inhalation injury, concurrent trauma,
all poor-risk patients (eg, extremes of age, concurrent disease)
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73. Extent of Burn injury
Moderate, Uncomplicated Burn Injury
• Second-degree burns of 15%–25% TBSA in adults or 10%–
20% in children
• Third-degree burns of less than 10% TBSA not involving
special care areas
• Excludes electrical injury, inhalation injury, concurrent trauma,
all poor-risk patients (eg, extremes of age, concurrent disease)
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74. Extent of Burn injury
Major Burn Injury
• Second-degree burns exceeding 25% TBSA in adults or 20% in
children
• All third-degree burns exceeding 10% TBSA
• All burns involving eyes, ears, face, hands, feet, perineum,
joints
• All inhalation injury, electrical injury, concurrent trauma, all
poor-risk patients
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76. Emergency management of burn
• Extinguish the flame
• Cool the burn
• Remove restrictive objects
• Cover the wound
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77. Fluid loss management
• Output totals of 30 to 50 mL/hour have been used as
goals.
• Other indicators of adequate fluid replacement are a
systolic blood pressure exceeding 100 mmHg and/or
a pulse rate less than 110/minute.
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79. Example
• The following example illustrates use of the formula in a 70-
kg patient with a 50% TBSA burn:
1. Consensus formula: 2 to 4 mL/kg/% TBSA
2. 2 × 70 × 50 = 7,000 mL/24 hours
3. Plan to administer: First 8 hours = 3,500 mL, or 437 mL/
hour; next 16 hours = 3,500 mL, or 219 mL/hour
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