Careers - Mrs. Jessica Barker



INTEGUMENTARY SYSTEMCareersDermatologyDermatologist (MD), Nurse Practitioner (MSN), Physician Assistant, RN (BSN)Plastic Surgeon; MD at Burn CenterEmergency Medical ServicesEMT-P (Paramedic), EMT-I (Intermediate), EMT-B (Basic), First ResponderMedical Terminology- AbbreviationsBCCBasal cell carcinomaIDIntradermalBX; bxbiopsyMMMalignant melanomaC&SCulture & SensitivitySCCSquamous cell carcinomadecubDecubitus ulcerSGSkin graftDerm; dermdermatologySLESystem lupus erythematousHSVHerpes Simplex Virussubcut; SC; scsubcutaneousI&DIncision & DrainageUVultravioletMedical Terminology- Word BuildingCOMBINING FORMCOMBINED WITHMEDICAL TERMDEFINITIONCutane/oSub-; -ousSubcutaneousUnder the skinCyan/o-osisCyanosisBlue skin (lack of O2)Derm/oEpi-; -alHypo-; -icIntra-; -alEpidermalHypodermicIntradermalUpon the skinUnder the skinWithin the skin-dermaErythr/oIchthy/oLeuk/oPy/oScler/oXer/oErythrodermaIchthyodermaLeukodermaPyoderma SclerodermaXerodermaRed skinDry, scaly skinWhite skinPus in skinHard skinDry skinDermat/o-itis-logist-osis-pathy-plastyDermatitisDermatologistDermatosisDermatopathyDermatoplastyInflammation of the skinSkin specialistAbnormal skin conditionSkin diseaseSurgical repair of the skinHidr/oAn-; -osisHyper-; -osisAnhidrosisHyperhidrosisNo sweatingExcessive sweatingLip/o-ectomy-omaLipectomyLipomaRemoval of fatFatty massMelan/o-oma-cyteMelanomaMelanocyteBlack tumorBlack cellNecr/o-osisNecrosisDeath of tissueOnych/o-ectomy-malaciaMyc/o-; -osis-phagiaOnychectomyOnychomalaciaOnychomycosisOnychophagiaRemoval of nailSoftening of nailNail fungusNail bitingPy/o-genicPyogenicPus formingRhytid/o-ectomy-plastyRhytidectomyRhytidoplastyWrinkle RemovalSurgical wrinkle repairSeb/o-rrheaSeborrheaOily dischargeTrich/oMyc/o-; -osisTrichomycosisHair fungusUngu/o-alUngualNails Vocabulary- WoundsAbrasionScrape caused by frictionIncisionCut caused by sharp object such as knife or scissors; smooth/regular edges; can cause excessive bleeding if deepLacerationTearing of tissue by excessive force; jagged/irregular edges; bleeding may become severePunctureCaused by sharp, pointed object such as pin, nail, bullet; internal bleeding can occurAvulsionTissue is torn or separated from the body (ear, nose, hand, etc)AmputationCaused when a body part is torn away from the body; bleeding is severe; preserve the body part and control bleedingWoundInjury to soft tissuesVocabulary- Skin LesionsMaculeFlat spot on skin; frecklesPapuleFirm, raised area on skin; pimple, chicken pox, syphilis (some stages)VesicleBlister; fluid-filled sacPustulePus-filled sac; acne, pimplesCrustDried pus and blood (scab)WhealItchy, elevated area with irregular borders (insect bite; hives)UlcerDeep loss of skin surface into dermis (Stage I-IV)CicatrixScarComedoHardened sebum in hair follicle (blackhead)KeloidRaised scarLesionTerm for wound or injury NevusPigmented blemish, birthmark or mole which may become cancerous, but is usually benign CystFluid-filled sac beneath the skinFissureCrack in the skinNoduleFirm, solid mass of cells within the skin and measuring at least 0.5 cmAbscessCollection of pus in the skinSebaceous CystOil or sebum-filled sac under the skin (from a sebaceous gland) which may need to be excised if it becomes too largeVocabulary- BurnsSuperficial; First-DegreeBurn which involves epidermis and heals within 5-6 daysPartial-thickness; Second-DegreeBurn which involves epidermis and dermis and heals within 3-4weeksFull-thickness; Third-DegreeBurn which involves all skin layers and underlying tissues; measure using rule of 9’sVocabulary- Diseases and AbnormalitiesAcneInflammation of the sebaceous glands and hair follicles producing papules and pustules Acne rosaceaCommon in adults; redness, minute pimples, broken blood vessels forming mainly on nose and cheeksAcne vulgarisCommonly seen in teens; comedos, papules, pustulesAlbinismGenetic condition in which the body does not produce melanin resulting in white hair and skin, red pupils, and photosensitivity AlopeciabaldnessBasal Cell CarcinomaCancerous tumor of the epidermis (the basal cell layer); frequently arising in sun-exposed skin; rarely spreadsCarbuncleFuruncle of several hair folliclesCellulitis Inflammation of the connective tissue of the skinContusionInjury caused by blow to the body (bruising)Depigmentation Loss of normal skin color and pigmentDiaphoresis Profuse sweating EcchymosisBruise caused by blood collecting under the skin secondary to trauma Eschar Dead tissue and fluid which develops over a deep burned areaEczemaDermatitis, redness, vesicles, itching, crustingFuruncleBacterial infection in a hair follicle (boil)Gangrene Tissue death (necrosis) from insufficient blood supply HirsutismExcessive body hair growth HyperemiaReddened skin due to increased blood flowHyperpigmentationAbnormal, increased amount of pigmentation in skinImpetigoContagious bacterial skin infection with pustules that crust over after rupturingKeratosisSkin condition with overgrowth/thickening of the epidermisMalignant melanoma Skin cancer characterized by uncontrollable growth of melanocytes often resulting in metastasisOnychiaNail bed infectionPallorPaleness of skinParonychiaInfected skin fold surrounding nailPediculosis Lice Petechiae Tiny purple or red spots from small hemorrhage beneath the skinPhotosensitivity Skin reacts abnormally when exposed to lightPlastic surgeryMedical specialty which involves repair, reconstruction or improvement PruritusSevere itchingPsoriasisInflammatory condition involving papules which form silver scaly patchesPurpuraUsually seen in the elderly; hemorrhages into the skin secondary to fragile vesselsPurulent Containing pus or infection which produces pusRubella Viral skin infection; aka German Measles ScabiesContagious skin infection often seen in children; egg-laying mites burrow into skin folds causing redness and intense itching Squamous Cell Carcinoma Cancer (which usually begins as a sore which doesn’t heal) of the epidermis; may metastasize or deepenStrawberry Hemangioma Congenital condition in which there is a collection of dilated vessels leading to a red birthmark which goes away a few months after birthSuppurativeContaining pus Systemic Lupus Erythematous Disease of the connective tissue (injures skin, kidneys, joints, nervous system, mucous membranes); red scaly butterfly-rash across the nose and cheeksTineaFungal infection causing itchy, scaly lesionsTinea CapitisRingworm (fungal infection)Tinea PedisAthlete’s foot (fungal infection)UrticariaHivesVaricellaChicken poxVerrucaWarts VitiligoLoss of skin pigment occurring in patches (leukoderma)DiagnosticsCulture & Sensitivity (C&S)Lab test where a colony of bacteria is obtained from a contaminated area (such as an open wound) to identify the bacteria which is contaminating the area. Sensitivity to specific antibiotics will then be determined.Biopsy (bx)Tissue is obtained by various methods (needle, knife, punch or brush) to view under microscope to verify diagnosisExfoliative CytologyTissue is viewed under microscope after cell are scraped from tissue Frozen Section (FS)To expedite microscopic examination, tissue is cut from a frozen specimenFungal ScrapingsScrapings (obtained from a lesion using a scraper) applied to growth medium to identify fungal growth by microscopic examination Therapeutics CauterizationTissue destruction via chemical, electrical current, heat or freezingChemabrasionAbrasion by chemicals (chemical peel)Cryosurgery Destroying tissue via freezing or extreme coldCurrettageRemoving superficial skin lesions via scraper (or curette)DebridementRemoving foreign or dead material from a wound (used with burn victims)Dermabrasion Use of sandpaper or wire brush to remove scars and tattoos to cause abrasion ElectrocauteryDestroying tissue with electrical current Incision and drainage (I & D)Creating an opening for drainage such as pusLaser TherapyUsing a laser to remove birthmarks, or skin lesions LiposuctionRemoval of fatRhytidectomy (face lift)Removing excess skin to eliminate wrinklesSkin Graft (SG) (Dermoplasty)Transferring normal skin to another siteAllograft: from donor (cadaver)Autograft: from patientHetero/Xenograft: from animal (pig)Pharmacology AnestheticDecreases or minimizes pain (pain= “caine”) (lidocaine, Xylocaine, procaine, Novocain)AntibioticTreats bacterial infections (Bactrim, Neosporin)AntifungalTreats fungal infection (good ole fungus =“zole”) (miconazole, Monistat, clotrimazole, Lotrimin)AntiparasiticTreats parasites such as mites or lice (lindane, Nix)AntipruriticMinimize itching (Benadryl, Caladryl)AntisepticTreat cuts and wounds to kill bacteria (Alcohol, Hydrogen Peroxide)AntiviralTreats viral infection (virus= “vir”) (Valtrex, Acyclovir, Zovirax)Corticosteroid Anti-inflammatory cream (hydrocortisone) ................
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