Chapter 5 The Integumentary System -...

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Chapter 5 The Integumentary System

bull Protects Sensation Vit D Temp regulatn excretn

A Skin

1 Epidermis Roof

Stratified squamous

A Stratum basale

Bottom

Mitosis ~ every 19 days

1 surfaces ~ 40-56 days later

B Stratum Granulosum

Fill whard protein keratin (die)

C Stratum Corneum

Upper

Protective cells coated wlipid

Top sloughs

Callus friction uarr cell layers

Corn thickened area over bone

2 Dermis

House

Collagen (strength)

Cleavage Lines (fiber orientation)

resist stretching

parallel incision heal best

striae stretch marks

Skin Cont

Few fat cellsmacrophages

Dermal papillae (upper)

Blood vessels (move matlrsquos temp reg)

Shape fingerft print

Grip of handft

B Skin Color 1 Melanin

Brnblk pigment molecule

UV protection

Melanocytes Produce melanin vesicles melanosomes Vesicles phagocytized by epidermal cells

Frecklesmoles most

Palmssoles least

of melanocytes

Same for all races

- Skin cells

Production based on

Genetics races

Albinism = recessive (no melanin)

Hormones pregnancy mask

UV light suntan

2 Tattoo bluish hue dermal fibers scatter light

3 Cyanosis bluish hue darr bld O2

Cyanosis of nail beds with extreme

pulmonary dysfunction

Irregular heart w Undersized lungs

4 Carotene yellowish lipid-soluble pigment (carrots)

5 Jaundice yellow wliver damage - bile in bld

Jaundice Yellow skin discoloration caused by hyperbilirubinemia Anatomy of the liver An obstruction in the bile duct may lead to jaundice

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

A Skin

1 Epidermis Roof

Stratified squamous

A Stratum basale

Bottom

Mitosis ~ every 19 days

1 surfaces ~ 40-56 days later

B Stratum Granulosum

Fill whard protein keratin (die)

C Stratum Corneum

Upper

Protective cells coated wlipid

Top sloughs

Callus friction uarr cell layers

Corn thickened area over bone

2 Dermis

House

Collagen (strength)

Cleavage Lines (fiber orientation)

resist stretching

parallel incision heal best

striae stretch marks

Skin Cont

Few fat cellsmacrophages

Dermal papillae (upper)

Blood vessels (move matlrsquos temp reg)

Shape fingerft print

Grip of handft

B Skin Color 1 Melanin

Brnblk pigment molecule

UV protection

Melanocytes Produce melanin vesicles melanosomes Vesicles phagocytized by epidermal cells

Frecklesmoles most

Palmssoles least

of melanocytes

Same for all races

- Skin cells

Production based on

Genetics races

Albinism = recessive (no melanin)

Hormones pregnancy mask

UV light suntan

2 Tattoo bluish hue dermal fibers scatter light

3 Cyanosis bluish hue darr bld O2

Cyanosis of nail beds with extreme

pulmonary dysfunction

Irregular heart w Undersized lungs

4 Carotene yellowish lipid-soluble pigment (carrots)

5 Jaundice yellow wliver damage - bile in bld

Jaundice Yellow skin discoloration caused by hyperbilirubinemia Anatomy of the liver An obstruction in the bile duct may lead to jaundice

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

B Stratum Granulosum

Fill whard protein keratin (die)

C Stratum Corneum

Upper

Protective cells coated wlipid

Top sloughs

Callus friction uarr cell layers

Corn thickened area over bone

2 Dermis

House

Collagen (strength)

Cleavage Lines (fiber orientation)

resist stretching

parallel incision heal best

striae stretch marks

Skin Cont

Few fat cellsmacrophages

Dermal papillae (upper)

Blood vessels (move matlrsquos temp reg)

Shape fingerft print

Grip of handft

B Skin Color 1 Melanin

Brnblk pigment molecule

UV protection

Melanocytes Produce melanin vesicles melanosomes Vesicles phagocytized by epidermal cells

Frecklesmoles most

Palmssoles least

of melanocytes

Same for all races

- Skin cells

Production based on

Genetics races

Albinism = recessive (no melanin)

Hormones pregnancy mask

UV light suntan

2 Tattoo bluish hue dermal fibers scatter light

3 Cyanosis bluish hue darr bld O2

Cyanosis of nail beds with extreme

pulmonary dysfunction

Irregular heart w Undersized lungs

4 Carotene yellowish lipid-soluble pigment (carrots)

5 Jaundice yellow wliver damage - bile in bld

Jaundice Yellow skin discoloration caused by hyperbilirubinemia Anatomy of the liver An obstruction in the bile duct may lead to jaundice

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

C Stratum Corneum

Upper

Protective cells coated wlipid

Top sloughs

Callus friction uarr cell layers

Corn thickened area over bone

2 Dermis

House

Collagen (strength)

Cleavage Lines (fiber orientation)

resist stretching

parallel incision heal best

striae stretch marks

Skin Cont

Few fat cellsmacrophages

Dermal papillae (upper)

Blood vessels (move matlrsquos temp reg)

Shape fingerft print

Grip of handft

B Skin Color 1 Melanin

Brnblk pigment molecule

UV protection

Melanocytes Produce melanin vesicles melanosomes Vesicles phagocytized by epidermal cells

Frecklesmoles most

Palmssoles least

of melanocytes

Same for all races

- Skin cells

Production based on

Genetics races

Albinism = recessive (no melanin)

Hormones pregnancy mask

UV light suntan

2 Tattoo bluish hue dermal fibers scatter light

3 Cyanosis bluish hue darr bld O2

Cyanosis of nail beds with extreme

pulmonary dysfunction

Irregular heart w Undersized lungs

4 Carotene yellowish lipid-soluble pigment (carrots)

5 Jaundice yellow wliver damage - bile in bld

Jaundice Yellow skin discoloration caused by hyperbilirubinemia Anatomy of the liver An obstruction in the bile duct may lead to jaundice

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

2 Dermis

House

Collagen (strength)

Cleavage Lines (fiber orientation)

resist stretching

parallel incision heal best

striae stretch marks

Skin Cont

Few fat cellsmacrophages

Dermal papillae (upper)

Blood vessels (move matlrsquos temp reg)

Shape fingerft print

Grip of handft

B Skin Color 1 Melanin

Brnblk pigment molecule

UV protection

Melanocytes Produce melanin vesicles melanosomes Vesicles phagocytized by epidermal cells

Frecklesmoles most

Palmssoles least

of melanocytes

Same for all races

- Skin cells

Production based on

Genetics races

Albinism = recessive (no melanin)

Hormones pregnancy mask

UV light suntan

2 Tattoo bluish hue dermal fibers scatter light

3 Cyanosis bluish hue darr bld O2

Cyanosis of nail beds with extreme

pulmonary dysfunction

Irregular heart w Undersized lungs

4 Carotene yellowish lipid-soluble pigment (carrots)

5 Jaundice yellow wliver damage - bile in bld

Jaundice Yellow skin discoloration caused by hyperbilirubinemia Anatomy of the liver An obstruction in the bile duct may lead to jaundice

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

Skin Cont

Few fat cellsmacrophages

Dermal papillae (upper)

Blood vessels (move matlrsquos temp reg)

Shape fingerft print

Grip of handft

B Skin Color 1 Melanin

Brnblk pigment molecule

UV protection

Melanocytes Produce melanin vesicles melanosomes Vesicles phagocytized by epidermal cells

Frecklesmoles most

Palmssoles least

of melanocytes

Same for all races

- Skin cells

Production based on

Genetics races

Albinism = recessive (no melanin)

Hormones pregnancy mask

UV light suntan

2 Tattoo bluish hue dermal fibers scatter light

3 Cyanosis bluish hue darr bld O2

Cyanosis of nail beds with extreme

pulmonary dysfunction

Irregular heart w Undersized lungs

4 Carotene yellowish lipid-soluble pigment (carrots)

5 Jaundice yellow wliver damage - bile in bld

Jaundice Yellow skin discoloration caused by hyperbilirubinemia Anatomy of the liver An obstruction in the bile duct may lead to jaundice

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

B Skin Color 1 Melanin

Brnblk pigment molecule

UV protection

Melanocytes Produce melanin vesicles melanosomes Vesicles phagocytized by epidermal cells

Frecklesmoles most

Palmssoles least

of melanocytes

Same for all races

- Skin cells

Production based on

Genetics races

Albinism = recessive (no melanin)

Hormones pregnancy mask

UV light suntan

2 Tattoo bluish hue dermal fibers scatter light

3 Cyanosis bluish hue darr bld O2

Cyanosis of nail beds with extreme

pulmonary dysfunction

Irregular heart w Undersized lungs

4 Carotene yellowish lipid-soluble pigment (carrots)

5 Jaundice yellow wliver damage - bile in bld

Jaundice Yellow skin discoloration caused by hyperbilirubinemia Anatomy of the liver An obstruction in the bile duct may lead to jaundice

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

Production based on

Genetics races

Albinism = recessive (no melanin)

Hormones pregnancy mask

UV light suntan

2 Tattoo bluish hue dermal fibers scatter light

3 Cyanosis bluish hue darr bld O2

Cyanosis of nail beds with extreme

pulmonary dysfunction

Irregular heart w Undersized lungs

4 Carotene yellowish lipid-soluble pigment (carrots)

5 Jaundice yellow wliver damage - bile in bld

Jaundice Yellow skin discoloration caused by hyperbilirubinemia Anatomy of the liver An obstruction in the bile duct may lead to jaundice

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

2 Tattoo bluish hue dermal fibers scatter light

3 Cyanosis bluish hue darr bld O2

Cyanosis of nail beds with extreme

pulmonary dysfunction

Irregular heart w Undersized lungs

4 Carotene yellowish lipid-soluble pigment (carrots)

5 Jaundice yellow wliver damage - bile in bld

Jaundice Yellow skin discoloration caused by hyperbilirubinemia Anatomy of the liver An obstruction in the bile duct may lead to jaundice

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

3 Cyanosis bluish hue darr bld O2

Cyanosis of nail beds with extreme

pulmonary dysfunction

Irregular heart w Undersized lungs

4 Carotene yellowish lipid-soluble pigment (carrots)

5 Jaundice yellow wliver damage - bile in bld

Jaundice Yellow skin discoloration caused by hyperbilirubinemia Anatomy of the liver An obstruction in the bile duct may lead to jaundice

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

4 Carotene yellowish lipid-soluble pigment (carrots)

5 Jaundice yellow wliver damage - bile in bld

Jaundice Yellow skin discoloration caused by hyperbilirubinemia Anatomy of the liver An obstruction in the bile duct may lead to jaundice

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

6 Birthmark congenital disorder of dermal BV

Capillary Malformation (Port-wine Stain)

Vascular birthmarks are caused by enlarged small blood vessels just beneath the skins surface The most common are known as angels kissesldquowhen located on the forehead or eyelids and as stork bites

when they appear on the back of the neck

Most birthmarks are no risk to health

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

C Hypodermis Foundation

Subcutaneous (under skin)

frac12 body fat (insulatepad) TBF count

Injection site

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

D Accessory Skin Structures 1 Hair

A Shaft (visible)

B Hair root (bulb) in follicle

Dermal papilla nourishes

Dividekeratinize

The cuticle or outer layer

of a healthy shaft of hair

A split end caused when

a hair shaft is pulled apart

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

Phases

Growth lash-30 dysscalp-3 yrs

Rest lash 105 dysscalp-1-2 yrs

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

C Pattern baldness sex linked (hormone)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

D Color determined by bulb melanocytes

Age gray -darr activity white - no actvty

How does hair turn gray The melanocytes in hair stop producing melanins

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

2 Muscles arrector pili (smooth)

A Gooseflesh hair perpendicular

B Wfur insulatefierceness

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

3 Glands

A Sebaceous- sebum (oil) to follicle

B Eccrine- sweat (uarr H2O) to skin

C Apocrine- org-sweat to genitalaxillary follicle

Active wpuberty ndash bacterial decay=odor

An apocrine gland which

produces little sweat but is

responsible for the bodys

natural scent

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

E Physiology Temp reg (dermal BV) excretion (urea-sweat)

Vitamin D prodctn in skin wUV

Stimulates CaP uptake SI= musclebone health

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

F Diagnostic

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

Burns degree of depth

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

Partial-thickness part of basale viable

(regenerate from edges follicles)

1deg epidermis ndash edema no scar

2deg epidermis-blister may scar

The epidermis the outer layer is burned Reddening occurs and swelling is possible

The epidermis is burned through and the dermis is also injured An intense red discoloring is accompanied by severe pain swelling and blisters

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

Full-thickness

3deg epidermis destroyed-skin graft

All layers of skin are burned through to the fat muscles and possibly to the bone There may be severe pain but sometimes extensive nerve damage results in little or no pain

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

First Degree Burn

Second Degree Burn

Third Degree Burn

Superficial (epidermal burn) Intermediate

(superficial dermal burn)

Deep (sub-dermal burn)

Fourth degree burn

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

Skin Cancer

most common type of cancer UV exposure

Basal cell carcinoma common open ulcer treatable

Massive Ulcerating

Basal Cell Carcinoma

Histology

basal cell

carcinoma

high power

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

Squamous cell carc keratinized tumordarr metastasis

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

Malignant melanoma rare melanocytes-mole

metastasis common (fatal)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

Aging

darr skin activity amp functn

Age spots wuarr of melanocytes (some areas)

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