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Keratin Layer, Granular Layer, Prickle Cell Layer, Basal Layer, Dermis |
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Developmental growth patterns of the skin |
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Epidermis is mainly composed of |
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Type of cells mostly found within the basal layer |
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Type of cells mostly found within the prickle cell layer |
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composed of 2-3 layers of Flattened cells that have lost their nuclei due to continued differentiation |
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composed of sheets of overlapping polyhedral Corneocytes |
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Elongated, membrane bound organelles where melanin is produced |
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Brown/black common form of melanin |
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Growing phase of hair growth |
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Resting stage of Hair Growth |
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Shedding phase of hair growth |
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Percentage of scalp hairs in - Anagen - Catagen - Telogen |
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White part at the base of the nail |
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Interface between epidermis and dermis |
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Interface between epidermis and dermis |
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Interface between epidermis and dermis |
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local overgrowth of the blood vessels |
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Skin glands found mainly in the palms, soles and axilla. Excretory ducts opens onto skin surface |
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Aprocine gland (larger than eccrine) |
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Gland develops as part of pilosebaceous unit. Found mainly axilla and perineum. Opens into hair follicle. |
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Widely distributed gland. Associated with hair follicles and formed from epidermis derived cells |
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Result of mixture of increased Sebum (from sebaceous gland), blocked ducts and bacterial activity |
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electromagnetic radiation that is mainly absorbed by the keratin layer |
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Touch/vibration receptors |
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Localised flat area of colour change <1cm |
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Localised elevated area <5mm |
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Nodule (larger version of papule) |
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Localised elevated area >5mm |
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Small fluid filled blister <5mm with/below epidermis |
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Large fluid filled Blister >5mm within/below epidermis |
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Red skin due to vascular dilatation, Blanches on pressure |
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Red skin due to extravasatino of blood, will not Blanche on pressure |
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Localised flat area of colour change >1cm |
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compressable dermal swelling |
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area of skin loss extending through epidermis into dermis |
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Innate (non specifice) immunity |
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Definition
Immunity = No memory, first line in defence of host, immediate maximum response |
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NK cells, Mast Cells, Dendritic cells, Phagocytes |
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Innate immunity cells (name 4) |
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Adaptive (specific) immunity |
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Immunity = Memory, specific, diverse |
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Specialised protein produced in response to an antigen |
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Specialised cells react with antigen on host cell surface, kills infected host cell and activates macrophages |
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Produced in bone marrow, mature in thymus. Basis of cell mediated immunity, only recognise PROTEIN Ag |
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Basis of humoral immunity, produce antibodies |
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Loss of tolerance leads to... |
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- IgE - Degranulation of mast cells and basophils - Inflammatory mediators (histamine, prostaglandins) - Immediate |
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Hypersensitivity Type 1 - Antibody mediated is - Ag Binding caused by... - Releases... - Type of response |
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- TH1 cells - delayed - NO - Patch testing |
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Hypersensitivity Type 4 - cell mediated is - type of response - response to antu-histamines? - Investigation |
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Direct and reduced systemic toxicity |
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Topical treatment advantages |
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Time consuming, messy, difficult to apply correct dosage |
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Topical treatment Disadvantages |
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Liquid vehicle, aqueous or alcohol based, Used to treat scalp and other hair bearing areas |
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Semisolid emulsion of oil-in-water. Non greasy, cosmetically acceptable |
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semisolid grease/oil, best for treating dry skin conditions eg eczema. Less accepted by patients |
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Transparent semi-solid, non greasy aq emulsion. Best for scalp and hair bearing areas aswell as face |
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Ointment based with high proportion of powder. Stiff constistency, ideal for applying to well defined areas. Used in cooling, drying and soothing bandages. |
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Helps dry skin conditions - reestablishes surface ipid layer. Cosmetically acceptable. 250g-500g weekly. |
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Reduce inflammation by acting as an immune suppressant |
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Used in acute exudative eczema, eczema of hands) |
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Function is collagen synthesis |
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Function is histamine release |
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Acne, Rosacea and Impetigo |
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Topical antibiotics can be used to treat |
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Herpes Simplex (cold sore) would be treated with |
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Oral Antiviral could be used to treat |
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Antiyeast is used to treat |
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Antifungal is used to treat |
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Viral warts, corns, calluses, Keratin plaques. Salicylic acid. |
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Definition
Keratinolytics are used to treat..And give an example of a keratinolytic |
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Liquid nitrogen treatment of viral warts |
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Emollients, Coal tar, vitamin D analogue, topical steroid |
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Topical psoriasis treatment |
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greasy ointments, tar shampoo, steroids in alcohol base |
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Definition
Treatment for scalp psoriasis |
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Burning Irritation Contact allergic dermatitis Local or systemic toxicity |
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Definition
Side effects of topical therapies |
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Allergy investigation that detects type 1. |
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Cheap, quick, easy More senstive than specific IgE Test |
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Skin prick test advantages |
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Nickel hypersensitivity, TB, type 1 diabetes, psoriasis |
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Disease associated with Type 4 hypersensitivity |
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Transcription factor activated in response to DNA damage to stop cell division |
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The process by which a normal cell becomes a malignant cancer cell |
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The formation of new blood cells |
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Solar Radiation genetics HPV p53 age chemicals |
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Risk factors for skin cancer |
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Types of non melanoma skin cancer (most common) |
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Malignant Tumour derived from keratinocytes, occurs mainly in sun damaged skin, white people over 55, males immunosuppressed patients |
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Actinic Keratosis (red spots with scaly surface) |
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typically on face, locally invasive, no precursors |
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Rare aggressive tumour arising from neuroendocrine cells |
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cyclobutane pyrimidine dimer (CPD) |
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