3 Integumentary System

Prefixes

a-  (absence of, meaning)

bi-  (two or both)

dia- (through, complete)

dys- (difficult, painful, abnormal, labored)

epi- (upon, on, over)

hyper- (above, excessive)

hypo- (deficient, below, under, incomplete)

intra- (within, in)

meta- (change, beyond, after)

neo- (new)

para- (beside, around, beyond, abnormal)

per- (through)

pro- (before)

sub- (under, below)

trans- (through, across, beyond)

uni- (one)

Combining Forms

aden/o (gland)

adip/o (fat)

albin/o (white)

aut/o (self)

bi/o (life)

coni/o (dust)

cry/o (cold)

crypt/o (hidden)

cutane/o (skin)

cyan/o (blue)

derm/o (skin)

dermat/o (skin)

erythr/o (red)

erythemat/o (redness)

fibr/o (fibrous tissues)

heter/o (other)

hidr/o (sweat)

kerat/o (hard, horny tissue, keratin)

lei/o (smooth)

leuk/o (white)

lip/o, lipid/o (fat)

melan/o (black)

myc/o (fungus)

necr/o (death)

onych/o (nail)

pachy/o (thick)

pil/o (hair)

py/o (pus)

rhytid/o (wrinkles)

sclera/o (hardening)

seb/o (sebum)

staphyl/o (grapelike clusters)

steat/o (fat, sebum)

strept/o (twisted chains)

ungu/o (nail)

xanth/o (yellow)

xer/o (dryness, dry)

Suffixes

-a (no meaning, noun ending)

-al (pertaining to)

-ad (toward)

-coccus (berry-shaped)

-cyte (cell)

-ectomy (excision)

-gen (substance that produces/causes, agent that produces/causes)

-genic (producing, originating, causing)

-ia (condition of, diseased state, abnormal state)

-ic (pertaining to)

-itis (inflammation)

-ior (pertaining to)

-logy (study of)

-logist (specialist who studies and treats)

-malacia (softening)

-megaly (enlarged, enlargement)

-oid (resembling)

-oma (tumor, swelling)

-opsy (view of, process of viewing, viewing)

-orrhea (flow, excessive discharge)

-osis (abnormal condition, increased numbers relating to blood)

-ous (pertaining to)

-pathy (disease)

-phagia (eating, swallowing)

-plasia (development, growth, condition of formation)

-plasm (growth, substance, formation)

-plasty (surgical repair)

-rrhea (flow, discharge)

-sis (state of)

-stasis (stop, controlling, standing)

-tome (instrument used to cut)

Apply the rules of medical language to pronounce, break into word parts, and define the following integumentary system words.

Label each word part by using the following abbreviations:

P = Prefix
WR = Word Root
CV = Combining Vowel
S = Suffix
CF = Combining Form

Example: osteoarthropathy (ä-stē-ō-är-THROP-ă-thē) – disease of bone and joint

WR     CV    WR     CV     S

oste / o / arthr / o /pathy

     CF               CF

biopsy (bx) (BĪ-op-sē)

dermatitis (dĕr-mă-TĪT-ĭs)

dermatoautoplasty (dĕr-mă-tō-AW-tō-plăs-tē)

dermatoconiosis (dĕr-mă-tō-kō-nē-Ō-sĭs)

dermatofibroma (dĕr-mă-tō-fī-BRŌ-mă)

dermatoheteroplasty (dĕr-mă-tō-HĔT-ĕr-ō-plăs-tē)

dermatologist (dĕr-mă-TŎL-ō-jĭst)

dermatology (derm) (dĕr-mă-TŎL-ō-jē)

dermatome (DĔR-mă-tōm)

dermatoplasty (DĔR-măt-ō-plas-tē)

epidermal (ĕp-ĭ-DĔR-mal)

erythroderma (ĕ-rith-rŏ-DĔR-mă)

hidradenitis (hi-dra-ĕn-ĪT-ĭs)

hypodermic (hī-pō-DĔR-mĭk)

intradermal (ID) (in-tră-DĔR-măl)

keratogenic (kĕr-ă-TŎJ-ĕ-nŭk)

keratosis (ker-ă-TŌ-sĭs)

leiodermia (lī-ō-DĔR-mē-ă)

leukoderma (loo-kŏ-DĔR-mă)

necrosis (nĕ-KRŌ-sĭs)

onychocryptosis (ŏn-ĭ-kō-krip-TŌ-sis)

onychomalacia (ŏn-ĭ-kō-mă-LĀ-shă)

onychomycosis (on-i-kō-mī-KŌ-sĭs)

onychophagia (ŏn-ĭ-KŎF-ă-jē)

pachyderma (pak-ē-DĔR-mă)

paronychia (păr-ō-NĬK-ē-ă)

percutaneous (pĕr-kū-TĀ-nē-ŭs)

rhytidectomy (rit-ĭ-DEK-tŏ-mē)

rhytidoplasty (RĬT-ĭ-dō-plăs-tē)

seborrhea (sĕb-or-Ē-ă)

staphylococcus (staph) (staf-ĭ-lō-KOK-ŭs)

streptococcus (strep) (strep-tŏ-KOK-ŭs)

subcutaneous (subcut, Sub-Q) (sŭb-kū-TĀ-nē-ŭs)

subungual (sŭb-ŬNG-gwăl)

transdermal (TD) (trănz-DĔRM-ăl)

ungual (ŬNG-gwăl)

xeroderma (zer-ŏ-DĔR-mă)

xerosis (zĕ-RŌ-sĭs)

Practice pronouncing and defining these integumentary system medical terms that are not easily broken into word parts.

abrasion (ă-BRĀ-zhŏn)

abscess (AB-ses)

acne (AK-nē)

adipocytes (AD-ĭ-pō-sīts)

adipose (AD-ĭ-pōs)

albinism (AL-bĭ-nizm)

apocrine sweat gland (AP-ŏ-krĕn swet gland)

autonomic (ot-ŏ-NOM-ik)

bacteria, bacterium (bak-TĒR-ē, bak-TĒR-ē-ŭm)

basal cell carcinoma (BCC) (BĀ-săl sel kar-sĭn-Ō-ma)

benign (bē-NĪN)

cancer (KAN-sĕr)

cauterize, cauterization (KAW-tĕr-īz)

cellulitis (sel-yŭ-LĪT-ĭs)

contusion (kŏn-TOO-zhŏn)

cyanosis (sī-ă-NŌ-sĭs)

cyst (sist)

debride, debridement (di-BRĒD, di-BRĒD-mĕnt)

dehydration (dē-hī-DRĀ-shŏn)

dendritic cells (den-DRIT-ik)

dermabrasion (DĔRM-ă-brā-zhŏn)

dermis (DĔR-mĭs)

diaphoresis (dī-ă-fŏ-RĒ-sĭs)

eccrine sweat gland (ĔK-rĭn swet gland)

eczema (eg-ZĒ-mă)

edema (ĕ-DĒ-mă)

excise, excision (ĕk-SĪZ, ek-SIZH-ŏn)

fascia (FASH-ē-ă)

frostbite (FROST-bīt)

gangrene (GANG-grēn)

incise, incision (in-SĪZ, in-SIZH-ŏn)

incision and drainage (I&D) (in-SIZH-ŏn & DRĀN-ăj)

infection (in-FEK-shŏn)

jaundice, jaundiced (JON-dĭs, JON-dĭsd)

keloid (KĒ-loyd)

keratin (KER-ăt-ĭn)

keratinocyte (kĕ-RĂT-ĭ-nō-sīt)

laceration (las-ĕ-RĀ-shŏn)

laser surgery (LĀ-zĕr SŬRJ-ĕ-rē)

lesion (lĒ-zhŏn)

leukoplakia (loo-kō-PLĀ-kē-ă)

macule (MAK-ūl)

Meissner corpuscle (MĪS-nĕr KOR-pŭs-ĕl)

melanoma (mel-ă-NŌ-mă)

metastasize (mĕ-TĂS-tă-sīz)

nevus (NĒ-vŭs)

nodule (NOJ-ool)

pallor (PĂL-or)

Pacinian corpuscle (pă-SIN-ē-ăn KOR-pŭs-ĕl)

pallor (PĂL-or)

pathogens (path-Ŏ-jĕns)

phagocytes (făg-ō-SĬTS)

pruritus (proo-RĪT-ŭs)

psoriasis (sŏ-RĪ-ă-sĭs)

pustule (PŬS-tūl)

reticulated (rĕ-TIK-yŭ-lāt-ĕd)

rickets (RIK-ĕts)

scar (skăr)

sebaceous gland (sē-BĀ-shŭs gland)

squamous cell carcinoma (SCC) (SKWĀ-mŭs sel kar-sĭn-Ō-mă)

stratum basale (STRĀ-tŭm BĀS-al)

suture (SOO-chŭr)

sympathetic (sĭm-pă-THĔT-ĭk)

Sympathetic Nervous System (sĭm-pă-THĔT-ĭk NĔR-vŭs SIS-tĕm)

tinea (TIN-ē-ă)

vascularized (VAS-kyŭ-lă-rīzd)

verruca (vĕr-ROO-kă)

virus (VĪ-rŭs)

Practice pronouncing and defining these commonly abbreviated integumentary system terms.

BCC (basal cell carcinoma)

bx (biopsy)

CA-MRSA (community-associated MRSA)

derm (dermatology)

HA-MRSA (healthcare-associated MRSA)

I&D (incision and drainage)

ID (intradermal)

MRSA (methicillin-resistant Staphylococcus aureus)

SCC (squamous cell carcinoma)

SLE (systemic lupus erythematosus)

staph (staphylococcus)

strep (streptococcus)

subcut, Sub-Q (subcutaneous)

TD (transdermal)

Sort the terms from the word lists above into the following categories.

• Disease and Disorder (terms describing any deviation from normal structure and function)
• Diagnostic (terms related to process of identifying a disease, condition, or injury from its signs and symptoms)
• Therapeutic (terms related to treatment or curing of diseases)
• Anatomic (terms related to body structure)

Use terms related to the integumentary system.

Practice labeling the layers of the skin.

adipose tissue | arrector pili muscle | dermis | eccrine sweat gland | epidermis | hair follicle | hair follicle | hair root | hair shaft | hypodermis | pore of sweat gland | sebaceous/oil gland | sensory nerve fiber

Place the following medical terms in context to complete the scenario below.

benign | lesion | asymmetrical | biopsy | mole | excisional | irregular

INTEGUMENTARY SYSTEM – CONSULTATION REPORT

PATIENT NAME: Rosemary COOMBS

AGE: 54

Sex: Female

DOB: December 2

DATE OF CONSULTATION: May 29

REQUESTING PHYSICIAN: Trevor Sharpe, MD, Family Medicine

CONSULTING PHYSICIAN: Donna Brown, MD, Dermatology

HISTORY: This 54-year-old white female, went to her family doctor a year ago when she noticed a dark brown spot on her neck. The spot was a six cm, dark brown, flat _________ with smooth borders that appeared _________. Ms. Coombs recently went to Dr. Sharpe for a physical and the  was examined, it was suggested that Ms. Coombs see me.

PAST HISTORY: No known history of any skin disorders.

PHYSICAL EXAMINATION: Normal except for the lesion on her chest which has grown to 1.3 cm in diameter and _________  in shape. It is mainly dark brown, with regions of darker black. The borders are _________  in outline. There is some blackened areas that are slightly elevated.

PLAN: I have booked a follow up appointment for next week to do an _________  biopsy. I will then send the specimen for a _________ . Another follow up appointment will be made once I receive the results of the biopsy.

Donna Brown, MD, Dermatology

Practice filling in the blanks with the correct word parts.

Remember combining form vowels are indicated with a line on each side.

al | ectomy | trans | derm | rhytid | cutane | ous | ous | logist | auto | xero | o | phagia | derma | derma | o | sis | dermat | hidr | o | tone | o | aden | kerat | necr | cutane | onycho | plasty | per | genic | dermat | itis | sub

________/________/________/________ refers to the surgical repair of one’s own skin.

Something that generates the production of epidermal tissues might be called ________/________/________.

________/________/________  refers to something in a state of death.

________/________ is a technical name for nail-biting.

________/________/________ means pertaining to through the skin.

________/________/________ injection is given under the skin.

During the winter months many people complain of ________/________ and use extra lotion.

A patch filled with medication,applied to the skin so that medication goes through the skin is referred to as a ________/________/________ patch.

An instrument used to cut the skin for biopsy is referred to as a ________/________.

A specialist who studies and treats disorders and diseases of the skin is referred to as a ________/________/________.

The medical term that means a sweat gland is inflamed is ________/________/________.

The medical term to excise wrinkles or commonly referred to as a facelift is ________/________.

Test your knowledge by answering the questions below.

Cells that manufacture and store the protein keratin

1.           Keratinocytes
2.           Vascularized
3.           Scar

The outer layer of skin, made of closely packed epithelial cells

1.           Epidermis
2.           Fascia
3.           Adipocytes

Specialized cells that produce melanin which is a dark pigment responsible for coloration of skin and hair

1.           Necrosis
2.           Melanocytes
3.           Keloid

Deepest layer of the epidermal

1.           Stratum basale
2.           Fascia
3.           Dermis

Production of cells that can mobilize and establish tumors in other organs of the body

1.           Pathogens
2.           Metastasize
3.           Debridement