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A Short Course in Medical Terminology (2nd edition), Collins & DePetris
Lesson Plans
Chapter 4 – The Integumentary System
Goals of the Lesson:
Cognitive: Students will review the structures and functions of the integumentary system. They will also survey a number of common disorders and treatments.Motor: The students will gain experience in identifying various structures of the integumentary system on models.Affective: Students will understand how various disorders that might occur and the impact this might have on a patient.
Learning Objectives:
The lesson plan for each objective starts on the page shown below.4-1 Name the two layers of the skin....................................................................................................................................24-2 Name the accessory structures of the integumentary system........................................................................................44-3 Build and pronounce medical terms of the integumentary system................................................................................54-4 Name the disorders and treatments relating to the integumentary system....................................................................64-5 Name the major classifications of pharmacologic agents used to treat skin disorders.................................................104-6 Analyze and define the new terms introduced in this chapter.......................................................................................124-7 Interpret abbreviations associated with the integumentary system...............................................................................13
You Will Need:
Gather the following materials and teaching aids for the following lessons:4-1 Models of skin, textbook4-2 Models of skin, textbook4-3 Blank index cards, markers, textbook4-6 Blank index cards, markers, textbook4-7 Blank index cards, markers, textbook
Legend: SR: Student Resources; IR: Instructor Resources; PPt: PowerPoint
Page 1 of 13 Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
Selected Key Terms
albin/ocirrh/ocutane/ocyan/ocyt/o-cytederm/odermat/oepi-erythr/ojaund/oichthy/okerat/oleuk/omelan/omyc/oonych/opil/oscler/oseb/osub-sudor/ixanth/oxer/o
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
Objective 4-1
Name the two layers of the skin. Date:
Lecture OutlineFigures, Tables, and Features
Resources andIn-Class Activities
Outside AssignmentsEvaluation Instructor’s Notes
Content Text page
PPt slide
Structure and Function Consists of 2 layers
Epidermis (outer) Dermis (inner)
Epidermis Composed of several
thin layers of epithelial tissues
No blood vessels or nerves
Provides protective covering to body
Contains melanocytes in deepest layer; produce melanin, gives skin color and protects against sunlight
Dermis a.k.a. corium thick layer of tissue contains various
structures blood vessels nerves hair follicles
54-55 3, 4 Figures4-1: Cross-section of skinp. 55
In-Class ActivitiesUsing models of the skin assist the students in locating the various structures.
MaterialsModels of skin, figures in textbook
Outside Assignments
Chapter Exercises, pp. 67- 71
Chapter 4 Quiz, pp. 72-73
Additional exercises and games are available in the Instructor Resources
Page 2 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
sebaceous (oil) glands
sudoriferous (sweat) glands
Subcutaneous layer Layer of tissue below
the dermis Composed of adipose
tissue Function: connects
dermis to muscles and organs beneath it
Legend: SR: Student Resources; IR: Instructor Resources; PPt: PowerPoint
Page 3 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
Objective 4-2
Name the accessory structures of the integumentary system. Date: Lecture Outline
Figures, Tables, and Features
Resources andIn-Class Activities
Outside AssignmentsEvaluation Instructor’s Notes
Content Text page
PPt slide
Accessory organs Hair and hair follicles
Composed of hard protein keratin
Color determined by pigment melanin
Nails Composed of keratin Provide protection to tip
of fingers and toes Composed of free edge,
nail plate, lunula, and cuticle
Sebaceous (oil) glands Associated with hair
follicles Secrete oil that provides
lubrication to skin Sudoriferous (sweat) glands
Most numerous in palms, soles of feet, forehead, and armpits
Secrete watery fluid, helps cool the body
55-56 4, 5 Figures4-1: Cross-section of the skinp. 55
4-2: Superior view of a nailp. 56
In-Class ActivitiesUsing models of the skin, assist the students in locating the various structures.
MaterialsModels of skin, textbook
Outside Assignments
Chapter Exercises, pp. 67- 71
Chapter 4 Quiz, pp. 72-73
Additional exercises and games are available in the Instructor Resources
Legend: SR: Student Resources; IR: Instructor Resources; PPt: PowerPoint
Page 4 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
Objective 4-3
Build and pronounce medical terms of the integumentary system. Date: Lecture Outline
Figures, Tables, and Features
Resources andIn-Class Activities
Outside AssignmentsEvaluation Instructor’s Notes
Content Text page
PPt slide
Word Elements albin/o – white cirrh/o, jaund/o, xanth/o
– yellow cutane/o – skin cyan/o – blue -cyte, cyt/o – cell derm/o, dermat/o – skin epi- upon erythr/o – red ichthy/o – dry, scaly
(fish-like) kerat/o – horn-like leuk/o – white melan/o – black myc/o – fungus onych/o – nail pil/o – hair scler/o – hardening seb/o – sebum sub- -below sudor/i – sweat xer/o - dry
54 2 Word Elements tablep. 54
In-Class ActivitiesInstruct the students to prepare flashcards of each element
MaterialsBlank index cards, markers, textbook
Outside AssignmentsInstruct the students to see how many terms they can create by using these elements and elements learned in previous chapters. Share list with rest of class.
Chapter Exercises, pp. 67- 71
Chapter 4 Quiz, pp. 72-73
Additional exercises and games are available in the IR
Legend: SR: Student Resources; IR: Instructor Resources; PPt: PowerPoint
Page 5 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
Objective 4-4
Name the disorders and treatments relating to the integumentary system. Date:
Lecture OutlineFigures, Tables, and Features
Resources andIn-Class Activities
Outside AssignmentsEvaluation Instructor’s Notes
Content Text page
PPt slide
Disorders Skin lesions
Flat lesions Macule: flat,
colored spot <1 cm in diameter (freckle)
Plaque: flat or lightly raised lesion >1 cm in diameter
Elevated lesions Bulla: raised, fluid-
filled lesion or blister >1 cm
Nodule: solid, raised lesion larger than a papule, 0.6 to 2 cm in diameter
Papule: small, circular, solid elevation <1 cm in diameter
Pustule: small, circular, pus-filled elevation, <1 cm in diameter
Vesicle: small,
56-61 6-11 Figures4-3: Skin lesionsp. 57
4-4: Eczema p. 58
4-5: Psoriasisp. 58
4-6: Impetigop. 58
4-7: Scabiesp. 59
4-8: Tinea (ringworm)p. 59
4-9: Vitiligop. 60
In-Class ActivitiesDivide the class into pairs or small groups and assign each group a disorder to research and report to the class their findings.
Outside AssignmentsInstruct students to write a short essay about one of the disorders of the integumentary system and prepare a report for the class.
Chapter Exercises, pp. 67- 71
Chapter 4 Quiz, pp. 72-73
Additional exercises and games are available in the Instructor Resources
Page 6 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
circular, fluid-filled elevation <1 cm in diameter
Wheal: smooth, rounded, slight raised area, associated with itching
Depressed lesions Fissure: crack or
break in skin, a slit of any size
Ulcer: open sore or crater, extends to dermis, results from destruction of skin, heals with scarring
Inflammatory disorders Dermatitis:
inflammation of the dermis
Erythematous: pertaining to redness
Pruritic or pruritus: itching
Eczema: chronic dermatitis, red, vesicular lesions that are crusted and pruritic
Psoriasis: chronic inflammatory condition; patches of crusty papules with erythematous and silvery scales
Scleroderma: skin
4-10: Paronychia p. 60
Table4-1: Classification of burnsp. 59
Page 7 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
becomes taut, thick, and leather-like; joints become immovable
Skin infections Impetigo: caused by
bacteria, contagious, crusted pustules that rupture
Scabies: caused by mites, vesicular eruptions, intense pruritus
Tinea: fungal infection; (ringworm) irregularly shaped red rings of vesicles or papules, different types Barbae: beard Capitis: scalp Pedis: athlete’s foot Cruris: jock itch
Shingles (herpes zoster): viral, pain and vesicular rash along path of nerve
Burns Causes
Heat (flames, heat, sun)
Chemicals (alkalis, acid)
Electricity Types
Superficial Partial-thickness
Page 8 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
Full-thickness Skin cancer
Melanoma: most common
Other skin disorders Decubitus ulcers:
bedsores Acne: sebaceous glands Vitiligo: loss of
pigmentation Paronychia: infection of
skin around nail bed Alopecia: baldness
Treatments Biopsy: removal of small
piece of skin for testing Cryosurgery, cryotherapy:
using extreme cold to destroy abnormal tissue
Debridement: removal of diseased, dead, or damaged tissue
Medication Transdermal: through
the skin
Legend: SR: Student Resources; IR: Instructor Resources; PPt: PowerPoint
Page 9 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
Objective 4-5
Name the major classifications of pharmacologic agents used to treat skin disorders. Date:
Lecture OutlineFigures, Tables, and Features
Resources andIn-Class Activities
Outside AssignmentsEvaluation Instructor’s Notes
Content Text page
PPt slide
Pharmacology Study of drugs and their
affect on living organisms Classifications: drugs with
similar effects are grouped together
Some drugs fit into more than one classification Antipyretic: reduce
fever Analgesic: relieve pain Antipruritics: relieve
itching Anti-inflammatory:
relieve inflammation Anesthetics, local:
numbing agents Drying agents: prevent
itching Antifungals: treat fungi
infections Antiseptics: inhibit
growth of bacteria Antivirals: prevent
growth of viruses
60, 61
13-15 In-Class ActivitiesDivide the class into small groups and assign each group a different agent to research and report back to the class their findings.
Outside AssignmentsEncourage each student to check their medicine cabinet to see how many of the agents they use at home.
Chapter Exercises, pp. 67- 71
Chapter 4 Quiz, pp. 72-73
Additional exercises and games are available in the Instructor Resources
Page 10 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
Scabicides: kill mites Pediculicides: kill lice Acne medication: used
to clear up acne Antibiotics: used to kill
bacteria Sedatives: producing
calming effects Burn medication:
prevent infection, promote tissue growth
Legend: SR: Student Resources; IR: Instructor Resources; PPt: PowerPoint
Page 11 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
Objective 4-6
Analyze and define the new terms introduced in this chapter. Date:
Lecture OutlineFigures, Tables, and Features
Resources andIn-Class Activities
Outside AssignmentsEvaluation Instructor’s Notes
Content Text page
PPt slide
Word Elements Study Table
Disorders and Symptoms Diagnoses, Procedures, and
Treatments
54, 62-66
In-Class ActivitiesInstruct the students to make flashcards of each term
MaterialsBlank index cards, markers, textbook
Outside Assignments
Chapter Exercises, pp. 67- 71
Chapter 4 Quiz, pp. 72-73
Additional exercises and games are available in the Instructor Resources
Legend: SR: Student Resources; IR: Instructor Resources; PPt: PowerPoint
Page 12 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins
A Short Course in Medical Terminology (2nd edition), Collins & DePetrisChapter 4— The Integumentary System
Objective 4-7
Interpret abbreviations associated with the integumentary system. Date:
Lecture OutlineFigures, Tables, and Features
Resources andIn-Class Activities
Outside AssignmentsEvaluation Instructor’s Notes
Content Text page
PPt slide
BSA – body surface area LE – lupus erythematosus SLE – systemic lupus
erythematosus SPF – skin protection factor STSG – split-thickness skin graft UV - ultraviolet
61 TableAbbreviation tablep. 61
In-Class ActivitiesInstruct the students to make flashcards of the abbreviations
MaterialsBlank index cards, markers, textbook
Outside Assignments
Chapter Exercises, pp. 67- 71
Chapter 4 Quiz, pp. 72-73
Additional exercises and games are available in the IR
Legend: SR: Student Resources; IR: Instructor Resources; PPt: PowerPoint
Page 13 of 13Copyright © 2011 Wolters Kluwer | Lippincott Williams & Wilkins