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149 Cards in this Set

  • Front
  • Back

Integumentary system

Skin, cutis, integument and its derivatives

Functions of the skin

Protection (physical barrier, sensory organ, immunologic surveillance)



Homeostatis (Thermoregulation, Fluid Electrocyte Balance)



Endocrine Functions (hormone secretionLayer)

Layers of the skin

Epidermis


Dermis


Hypodermis/Subcutaneous Tissue

Epidermis

Paper thin covering


Tough epithelial barrier


Brown or light brown color


NO bleeding


Function: protective barrier

Dermis

Thick supportive layer: dense connective tissue


Vascular


Thick and white


Gritty and tough collagen fibers


Moderate bleeding


Functions: pliability, elasticity and tensile strength

Hypodermis

Modified loose connective tissue (rich in adipose)


Thin and white


Yellow when fats present


Least resistance to infection


Soft bec. Fat


Plane of dissection


Blood starts to flow and blobs of fat pops


Function: insulator, shock absorber, energy storage

Where is pilosebaceous unit found

Dermis/hypodermis

Keratinization gives rise to how many layers in the epidermis

10-20

Process

1. Stem cells in stratum basale divide


2. Differentiate and keratinize towards stratum corneum (mitotic layer-differentiating layer- fully differentiated stratum corneum)


3. Change in shape (flattening and stacking of cells)


4. Loss of nuclei/ organelles


5. Thickened plasma membrane

How long is the skin cycle?

30 days

Epidermis

Paper thin covering


Tough epithelial barrier


Brown or light brown color


NO bleeding


Function: protective barrier

Dermis

Thick supportive layer: dense connective tissue


Vascular


Thick and white


Gritty and tough collagen fibers


Moderate bleeding


Functions: pliability, elasticity and tensile strength

Hypodermis

Modified loose connective tissue (rich in adipose)


Thin and white


Yellow when fats present


Least resistance to infection


Soft bec. Fat


Plane of dissection


Blood starts to flow and blobs of fat pops


Function: insulator, shock absorber, energy storage

Where is pilosebaceous unit found

Dermis/hypodermis

Keratinization gives rise to how many layers in the epidermis

10-20

Process

1. Stem cells in stratum basale divide


2. Differentiate and keratinize towards stratum corneum (mitotic layer-differentiating layer- fully differentiated stratum corneum)


3. Change in shape (flattening and stacking of cells)


4. Loss of nuclei/ organelles


5. Thickened plasma membrane

How long is the skin cycle?

30 days

Layers of the epidermis

Stratum corneum


Stratum Granulosum


Stratum spinosum


Stratum Basale


Stratum Lucidum

Barrier of stratum corneum

Physical Barrier and water loss barrier

Epidermis

Paper thin covering


Tough epithelial barrier


Brown or light brown color


NO bleeding


Function: protective barrier

Dermis

Thick supportive layer: dense connective tissue


Vascular


Thick and white


Gritty and tough collagen fibers


Moderate bleeding


Functions: pliability, elasticity and tensile strength

Hypodermis

Modified loose connective tissue (rich in adipose)


Thin and white


Yellow when fats present


Least resistance to infection


Soft bec. Fat


Plane of dissection


Blood starts to flow and blobs of fat pops


Function: insulator, shock absorber, energy storage

Where is pilosebaceous unit found

Dermis/hypodermis

Keratinization gives rise to how many layers in the epidermis

10-20

Process

1. Stem cells in stratum basale divide


2. Differentiate and keratinize towards stratum corneum (mitotic layer-differentiating layer- fully differentiated stratum corneum)


3. Change in shape (flattening and stacking of cells)


4. Loss of nuclei/ organelles


5. Thickened plasma membrane

How long is the skin cycle?

30 days

Layers of the epidermis

Stratum corneum


Stratum Granulosum


Stratum spinosum


Stratum Basale


Stratum Lucidum

Barrier of stratum corneum

Physical Barrier and water loss barrier

Stratum Corneum

Most Keratinized


End product of keratinization


Brick (keratin-filled and anucleated cell) and mortar(intercellular lipid: ceramide)

Epidermis

Paper thin covering


Tough epithelial barrier


Brown or light brown color


NO bleeding


Function: protective barrier

Compare thick and thin skin

Thick: thicker stratum corneum more layers of epidermis,


Deeper interdigitations, can be found in palms, and fingers


Stratum lucidum is visible

Dermis

Thick supportive layer: dense connective tissue


Vascular


Thick and white


Gritty and tough collagen fibers


Moderate bleeding


Functions: pliability, elasticity and tensile strength

Hypodermis

Modified loose connective tissue (rich in adipose)


Thin and white


Yellow when fats present


Least resistance to infection


Soft bec. Fat


Plane of dissection


Blood starts to flow and blobs of fat pops


Function: insulator, shock absorber, energy storage

Where is pilosebaceous unit found

Dermis/hypodermis

Keratinization gives rise to how many layers in the epidermis

10-20

Process

1. Stem cells in stratum basale divide


2. Differentiate and keratinize towards stratum corneum (mitotic layer-differentiating layer- fully differentiated stratum corneum)


3. Change in shape (flattening and stacking of cells)


4. Loss of nuclei/ organelles


5. Thickened plasma membrane

How long is the skin cycle?

30 days

Layers of the epidermis

Stratum corneum


Stratum Granulosum


Stratum spinosum


Stratum Basale


Stratum Lucidum

Barrier of stratum corneum

Physical Barrier and water loss barrier

Stratum Corneum

Most Keratinized


End product of keratinization


Brick (keratin-filled and anucleated cell) and mortar(intercellular lipid: ceramide)

Epidermis

Paper thin covering


Tough epithelial barrier


Brown or light brown color


NO bleeding


Function: protective barrier

Compare thick and thin skin

Thick: thicker stratum corneum more layers of epidermis,


Deeper interdigitations, can be found in palms, and fingers


Stratum lucidum is visible

Stratum Granulosum

Most superficial non-keratinized layer


1-3 cells thick


Has keratohyalin granules

Dermis

Thick supportive layer: dense connective tissue


Vascular


Thick and white


Gritty and tough collagen fibers


Moderate bleeding


Functions: pliability, elasticity and tensile strength

Hypodermis

Modified loose connective tissue (rich in adipose)


Thin and white


Yellow when fats present


Least resistance to infection


Soft bec. Fat


Plane of dissection


Blood starts to flow and blobs of fat pops


Function: insulator, shock absorber, energy storage

Where is pilosebaceous unit found

Dermis/hypodermis

Keratinization gives rise to how many layers in the epidermis

10-20

Process

1. Stem cells in stratum basale divide


2. Differentiate and keratinize towards stratum corneum (mitotic layer-differentiating layer- fully differentiated stratum corneum)


3. Change in shape (flattening and stacking of cells)


4. Loss of nuclei/ organelles


5. Thickened plasma membrane

How long is the skin cycle?

30 days

Layers of the epidermis

Stratum corneum


Stratum Granulosum


Stratum spinosum


Stratum Basale


Stratum Lucidum

Barrier of stratum corneum

Physical Barrier and water loss barrier

Stratum Corneum

Most Keratinized


End product of keratinization


Brick (keratin-filled and anucleated cell) and mortar(intercellular lipid: ceramide)

Epidermis

Paper thin covering


Tough epithelial barrier


Brown or light brown color


NO bleeding


Function: protective barrier

Compare thick and thin skin

Thick: thicker stratum corneum more layers of epidermis,


Deeper interdigitations, can be found in palms, and fingers


Stratum lucidum is visible

Stratum Granulosum

Most superficial non-keratinized layer


1-3 cells thick


Has keratohyalin granules

Keratohyaline granules

Produce filaggrin and tricohyalin

Dermis

Thick supportive layer: dense connective tissue


Vascular


Thick and white


Gritty and tough collagen fibers


Moderate bleeding


Functions: pliability, elasticity and tensile strength

Hypodermis

Modified loose connective tissue (rich in adipose)


Thin and white


Yellow when fats present


Least resistance to infection


Soft bec. Fat


Plane of dissection


Blood starts to flow and blobs of fat pops


Function: insulator, shock absorber, energy storage

Where is pilosebaceous unit found

Dermis/hypodermis

Keratinization gives rise to how many layers in the epidermis

10-20

Process

1. Stem cells in stratum basale divide


2. Differentiate and keratinize towards stratum corneum (mitotic layer-differentiating layer- fully differentiated stratum corneum)


3. Change in shape (flattening and stacking of cells)


4. Loss of nuclei/ organelles


5. Thickened plasma membrane

How long is the skin cycle?

30 days

Layers of the epidermis

Stratum corneum


Stratum Granulosum


Stratum spinosum


Stratum Basale


Stratum Lucidum

Barrier of stratum corneum

Physical Barrier and water loss barrier

Keratohyaline granules

Produce filaggrin and tricohyalin


(Promotes aggregation of keratin filaments)

Stratum Basale

Thickest layer


Where End products of mitosis crowd together


Cells are connected by desmosome


Larger keratinocyte (compared to stratum basale)


Lamellar granule start their life at stratum spinosum


Bone-marrow derived


From common lymphoid progenitor (CLP) cells


Immune cells


Dendritic resident macrophage


Found in mid epidermis

Langerhans cells

Langerhans cell are part of what system? Function?

Mononuclear phagocytic system


Function: antigen-presenting cell and responsible for contact dermititis

In EM what does langerhans look like

Nucleus with indentions and birbeck granules or tennis shaped granules


Stain: gold chloride

Located in basal epidermis layer


Apposed with nerve ending papillary dermis


Presence of dense-core neurosecretory granules

Merkel cell

Function of merkel cell

Light touch


Soft adapting sustained discharge


Abundant in finger tips

Epidermal-dermal interdigitation

Peg and socket


Attach epi and dermis


Fingerprint

Finger-like CT protrusions that project in the undersurface of epidermis

Dermal papillae

Downward projection of the epidermis

Epidermal ridges or rete ridges

Makes the skin a good organ of support


Nourishes the epi and appendages thru blood vessels


Sensory and autonomic functions

Dermis

Dermis gives the ff?

Elasticity (back in shape)


Tensile strength( withstand pressure)

Stratum Lucidum

Contains eosinophilic cell

Layers of dermis

Papillary dermis


Reticular dermis


Skin tension lines

Papillary dermis

More superficial layer of dermis consist of loose CT


Predominantly type 1 and 3 collagen


Has elastic network of loose fibers


And diffusion of nutrients occur because of capillaries

Prominent structure in papillary dermis:

Cells, ground substance and capillaries

Made up of irregular dense CT


Thicker and less cellular than papillary


Thick and irregular bundles of type 1 collagen and coarser elastic fiber


Stained with Orcein


For elasticity and tensile strength

Reticular dermis

Loose connective fibers in retucular dermis

Oxytalan and Eulanin

It is where the skin naturally folds and where collagen align

Skin tension lines

It is a abnormality in elastin fibers( very loose skin, elastic fibers degenerated, genetic effect)

Cutis laxa

Attack on fibroblast thus produce excessive collagen


-thick skin and mouth cannot close bec very tight

Scleroderma

Form vascular networks for continuous blood flow between papillary and reticular dermis and reticular dermis with hypodermis



Includes superficial and deep vascular plexus

Blood vessels

What are the blood vessels in the epidermis and appendages in dermis and hypodermis?

Epidermis: capillaries loop in dermal papilla


Dermis: sebaceous gland and hair follicles

Other cells in epidermis

Melanocyte


Langerhans


Merkel cell

Blind ending lymphatic capillaries


Unidirectional


Follows the course of veins


Absorbs excess plasma from intracellular spaces

Lymphatic vessels

What are the thermoregulatory components?

Glomus bodies(AV shunts)


Eccrine Gland

Conserve heat by diverting blood from the arteries into veins without passing through capillaries

Glomus Bodies

Most abundant skin gland


Excrete sweat, metals, organic compounds etc


Directly opens into surface

Eccrine gland

Is a type os secretion where secretory granules fuse into the plasma membrane?

Merocrine type excretion

Two portions of eccrine gland

Ductal portion


Secretory portion

Pink and stratified cuboidal (2layers)


Luminal cuticle where sweat is modified


Deeply staining

Ductal portion

3 segments of ductal portion and function

1. Spiral duct/intraepidermal dict/ Acrosyringium


2. Straight dermal duct


3. Coiled dermal duct

Sweet colorless fluid


Composed of sodium and chloride


Malodorous smell

Sweat

2 kinds(?) of sweat

Cholinergic: homeostasis


Adrenergic: fught or flight response

Melanocyte

Serves as UV barrier


Produces melanin


Dendrituc cell (transport melanin to keratinocyte) interspaced among basal keratinocytes

What are the sensory components of skin?

1. Merkel Cell-Neurite Complex


2. Free Nerve endings


3. Encapsulated Nerve receptors

These are dendritic cells found in the basal epidermal layer (stratum basale).


Abundant in fingerprints


Bound keratinocytes by desmosomes


Apposed to nerve ending papillary dermis


Has neural and epidermal characteristics

Merkel cell-neutrite complex

Function of merkel cell-neutrite complex

Cutaneous sensation: touch


Sustained discharged

Neuron + epidermal cell =

Merkel's corpuscle

Have numerous receptors in the epidermis


Terminate in stratum granulosum

Free nerve endings

Functions of free nerve endings

Mediates itch, pain and temperature

2 encapsulated nerve receptors

1. Meissner's corpuscle


2. Pacinian Corpuscle

It is found in the dermal papillae (orientation: perpendicular to skin)


Function: light touch but is rapid adapting (successive pricks are recognized)


Spirally axon w/ lamellae(schwann cell)


Cells and nuclei ladder shaped

Meissner's corpuscle

Found in deep dermis/hypodermis


Abundant in fingertips and joints


Looks like a large-onion shaped structure of size 1mm with central axon and 20-60 concentric circles

Pacinian Corpuscle

Function of Pacinian Corpuscle

Respond to pressure or vibration

What is the structure associated with the melanocyte for the dendrite transfer pigment and how many layers are produced

Epidermal melanocyte unit

What are the skin appendages

Hair


Nail


Glands(Eccrine, sebaceous and Apocrine)

Attached to two glands: apocrine and sebaceous gland


Elongated tinized structures

Hair

Hair is absent in

Palm


Soles


mucocutaneous junctions (lips)

Types of hair

Vellus Hair and Terminal Hair

Short, fine light pigmented hair that covers most of your body, superficial and small hair follicles

Vellus hair

Hair found in scalp, eyebrows, auxillary hair


Ling and coars


Rooted deeper in the dermis and hypodermis

Terminal hair

Functions of Hair

Sensation


Immune Reserve/ Epidermal cell reserve


Protection and thermoregulation

In thermorgulation what is the role of arrector pili?

Hair orientation from oblique to upright, goosebumps

Give the pilosebaceous unit

Hair follicles


Sebaceous gland


Arrector pili


Apocrine gland

It has more sulfur-rich bonds bec absence of filaggrin


Dies not exfoliate

Hard keratin

This is found more in adjacent keratinocytes

Melanin granule

Interlocking cuticles of hair shaft and inner root sheath

Hair lock

Responsible for the production and growth of hair


Invaginations of the epidermis

Hairfollicle

3 segments of hair follicle

Infundibulum


Isthmus


Inferior segment

Outermost segemnt of HF that opens into the skin


Extension of epidermis


Superficial third


Where sebaceous gland empties

Infundibulum

It contains the stem cells of the HF

Bulge

Extends from the infundibulum ti the level of insertion of the arrector pili

Isthmus

Lowermost segment of HF


Found only during growing stage


Contains hair bulb

Inferior segment

When inferior segment is present ______


Absent_____

Present - growing hair follicle


Absent- resting hair follicle

Components of the hair bulb

Hair matrix/root


Hair papillae

Part of HAir bulb that contains melanocyte and counterpart of stratum basale

Hair matrix/ root

Membrane bound strutures where the transformation of tyrosine to melanin occur

Premelanosome

Counterpart if dermal papillae in hair bulb and has a teardrop enclosure


Vascularized

Hair papillae

Grows withbthe internal root sheath

Hair shaft

Disappears when the hair is ready to be shed off

Internal root sheath

Extensions of the surface epidermis and continuous on as the hair matrix


Stationary/ does not grow with hair


Vacuolated

External hair shaft

Condensation of CT around the hair follicle

Fibrous sheath

Hair cycle

Anagen


Catagen


Telogen

Growing stage


Longest stage


Hair root is visible


Time when hair matrix produces hair shaft and inner root sheath


Duration of this stage determines max hair growth


Active cell division

Anagen

Anagrn duration for eye lashes



For hair on scalp

6 weeks


3 years

Regressing stage shortest


Hair reached max length and is now curling inti club hair


Dermal papillae separated from the club hair


Hair matrix us reduced to epi. Column


Hair matrix separates itself ti the hair papillae

Catagen

Resting stage


Waits to be pushed out by a new hair shaft


Interior segment moves up

Telogen

Process for melanin

Tyrosine - dihydroxyphenylalanine(DOPA) - melanin

Types of hair Glands

Sebaceous


Apocrine

Open to the hair follicle and some to skin


Nit found in thick skin


Simple branched acinar


Holocrine type of secretion


Releases sebum

Sebaceous gland

Contains triglycerides w/c softens thin skin and make hair flexible


Controlled hy androgen hormones

Sebum

Limited to excretion


Empties pilosebaceous unit


similar to eccrine glandmerocrine type of secretion


Found in axillae, mons pubus and circumanal tegion


Eisinophilic


Milky and slightly viscous secretion

Apocrine gland

Term for melanin in fair and dark skin

Pheomelanin: fair


Eumelanin: dark

Differences in dark and fair skin

Dark: melanin reaches up to stratum corneum, granules are darker and has more protection