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59 Cards in this Set

  • Front
  • Back
The skin consists of three major regions:
1. Epidermis-outermost superficial region

2. Dermis-middle region

3. Hypodermis-deepest region
Epidermis is composed of
keratinized stratified squamous epithelium, consisting of 4 distinct cell types and 4-5 layers
Epidermis cell types include:
Keratinocytes, Melanocytes, Merkel Cells, and Langerhans Cells
Keratinocytes produce
the fibrous protein keratin
Melanocytes produce
prothe brown pigment melanin
Merkel Cells function as
touch receptors in association with sensory nerve endings
Langerhans Cells
Epidernal macrophages that help activate the immune system
What are the layers of the Epidermis
1. Stratum Corneum
2.Stratum Granulosum
3.Stratum Spinosum
4. Stratum Basale
5. Dermis
Stratum Corneum
* Horny Layer

-Outermost layer of keratinized cells

-Accounts for 3 quarters of the epidermal thickness

-Functions include: waterproofing, protection from abrasion and penetration, rendering the body relatively insensitive to biological, chemical, and physical assaults
Stratum Granulosum
*Granular Layer

-Thin; 3-5 cell layers in which drastic changes in keratinocyte appearance occurs

-Keratohyaline and lamellated granules accumulate in the cells of this layer
Stratum Spinosum
*Prickly Layer

-Cells contain a weblike system of intermediate filaments attached to desmosomes

-Melanin granules and Langerhans' cells are abundant in this later
Stratum Basale
-Deepest epidermal layer firmly attached to the dermis

-Consists of a single row of the youngest keratinocytes

-Cells undergo rapid division, hence its alternate name, stratum germinativum
Stratum Lucidum
*Clear Layer

-Thin, transparent band superficial to the stratum granulosum

-Consists of a few rows of flat, dead keratinocytes

-Present only in thick skin
Dermis
-Second major skin region containing strong, flexible c.t.

-Cell types include firboblasts, macrophages and occasionally mast cells and white blood cells

-composed of 2 layers, papillary and reticular
Papillary Layer
-Areolar c.t. with collagen and elastic fibers

-Its superior surface contains peglike projections called dermal papillae

-Dermal papillae contain capillary loops, Meissner's Corpuscles, and free nerve endings
Reticular Layer
-Accounts for approx. 80% of the thickness of the skin

-Collagen fibers in this layer add strength and resiliency to the skin

-Elastin fibers provide stretch-recoil properties
Hypodermis
-Subcutaneous layer deep to the skin

-Composed of adipose and areolar c.t.
What three pigments contribute to skin color?
Melanin

Carotene

Hemoglobin
Melanin
-yellow to reddish-brown to black pigment, responsible for dark skin colors

*Freckles and pigment moles result from local accumulations of melanin.
Carotene
Yellow to orange pigment, most obvious in the palms and soles of the feet
Hemoglobin
reddish pigment responsible for the pinkish hue of the skin
Different types of these prevent overheating of the body and secrete ceremun and milk
Sweat Glands
Eccrine Sweat Glands are found in
palms, soles of the feet, and forehead
Apocrine Sweat Glands are found in
axillary and anogenital areas
Ceruminous Glands
Modified apocrine glands in external ear canal that secrete cerumen
Mammary Glands
Specialized sweat glands that Secrete milk
Sebaceous Glands
-Simple alveolar glands found all over the body

-Soften skin when stimulated by hormones

-Secrete an oily secretion called sebum.
Sebum
Oily secretion of sebaceous glands.
Hair
-Filamentous strands of dead keratinized cells produced by hair follicles

-Contains hard keratin which is tougher and more durable than soft keratin of the skin
Hair is pigmented by __________ at the base of the hair
melanocytes
Hair consists of a core called the ____a______, a ____b___, and an outermost ___c______.
a. medulla

b. cortex

c. cuticle
Hair is made up of
The shaft projecting from the skin, and the root embedded in the skin.
Hair Functions
1. Helping to maintain warmth

2. Alerting the body to presence of insects on the skin

3. Guarding the scalp against physical trauma, heat loss, and sunlight
Hair is distributed over the entire skin surface except:
-Palms, soles, and lips

-Nipples and portions of the external genitalia
Hair Follicle
-Root sheath extending from the epidermal surface into the dermis

-Deep end is expanded forming a hair bulb

-A knot of sensory nerve endings (a root hair plexus) wraps around each hair bulb
Bending a hair stimulates _________ _________ _______, hence our hairs act as sensitive touch receptors.
Sensory nerve endings
Two types of hair
1. Vellus

2. Terminal
Vellus
-Type of hair

-Pale, fine body hair found in children and the adult female
Terminal
-Type of hair

-coarse, long hair of eyebrows, scalp, axillary, and pubic regions
Alopecia
Hair thinning in both sexes
Male pattern baldness is caused by
follicular response to DHT
Structure of a nail
-Scalelike modification of the epidermis on the distal surface of fingers and toes
Functions of the Integument Sytsem
1. Protection

2.Body Temp Regulation

3.Cutaneous Sensation

4. Metabolic Functons

5. Blood Resevoir

6. Excretion
Protection
-Function of the Integument System

-chemical, physical, and mechanical barrier
Body Temp Regulation
-Function of the Integument System

-Accomplished by Dilation (cooling) and constriction (warming) of dermal vessels

-Increasing sweat gland secretions to cool the body
Cutaneous Sensation
-Function of the Integument System

-exoreceptors sense touch and pain
Metabolic Functions
-Function of the Integument System

-Synthesis of vitamin d in dermal blood vessels
Blood Resevoir
-Function of the Integument System

-skin blood vessels store up to 5% of the bodys blood volume
Excretion
-Function of the Integument System

-limited amounts of nitrogenous wastes are eliminated from the body in sweat
Most skin cancers are ______and do not metastasize
Benign
Three major types of skin cancer
1. Basal cell carcinoma
2. Squamous cell carcinoma
3.Melanoma
Basal cell carcinoma
-Most common skin cancer
-Least Malignant
-Slow growing and often doesnt metastasize
-Can be cured by surgical excision in 99% of the cases
-Stratum Basale cells proliferate and invade the dermis and hypodermis
Squamous cell carcinoma
-Arises from keratinocytes of stratum spinosum
Melanoma
Cancer of melanocytes is the most dangerous type of skin cancer because it is highly metastatic and resistant to chemotherapy
Characteristics of Melanoma
(ABCD Rule)
A: Asymmetry; the 2 sides of the pigmented area do not match

B: Border is irregular and exhibits indentations

C: Color (pigmented area) is black, brown, tan, and sometimes red or blue

D: Diameter is larger than 6 mm(size of a pencil eraser)
How is melanoma treated?
By wide surgical excision accompanied by immunotherapy

*chance of survival is poor if the lesion is over 4 mm thick
1st Degree Burns
-only the epidermis is damaged

-symptoms include localized redness, swelling and pain
Second Degree Burns
-epidermis and upper regions of dermis are damaged

-symptoms mimic 1st degree burns, but blisters also appear
Third Degree Burns
Entire thickness of the skin is damaged.