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134 Cards in this Set

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integumentary system

system that forms the external body covering, protects deeper tissues, and houses sensory receptors and sweat and oil glands; skin, hair, nails

1. epidermis
2. dermis

2 layers of the skin:

hypodermis (superficial fascia)

subcutaneous tissue just deep to the skin, and superficial to connective tissue; mainly consists of adipose tissue

1. stores fat
2. anchors skin
3. absorbs shock
4. insulates (reduces heat loss)

4 functions of the hypodermis

epidermis

keratinized superficial layer of the skin; avascular, receives nutrients by diffusion

keratinized stratified squamous epithelium

the type of epithelium that forms the epidermis

1. keratinocytes
2. melanocytes
3. Langerhans cells
4. Merkel cells

4 cell types found in the epidermis

keratinocytes

epidermal cells that produce keratin; most common

keratin
the fibrous protein that helps give the epidermis its protective properties
desmosomes

tightly connect keratinocytes

callus
a thickening of the epidermis caused by persistent friction

melanocytes

spider–shaped epithelial cells that synthesize the pigment melanin upon sunlight stimulation

melanosomes

melanin granules that accumulate on the upper side of keratinocytes, protecting DNA from UV rays

dendritic cells (Langerhans cells)

star–shaped macrophages that ingest foreign substances and play a key role in immunity; arise in bone marrow and migrate to the epidermis

Merkel cells (tactile cells)

cells that combine with nerve endings to form Merkel discs (tactile discs); present at the epidermal–dermal junction

Merkel discs (tactile discs)

function as sensory receptors for touch; composed of tactile cells (Merkel cells) and nerve endings

thick skin

skin covering areas subject to abrasion; palms, fingertips, soles of the feet

1. stratum basale
2. stratum spinosum
3. stratum granulosum
4. stratum lucidum
5. stratum corneum
5 layers (strata) of the epidermis
stratum basale

epidermal layer attached to the underlying dermis; single layer of stem cells (young keratinocytes), melanocytes, and Merkel cells

stratum germinativum

alternate name for the stratum basale, meaning "germinating layer"

stratum spinosum

epidermal layer containing cells with weblike systems of intermediate filaments that attach to desmosomes; houses keratinocytes, melanin granules, and dendritic cells

stratum granulosum

epidermal layer where keratinization begins; houses keratohyaline granules and lamellar granules

keratinization

process of keratinocytes filling with the fibrous protein keratin; begins in stratum granulosum

1. keratohyaline
2. lamellar
2 types of granules found in the stratum granulosum
keratohyaline granules
granules that help to form keratin in the upper layers

lamellar granules

granules that contain a water–resistant glycolipid that slows water loss

stratum lucidum

epidermal layer housing two to three rows of dead keratinocytes and tonofilaments; only found in thick skin

tonofilaments

large arrays of special intermediate filaments caused by keratohyaline granules clinging to keratin filaments in the cells
stratum corneum

outermost epidermal layer consisting of 20 to 30 layers of dead cells; protects and waterproofs

cornified cells (horny cells)
the shingle–like cell remnants of the stratum corneum
dermis

the strong, flexible connective tissue layer of the skin; well vascularized

1. papillary
2. reticular

2 layers of the dermis

papillary layer

thin superficial layer of the dermis; houses freely wandering defensive cells and small blood vessels; 20% of dermis thickness

dermal papillae

projections from the papillary layer of the dermis containing capillary loops, nerve endings, and fine touch receptors (Meissner's corpuscles)

free nerve endings

pain receptors located in the papillary layer of the dermis

Meissner's corpuscles (tactile corpuscles)

fine touch receptors located in the papillary layer of the dermis

friction ridges

skin ridges that enhance grip ability, and help amplify vibrations for touch receptors

fingerprints

caused by sweat pores opening along friction ridges; genetically determined and unique for every person

reticular layer

deeper dermal layer consisting of the cutaneous plexus and pockets of adipose cells and collagen fibers; 80% of dermis thickness

Pacinian corpuscles
deep pressure receptors of the reticular layer of the dermis
cutaneous plexus

the network of blood vessels that nourishes the reticular layer of the dermis

cleavage lines (tension lines)

formed by less dense regions of dermal collagen fibers running parallel to the skin surface

flexure lines

dermal folds that occur near joints, where the dermis is tightly secured to deeper structures

1. friction ridges
2. cleavage (tension) lines
3. flexure lines
3 dermal modifications resulting in characteristic skin markings
striae (stretch marks)
extreme stretching of the skin
blisters
fluid–filled pockets, caused by trauma, that separate the epidermal and dermal layers

1. melanin
2. carotene
3. hemoglobin

3 pigments contributing to skin color

melanin

pigment that helps protect DNA from UV radiation, causing skin to darken; reddish yellow to brownish black

sunspots

small circular white spots on the skin caused by a fungal infection, not sun exposure

carotene

yellow/orange pigment that accumulates in the stratum corneum, converted to vitamin A (helps with vision); found in certain plants (ex. carrots)

hemoglobin
crimson–colored oxygenated pigment in red blood cells
cyanosis

blue skin tone caused by poorly oxygenated blood; ex. heart failure, respiratory disorders

erythema

red skin tone caused by blushing, fever, hypertension, inflammation, or allergy

pallor

pale skin due to emotional stress, fear, low blood pressure, etc.

jaundice

abnormal yellow skin tone usually caused by a liver disorder (accumulation of bile pigments)

bronzing

bronze skin tone caused by Addison's disease (lack of steroid hormones) or pituitary gland tumors that secrete melanocyte–stimulating hormone

bruises
black and blue marks caused by escaped and clotted blood beneath the skin (hematomas)

1. hair
2. nails
3. sweat glands
4. oil glands

4 skin appendages that originate in the epidermis and grow down into the dermis

1. more durable


2. does not flake off

2 advantages of hard keratin over soft keratin

hairs (pili)

flexible strands of hard, dead keratinocytes

1. protection
2. filtration
3. sensory
4. warmth

4 functions of hair

1. shaft
2. root

2 main regions of a hair

shaft
the portion of a hair where keratinization is complete
root

the portion of a hair where keratinization is still ongoing

1. medulla
2. cortex
3. cuticle

3 concentric layers of a hair

medulla

innermost layer of a hair consisting of large cells and air spaces; absent in fine hair

cortex

bulky layer of hair consisting of several layers of flattened cells

cuticle

outer layer of hair consisting of overlapping cells like shingles on a roof

hair follicle

part of a hair buried in the dermis that produces the hair; forms in the epidermis

hair bulb

the expanded deep end of a hair follicle

hair follicle receptor (root hair plexus)

a knot of sensory nerve endings wrapped around each hair bulb; stimulated by bending the hair

hair papilla

nipple–like protrusion into the hair bulb containing capillaries that supply nutrients to growing hair and signals it to grow

hair matrix

the actively dividing area of the hair bulb that produces the hair by pushing up dead, keratinized cells

1. peripheral connective tissue (fibrous sheath)
2. glassy membrane
3. epithelial root sheath

3 outer layers of the hair follicle wall
arrector pili

a bundle of smooth muscle cells that pulls a hair follicle upright, forcing sebum out

vellus hair
pale, fine hair; body hair of children and females
terminal hair
coarse, long hair; eyebrows and scalp, axillary and pubic regions, face and chest (males)
hirsutism

excessive hairiness, caused by an adrenal gland or ovarian tumor secreting high levels of androgens

alopecia

baldness as a result of age; hairs are shed faster than they're replaced

male pattern baldness
most common type of true baldness; follicular growth cycles become so short that hairs shed before they emerge

alopecia areata

rare condition in which the immune system attacks the follicles and hair falls out in patches

nail

clear, protective covering on the fingers and toes; a scalelike modification of the epidermis

1. protection
2. tools

2 functions of the nails

1. free edge
2. nail body
3. root

3 main parts of a nail

nail bed
the deeper layers of the epidermis extending beneath the nail
nail matrix

the thickened proximal portion of the nailbed, responsible for nail growth

nail folds (epinychium)

skin folds overlapping the proximal and lateral borders of a nail

cuticle

the proximal nail fold that projects onto the body

hyponychium

the thickened region beneath the free edge of a nail

sweat glands (sudiferous glands)

merocrine glands distributed over the skin responsible for perspiration; up to 3 million per person

1. eccrine
2. apocrine

2 types of sweat glands

eccrine sweat glands (merocrine sweat glands)

simple tubular merocrine sweat glands abundant on the palms, soles, and forehead

sweat

acidic eccrine gland secretion

dermcidin

microbe–killing peptide found in sweat

apocrine sweat glands

scent sweat glands confined to the axillary and genital regions, add fatty substances and proteins to sweat; "sexual scent glands" activated during adolescence; approx. 2000

ceruminous glands

modified apocrine glands lining the external ear; produce cerumen (earwax)

mammary glands
specialized apocrine glands that secrete milk

sebaceous glands (oil glands)

simple branched alveolar holocrine glands that secrete sebum wherever hair is found; activated during adolescence

sebum
an oily, bactericidal secretion that softens hair and skin
acne
an inflammation of the sebaceous glands caused by bacterial infection

1. protection
2. temperature
3. sensation
4. metabolism
5. blood reservoir
6. excretion

6 functions of the integumentary system

1. chemical
2. physical
3. biological

3 types of barriers that protect the skin

acid mantle
the low pH of skin secretions
defensins
antibodies secreted by the skin that punch holes in bacteria
cathelicidins

protective peptides released by damaged skin that prevent infection

1. dendritic cells (epidermis)
2. macrophages (dermis)

2 types of biological barriers in the skin

insensible perspiration
routine and unnoticeable sweat; occurs in temperatures below 90° F
sensible perspiration
visible sweat; occurs in temperatures above 90° F
cutaneous sensory receptors
exteroreceptors responsible for cutaneous sensation
exteroreceptors
receptors that respond to stimuli arising outside the body

1. Merkel cells (epidermis)
2. Meissner corpuscles (dermal papillae)


3. free nerve endings (dermal papillae)
4. Pacinian corpuscles (dermis/hypodermis)
5. root hair plexuses (dermis)

5 types of cutaneous sensory receptors

5%
% of blood held in the dermal vascular supply
1. bacterial
2. viral
3. fungal
3 types of skin infections

psoriasis

characterized by reddened epidermal lesions and white patches (scales)

1. basal cell carcinoma
2. squamous cell carcinoma
3. melanoma

3 major forms of skin cancer

basal cell carcinoma

least malignant and most common skin cancer, 80% of cases; shiny, dome–shaped nodules arising from the stratum basale invade the dermis and hypodermis

squamous cell carcinoma

second most common skin cancer; scaly, reddened papule arising from the keratinocytes of the stratum spinosum
melanoma
the most dangerous skin cancer, 2–3% of cases; spreading brown to black patch arising from melanocytes
Asymmetry
Border irregularity
Color
Diameter
Elevation
ABCDE rule for recognizing melanoma
burn
tissue damage inflicted by intense heat, electricity, radiation, or chemicals; denatures proteins and kills cells in the affected areas

1. loss of body fluids (immediate)


2. loss of proteins


3. infection

3 dangers of burns

infection

leading cause of death in burn patients

first–degree burn

burn damaging only the epidermis; redness, swelling, pain; ex. sunburn

second–degree burn

burn damaging the epidermis and upper dermis; swelling, redness, blisters

partial–thickness burns

used to describe first– and second–degree burns

third–degree burn

burn affecting the entire thickness of the skin; full–thickness burn, requires skin graft

ectoderm
the primary germ layer that develops into the epidermis
mesoderm
the primary germ layer originating the dermis and hypodermis
lanugo coat

the coat of delicate, colorless hairs covering a fetus

vernix caseosa
white substance that protects the fetus's skin when a baby is born
dermatitis

scaling and various kinds of skin inflammation often occurring from age 40 and beyond

loop

whorl

arch