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Biol 223 Skin

Integumentary system

TermDefinition
Integumentary System Largest organ in surface area; ~3000 square inches; 16% of body by weight. Stores nutrients; regulates temperature; excretes waste; synthesizes vitamin D3; senses (temp, pain, tactile, etc.), protects.
Cutaneous Layer Epidermis and dermis
Subcutaneous Layer Deepest layer of dermis
Accessory Structures Hair follicles (epidermal in origin); nails, exocrine glands.
Epidermis Stratified squamous epithelium (keratinized = very strong); attached to dermis by basal lamina; contains no blood vessels
Keratinocytes Main cell type of epidermis; keratinized cells
Melanocytes Produce melanin/pigment; everyone has the same number
Langerhans Cells Immune cells of epidermis
Merkel Cells Sensory system/touch of epidermis
Dermis Connective tissue proper; provides structural strength and elasticity to skin (collagen, reticular, elastic fibers); contains blood vessels and nerves of the skin.
Papillary Layer Thin layer of loose areolar connective tissue (dermis).
Reticular layer Thick layer of dense irregular connective tissue (dermis).
Subcutaneous Layer (Hypodermis, subQ) Connects skin to underlying tissues; loose fibrous connective tissue for strength and elasticity; contains fat (adipose connective tissue) for padding and insulation; contains many blood vessels and nerves; aka: superficial fascia
Nutrient Storage Meets body's requirement for constant supply of lipids; synthesizes membranes and lipid hormones; ATP production via breakdown of fatty acids.
Temperature Regulation Blood vessels in dermis dilate for heat loss and contract for heat conservation; sweat glands cool body (secrete water which evaporates); subcutaneous layer insulates (fat).
Excretion Removes waste from body through sweat glands; also secretes water, electrolytes, nitrogenous waste from protein breakdown (nitrogenous).
Vitamin D3 Synthesis Cholecaciferol = D3 percursor; calcitrol = hormone to take up calcium/phosphate. UV light -> synthesize cholecalciferol -> calcitrol -> absorbs Ca2+ from gut/regulates levels
Sensory Detection Pain: nociceptors = free nerve endings/ sensory dendrites. Temperature: thermoreceptors = free nerve endings Touch/pressure/vibration: lamellated (pacinian) corpuscles, tactile (Meisner's) corpuscles, tactile disks, hair root plexus.
Protection Layers of keratinized cells - abrasion protection, water resistant (insensible perspiration), resistant to microbial invasion. Melanocytes - protect against UV radiation
Epidermal Keratinocytes Stratified squamous epithelium; 4-5 layers depending on location. Corneum, lucidum (only thick skin), granulosum, spinosum, germinativum.
Keratinizatin of Epidermis Stem cells in stratum germinativum (basale layer) -> new cells push up old cells -> oldest cells shed off; Process takes 30-45 days; accumulate large amounts of keratin in stratum granulosum before dying.
Epidermal Ridges Ridges of stratum germinativum are interlocked with dermal papillae; improve gripping ability; make up fingerprints
Skin Color Determined by color of melanin, how much melanin, how long melanocyte projections are; blood supply in dermis (hemoglobin in RBCs); carotene (dietary).
Hyperkaratosis Thickening of the stratum corneum, often associated with the presence of an abnormal quantity of keratin. Calluses, corns; psoriasis
Xerosis Abnormally dry skin
Herpes Due to the herpes simplex virus - causes small, painful blisters commonly called cold sores or fever blisters
Warts Painless growths on skin caused by human papillomavirus (HPV) infecting top layer of skin.
Basal Cell Carcinoma Slow growing, rarely metastasizes or kills
Squamous Cell Carcinoma Epidermis; can be deadly or aggressive (metastasize) if not treated.
Melanoma Most dangerous; due to damaged DNA; malignant; often deadly if not caught early.
Neoplasm (Tumor) Abnormal tissue growth, loss of normal control of cell division
Benign Cells usually remain within a confined connective tissue capsule - not life threatening.
Malignant Invasive, cancerous; cells spread into surrounding tissues or disperse to distant sites and establish secondary tumors (metastasis).
Carcinogens Some mutagenic (damage DNA), radiation; 40% of cancers due to a single environmental factor (ex: cigarette smoke); primary carcinogen for skin cancer = UV light.
Elasticity of the Skin Needs water (like dried up mud puddle); tolerates some stretching; excess causes stretch marks; reduced by aging, hormones, excess UV light.
Dermal Circulation Provides nutrients and oxygen for all of skin (epidermis, dermis, accessory structures); cutaneous plexus, papillary plexus.
Accessory Structures Hair follicles and hair; nails; exocrine glands
Hair Growth Sensitive to changes in body chemistry, blood circulation, radiation, hormones, etc.
Vellus Hairs Small, short, thin - peach fuzz
Terminal Hairs Longer, darker - "normal" hairs/heavy
Club Hairs No longer growing; balding
Hair Bulb Matrix (germinative layer) produces karatinocytes, has cyclic growth pattern; melanocytes produce color
Hair Papillae Dermal CT at base of follicle contains capillaries and nerves
Hair Shaft Dead keratinized cells; medulla, cortex, cuticle
Hair Medulla Dead cells with soft keratin and melanin
Hair Cortex Dead cells with hard keratin and melanin
Cuticle Superficial protective layer of overlapping, dead keratinized cells
Cutaneous Plexus Vessels located at border between subcutaneous layer and dermis
Papillary Plexus Vessels at dermis-epidermis border
Internal Root Sheath Produced by cells at periphery of hair matrix
External Root Sheath Extension of epidermis from surface of skin down to hair matrix
Glassy Membrane Basal lamina connecting hair sheath (epidermis) to surrounding dermis
Arrector Pili Muscles Extend from papillary layer of dermis to connective tissue sheath surrounding follicle - smooth muscle
Root Hair Plexus Sensory nerves surrounding base of each hair follicle
Ceruminous Glands Wax producing glads in ear canals; also sebaceous glands (modified merocrine glands). Produce secretions that combine with secretion of sebaceous glands to form waxy substance - cerumen (aka: earwax).
Mammary Glands Milk producing glands; anatomically similar to apocrine sweat glands; maturation depends on hormones (estrogen) secreted at puberty and childbirth.
Sudoriferous Glands Sweat glands; merocrine (eccrine); apocrine (armpits & pubic region)
Sebaceous Glands Oil glands; discharge sebum onto hair shaft or epidermal surfaces; holocrine secretion
Sebum Mixture of lipids, proteins, electrolytes; antibacterial; conditions hair and skin.
Merocrine (Eccrine) Sweat Glands Sensible perspiration (evaporative cooling); open onto skin surface; most numerous on palms and soles.
Appocrine Sweat Glands Secrete fluid containing lipids (bacterial = strong odor); open into hair follicles; armpits, pubic region; mostly active after puberty
Nail Root Site of nail production; germinal matrix of stem cells; continuous growth; growth sensitive to changes in body metabolism, chemicals, diseases, disorders.
Nail Body Dead, keratinized cells
Nail Bed Sterile matrix; thin layer of epithelium underlying nail body; many nerve endings and blood vessels
Closed Wound Contusion (bruise)
Open Wound Abrasions, incisions, lacerations, punctures, avulsions (tears), burns (death)
Regeneration Process Scab (blood clot) -> granulation tissue (rebuilds) -> scar tissue; positive feedback loop
1st Degree Burn Some epidermal damage
2nd Degree Burn Epidermal and some dermal damage (hair follicles fall out)
3rd Degree Burn Full thickness burn; loss of epidermis and dermis, extending into subcutaneous layer, loss of accessory structures
Burn Treatments Skin grafts (split/full thickness); synthetic skin
Ulcer Area of epithelial sloughing with damage to underlying connective tissue and blood vessels; loss of circulation leads to death of epidermal cells allowing bacteria to invade
Decubitus Ulcer Bedsore; pressure on skin over underluing bone reduce blood flow in dermal vessels
Diabetic Ulcer peripheral neruropathy and athlosclerotic peripher arterial disease
Created by: usillygoose93
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