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Integumentary System

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Functions of integumentary system?   Physical protection, thermoregulation, excretion, sensory information, storage of lipids, immune response to pathogens and cancers in skin  
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Epidermis of skin   Consists of a stratified squamous epithelium, 4 cell types: keratinocytes (most abundant), melanocytes, kerkel cells, langerhans cells  
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Layers of the epidermis?   Stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, stratum corneum  
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Stratum Basale   Deepest layer. Basal cells dominate stratum basale...replacing superficial keratinocytes. Contains melanocytes and merkel cells  
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Stratum Spinosum   Keratinocytes are connected by desmosomes...melanocytes and langerhans cells are present  
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Stratum Granulosum   Keratohyalin accumulates in electron-dense granules called keratohyalin granules. Cells of this layer also contain membrane bound granules that release their contents by EXOCYTOSIS- forms sheets of a lipid-rich substance...water resistant layer.  
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Callus is formed in stratum granuolosum   Increased friction against skin stimulates increased keratohyalin and keratin synthesis by keratinocytes...results in formation of a callus  
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Stratum Lucidum   Thick skin..palms of hands and soles of feet  
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Stratum Corneum   Most superficial layer..abundant in keratinocytes  
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Keratinized Epithelium   An epithelium containing large amounts of keratin...in stratum corneum  
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Epidermal Ridges   Stratum basale of epidermis forms epidermal ridges that extend into the dermis  
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Dermal Papilla   Projections from dermis to epidermis...extend between adjacent ridges  
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Three factors that determine skin color   Dermal blood supply, thickness of stratum corneum, carotene & melanin  
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Dermal Blood Supply   When circulatory supply is temporarily reduced, the skin becomes pale  
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Carotene   Accumulates inside keratinocytes, orange/yellow pigment of skin  
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Melanocytes   melanin is stored inside melanocytes, respond to UV exposure by increasing rates of melanin synthesis and transfer  
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Cyanosis   Dermal blood supply, bluish coloration of skin...most apparent in lips/beneath nails  
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How do stretch marks form?   Extensive distortion of dermis that occurs over abdomen during pregnancy exceeds elastic capabilities of skin. Elastic fibers break and skin does not recoil to original size.  
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Lines of cleavage   Orientation of collagen and elastic fibers arranged in bundles - aligned to resist applied forces  
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Line of clevage importance   Parallel cut to line of clevage will remain closed but a cut at the right angle will be pulled open  
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Subcutaneous Layer   Consists of loose connective tissue with abundant adipocytes  
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Subcutaneous layer difference in infants and adults   As we grow, the distribution of subcutaneous fat changes..infants and children have extensive "baby fat".  
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Hypodermic Needle   Subcutaneous injection is a useful method for administering drugs..hypodermic needle refers to the region targeted for injection  
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Difference between hair root and shaft   Hair root extends from hair bulb to point where internal organization of hair is complete. Hair shaft extends to halfway skin surface to the exposed tip of hair  
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Exocrine Glands Classification   Sebaceous glands and sweat glands  
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Sebaceous Glands   Discharge a waxy sebum in hair foliciles  
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Sweat glands   Apocrine and merocrine. Both contain myoepithelial cells  
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Apocrine   Armpits/around nipples...odorous secretion  
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Merocrine   palms/soles...secretes sweat  
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Skin Cancers   Basal cell carcinoma, squamous cell caricoma, maligant melanoma  
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Basal Cell Carcinoma   Originates in stratum basale, most common, found in areas subjected to UV exposure, inherited gene  
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Squamous Cell Carcinoma   Restricted to areas of sun-exposed skin,  
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Maligant Melanoma   Most dangerous, cancerous melanocytes grow rapidly  
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