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which is more superficial epidermis or dermis
epidermis- outside
dermis-middle
6 functions of the skin and hypodermis
regulates body temperature
stores blood
protects body from the external environment
detects cutaneous sensations
non-verbal communication
synthesizes vitamin d
thin skin
covers most of the body
4 layers of keratinocytes
thick skin
found in the palms and heels
stratified squamous epithelium
avascular
keratinocytes
epithelial cells of epidermis
several layers of skin
protein that helps the skin and underlying tissues
melanocytes
found in the deepest layer, produce brown/black melanin
skin color and absorbs UV light
transfers melanin to keratinocytes
melanin granules congregate over the necleus to protect dna from uv light
merkel cells
connected to sensory neuron called Merkel disc- touch sensation
stem cells
give rise to keratinocytes
stratum basale
deepest layer
single row of stem cells that reproduce to replace shed keratinocytes
merkel cells
melanocytes
stratum spinosum
8-10 layers of keratinocytes that migrate from the stratum basale
cells have lost some cytoplasm- looks spiky under microscope
spines are not present in life
stratum granulosum “grainy layer”
contains keratinocytes from the stratum spinosum
cells are undergoing apoptosis-programed death
cells are too far from blood supply
nuclei break down so cells can no longer carry on normal cell function
stratum lucid
only present in thick skin
cells are flatten, packed together, and full of keratin
stratum corneum
most superficial layer 20-30 layers of cells
made up of dead cells filled with keratin that are tightly connected by desmosomes
shed 50,000 cells per min, (40 pounds lifetime)
role melanocytes have in skin color
we all have the same number of melanocytes but determined by the amount of melanin produced and how long it persists in the keratinocytes
effects of sunlight on melanocytes normal exposure
melanin provides protection for the nuclei of keratinocytes (tan)
effects of sunlight on melanocytes overexposure
damage dna leads to skin cancer
how does carotene contribute to skin color
orange/yellow pigment
converted to vitamin a, eye function
how does hemoglobin contribute to skin color
gives skin pink color
skin turns red when blood vessels near the skin dilate
redness (erythema)
indicates embarrassment, fever, hypertension, inflammation, or allergies
pallor (blanching)
emotional stress, anemia, hypotension
jaundice
liver malfunction, causes skin and eyes to be yellow
Addisons disease
pituitary gland malfunction, causing bronzing
vitiligo
immune system attacks normal melanocytes
skin lightens in patches
What are the three types of cancer?
Basal cell carcinoma, squamous, cell carcinoma, melanoma
Basal cell metastasize
Doesn’t matter size before it’s noticed
Squamous cell carcinoma, metastasize
Grows and metastasize as rapidly, but can be surgically removed or with radiation
Melanoma metasize
Highly metastatic and resistant to treatment
What cells are affected in basal cell carcinoma?
Affects Stratham Basale
Type of cell affected in squamous cell carcinoma
Affects the keratinocytes of the stratum spinosum
What cells are affected melanomas
melanocytes
Treatment success for basal cell carcinoma
Five years survival is 95%
What is the survival rate for squamous cell carcinoma?
First five years is around 99%
What is the survival rate with melanomas
Five year survival rate is 95%
ABC DE melanoma rules for checking moles and spots
A symmetry border, irregularity, color diameter elevation
Papillary components and functions
Made up of loose aerial connective tissue contains the blood vessels, lymphatic vessels, and nerves that supply the skin
Dermal papillae Components and function
Projections up to the epidermis contains Meissners corpuscles Who are capillaries and free nerve endings
Reticular layer function, and components
Made up of dense, irregular, connective tissue contains both collagen and elastic fibers allow some flexibility, but limit it to prevent damage. Water content also helps skin maintain flexibility and resilience collagen fibers extent into popular layer and hypodermis holds the body together.
What is the hypodermis made up of?
Adipose and aerolar tissue
What are the five functions of hair?
UV radiation cushion blows, insulates the head traps particles sensory receptors
Describe the hair shaft
Projects from the skin
Describe the hair root
Deep part to the shaft that penetrates down to the dermis, and sometimes the hypodermis
Describe the hair follicle
Extend from the surface to the dermis and the hypodermis
Describe the hair root plexus
Bundle of sensory nerves
Describe arrector pili
Muscle connected to each hair
Describe the hair bulb
Made up of epithelial cells and responsible for producing Hair
Describe the hair papilla
Peg a blood vessels and nerves that nourish growing hair
What is the function of sebaceous glands?
Discharge oil into the hair, follicles, arrector pili, muscle contract, squeezing gland and pushing oil onto the surface of the skin
What are the three functions of sebum
Inhibits growth of bacteria Lubricate and protects hair shaft condition skin
Where are the eccrine sweat glands located?
Coiled gland duct goes up to the surface and opens through a pore
Eccrine Secretion and control
sweat is 99% water, but also contain salt, antibodies proteins and waste controls, body temperature regulation Excretion of water and electrolytes
Apocrine Location
Found in the armpits around nipples and in the pubic region
Apocrine secretion and function
Empty into hair, follicles secretions contain water and salts, as well as fatty acids and proteins odor less but decompose as rapidly
What are nails made up of?
Hard keratin
Immediate danger of severe burn
Fluid loss leads to renal failure and circulatory shock
Secondary danger for severe burns
Infection because of the loss of Protective coating
First-degree burns
Damage is only the epidermis, redness, swelling, and pain
Second-degree burns
Same symptoms as first-degree burns, but with blisters damages, the epidermis and possibly the upper part of the dermis
Third-degree burns
Affects the entire thickness of the skin appears gray or blackened, but is not painful because the nerve endings have been destroyed
When are burns considered critical?
If over 25% of the body has second-degree burns, over 10% has third-degree burns, 3rd degree burns on face hands or feet, burns on the face affecting the nervous system