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Thermoregulation (skin)
The skin cools the body through evaporation of sweat; faster evaporation dissipates more heat and lowers skin temperature.
Sweat and thermoregulation
Sweat evaporates from the skin surface, removing heat energy from the body and lowering skin temperature.
Alcohol vs. water evaporation
Alcohol evaporates faster than water because it has a lower boiling point (82°C vs. 100°C), making it feel cooler on the skin.
Dermal papillae
Projections in the dermis that genetically determine the pattern of epidermal (friction) ridges, giving rise to fingerprints.
Friction ridges
Epidermal ridges produced by dermal papillae that help fingers and feet grip objects and form unique fingerprint patterns.
Fingerprint uniqueness
Fingerprints are unique to each individual because sweat pores make the ridge pattern visible and the pattern is genetically determined.
Common fingerprint patterns
The three common fingerprint patterns are arch, loop, and whorl.
Unusual fingerprint patterns
Uncommon fingerprint patterns include accidental and other mixed/irregular ridge configurations.
Capillary refill time (CRT)
A clinical test that measures how quickly skin color returns after pressure is released, used to assess blood circulation.
Normal capillary refill time
Normal CRT is approximately 2 seconds in newborns, 3 seconds in adults, and slightly more than 3 seconds in elderly individuals.
Conditions affecting CRT
Dehydration, anaphylaxis, shock, hemorrhage, burns, and hyper/hypothermia can impair circulation and prolong capillary refill time.
Temperature and CRT
Warmer temperatures cause vasodilation, speeding refill time; colder temperatures cause vasoconstriction, slowing refill time.
Elderly and CRT
Elderly patients have slightly longer CRT due to decreased cardiovascular efficiency and reduced skin elasticity with age.
Hydration and CRT
Dehydration reduces blood volume, decreasing the pressure available to refill capillaries, which prolongs refill time.
Mechanoreceptors
Somatosensory receptors in the skin that detect pressure, stretch, touch, or vibration as part of the nervous system.
Meissner's corpuscles
Tactile mechanoreceptors in the upper dermis projecting into the epidermis, found on fingertips and eyelids; detect light touch and vibration.
Pacinian corpuscles
Mechanoreceptors located deep in the dermis that detect deep pressure and vibration.
Ruffini endings
Mechanoreceptors found deep in the dermis that are stimulated by skin stretch and warmth.
Merkel's disks
Mechanoreceptors at the base of the epidermis in the papillary layer, densely found on fingertips and lips; respond to light touch.
Two-point discrimination test (2PD)
A clinical test measuring skin sensitivity by determining the minimum distance at which two distinct touch points can be felt separately.
Tactile agnosia
An inability to process tactile stimuli, indicating neurological damage, which can be identified using the two-point discrimination test.
Receptor density and sensitivity
Areas with higher mechanoreceptor density (e.g., fingertips, lips) can detect two points closer together, indicating greater tactile sensitivity.
Most sensitive body area (2PD)
Fingertips and lips have the smallest two-point discrimination distance due to the highest density of Merkel's disks and Meissner's corpuscles.
Dermis vascularization
The dermis is highly vascularized to supply oxygen and nutrients to the deeper layers of the epidermis.
Capillary pressure response
Applying pressure to skin pinches dermal capillaries, stopping blood flow and causing the skin to pale temporarily.