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Epidermis
The superficial layer of the skin consists of stratified squamous keratinized epithelium. It is avascular and depends on the diffusion of oxygen and nutrients from the dermis.
Dermis Layer
The deeper layer of skin consists of loose and dense, irregular collagenous connective tissue.
Hypodermis
The layer of adipose tissue deep to the skin; also known as subcutaneous tissue.
Eccrine Sweat Glands
Glands in the skin that produce a watery sweat as part of the body's thermoregulatory mechanism. These are the most numerous types and are active in all ages.
Apocrine Sweat Glands
Sweat glands found in the axillae, the anal area, and the areola that secrete a thick sweat that is rich in proteins. They become active at puberty, and when bacteria feed on the secretions, they produce a gas that is odiferous.
Functions of the Integumentary System
Protection, sensation, thermoregulation, excretion, synthesis of vitamin D (which is required for calcium ion absorption.)
Excretion
Eliminating wastes and toxins from the body.
Negative feedback loops for control of body temperature
If body temperature is too high, thermoreceptors in the skin detect the increase in temperature, and the message is sent to the control center in the hypothalamus. The hypothalamus stimulates sweating and vasodilation as the response. When the temperature returns to normal, the thermoreceptors stop sending the signal to the hypothalamus, which reduces the sweating and vasodilation.
If the body temperature drops below the normal range, usually due to cold environmental conditions, the thermoreceptors in the skin detect the decrease in body temperature below the normal range and relay this to the hypothalamus. The hypothalamus stimulates the effector to respond by vasoconstriction (blood vessels in the dermis narrow, or constrict, reducing the amount of blood flow which limits the heat lost to the environment.) Blood is also redirected to deeper tissues.
Layers of the epidermis (from top to bottom)
Stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, and stratum basale.Thick skin has all 5 layers; thin skin has 4 layers (it does not have the stratum lucidum.) Remember the mnemonic (Come Let's Get SunBurned.) Thick skin is found on the palms of the hands and soles of the feet and does not have hair follicles.
Keratinocytes
Make up 95% of the epidermis. These cells manufacture keratin, which is tough and protects the epidermis from mechanical damage and also makes the skin water-resistant.
Stratum basale
Lowest layer of epidermis, where most mitosis takes place.
Stratum spinosum
Thickest layer of epidermis
Stratum granulosum
Cells fill with keratin in this layer.
Stratum lucidum
Only found in thick skin
Stratum corneum
Top layer. It takes 40-50 days for cells to migrate to this layer.
Dendritic (Langerhans) cells
Phagocytes of the immune system that protect skin and deeper tissues.
Merkel cells
Oval cells in the stratum basale that detect light touch and discriminate shapes and textures
Melanocytes
Melanin producing cells.
Callus
Place where additional layers of stratum corneum have formed in either thick or thin skin in response to repetitive pressure.
Dermis
Deeper layer of the skin consisting of loose and dense irregular collagenous connective tissue. Consists of the papillary layer (superficial and consists of loose connective tissue) and the reticular layer (deep and consists of mostly dense, irregular connective tissue.)
Lamellated (Pacinian) corpuscles
Sensory receptors located in the reticular layer of the dermis that detect pressure and vibration stimuli. Resemble the layers in a sliced onion.
Epidermal ridges
Folded patterns of the epidermis in thick skin that enhance gripping ability and also produce fingerprints.
Melanin
Pigment that is produced in melanocytes and ranges in color from brown-black to orange-red and gives protection from UV radiation.
Carotene
Orange pigment found in carrots, sweet potatoes, etc.
Hemoglobin
Iron-containing red pigment that binds to oxygen and is found in red blood cells.
Cyanosis
Blue appearance that is the result of lack of oxygen.
Erythema
Redness that occurs when blood flow in the dermis increases such as when one exercises or has a fever.
Pallor
Color loss due to a decrease in blood flow to the dermis.
Hair
(also known as pili) small filamentous structures that protrude from the surface of the skin and cover the entire body except in the regions with thick skin, the lips, and parts of the external genitalia. The shaft is the portion that projects above the skin's surface. The root is embedded in the hair follicle, which is located in the dermis.
Mole
Area of increased pigmentation due to a local proliferation of melanocytes.
Arrector pili
A small band of smooth muscle cells that cause hair to stand on end when they contract.
Lanugo
Thin, non-pigmented hair is found covering the body of the fetus.
Terminal hair
Thick, coarse, and pigmented hair (like that found on the head.)
Vellus hair
Thin, non-pigmented hair. Terminal hair replaces much of the vellus hair at puberty. The amount replaced is greater in males than in females.
Nail plate
The portion of the nail that rests on the superficial epidermal nail bed.
Nail body
The visible portion of the nail plate covers the nail bed.
Eponychium
cuticle
Hyponichium
Anchors distal end of nail plate to underlying nail bed.
Lanula
Half-moon shaped region of proximal nail plate.
Wound
A disruption in the skin's integrity.
First degree burn
Least severe type of burn. Skin may be red and slightly painful with no permanent damage.
Second degree burn
Partial thickness burn. Blisters develop and may scar.
Third degree burn
Most severe type of burn. It is a full-thickness burn. Usually requires skin grafts.
Rule of nines
Divides the body into 11 sections which each represents 9% the body (plus 1% for the perineal area.) Give medical professionals a way to estimate the severity of the burns and determine appropriate treatment and fluid replacement.
Cancer
Mutations in the DNA that cause the cell to lose control of the cell cycle
Basal cell carcinoma
Type of skin cancer that is least likely to metastasize.
Squamous cell carcinoma
Cancer of the keratinocytes of the stratum spinosum. Scaly plaques that may ulcerate and bleed are found on the head and neck region of the body. More likely to metastasize than basal cell but surgical removal is still useful.
Malignant melanoma
Cancer of the melanocytes. Most likely type of skin cancer to metastasize.
ABCDE rule
Used to distinguish skin cancer from normal moles.
A- Asymmetry
B- Border
C- Color
D- Diameter
E- Evolving