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Integumentary System
Protective covering and first line of defense.
Skin Trivia
21 sq ft, 4 kg/9 lbs, 7–15% of body weight; continuous layer; complex tissues.
One Square Inch of Skin Contains
20 blood vessels, 65 hairs & muscles, 78 nerves, 78 heat sensors, 13 cold sensors, 160 pressure sensors, 100 oil glands, 19,500,000 cells, 0.5 million cells dying/being replaced.
Layers/Regions of the Skin
Epidermis (superficial), Dermis (fibrous connective tissue, vascularized), Hypodermis (fat, anchors skin, absorbs shock).
Functions of Skin
Protection, water balance, temperature regulation, waste disposal, receptor organs, blood reservoir, vitamin D production.
Epidermis
Outer layer of stratified squamous epithelial tissue; avascular; regenerates every 35–45 days; thinner on scalp/armpit than sole.
Layers of Epidermis
Stratum basale, spinosum, granulosum, lucidum, corneum.
Stratum Basale (Germinativum)
Deepest layer; stem cells; melanocytes (10–25%); makes melanin; genetic absence of tyrosinase = albinism.
Stratum Spinosum
Spiny layer; several layers thick; Langerhans cells; tonofilaments resist tension.
Stratum Granulosum
3–5 layers of flattened keratinocytes; keratohyaline granules form keratin; lamellated granules waterproof; slows water loss.
Stratum Lucidum
Clear layer in thick skin (palms, soles); absent in thin skin; 2–3 rows of dead keratinocytes.
Stratum Corneum
Outermost horny layer; 20–30 cell layers; protects deeper cells; dandruff = shedding; hyperkeratosis = thick, dry, scaly skin.
Dermis
Two layers (papillary & reticular); strong, flexible connective tissue.
Characteristics of Dermis
Fibroblasts, macrophages, mast cells, collagen, elastin; wrinkles from loss of elastin/fat.
Papillary Layer of Dermis
Areolar connective tissue; dermal papillae with capillary loops, Meissner’s corpuscles (touch), free nerve endings.
Reticular Layer of Dermis
Dense irregular CT; 80% dermis; collagen & elastin provide stretch/strength.
Contents of Dermis
Blood vessels, capillaries, lymphatics, nerves, hair follicles, sweat glands (eccrine/apocrine), sebaceous glands, ceruminous glands, arrector pili, sensory receptors.
Hair
Pili made of keratin; shaft projects from skin; root embedded; shape = straight/curly; pigment from melanocytes.
Hair Follicle
Root + papilla supplies nutrients; arrector pili raises hair.
Sudoriferous (Sweat) Glands
2.5 million per person; cover most of skin except nipples/genitals.
Eccrine Sweat Glands
Most numerous; palms, soles, forehead; secrete watery sweat (99% water, salts, waste); acidic pH 4–6; temp regulation; no control over emotional sweating.
Apocrine Sweat Glands
Axillary/anogenital; ducts empty into hair follicles; viscous secretion; begins at puberty; sexual scent/stress response.
Ceruminous Glands
Modified apocrine in ear; secrete cerumen (earwax).
Sebaceous (Oil) Glands
All over except palms/soles; secrete oily sebum; lubricates skin/hair; slows water loss; blocked duct = acne.
Nail Structure
Free edge, body, root, lunula, nail folds, nail bed, hyponychium.
Nail Anatomy
Grows under nail matrix; made of keratin; cells replaced if matrix is intact.
Skin Cancer Causes
Benign tumors = warts/moles; malignant = spread; risk: UV, radiation, genetics.
Basal Cell Carcinoma
Most common, least malignant; stratum basale; slow-growing; cured by removal.
Squamous Cell Carcinoma
From keratinocytes in stratum spinosum; scaly red; grows fast, may metastasize; good prognosis if removed early.
Melanoma
Cancer of melanocytes; most dangerous; highly metastatic, resistant to chemo; ABCD rule (Asymmetry, Border, Color, Diameter >6mm).
First-Degree Burns
Only epidermis; redness, pain, swelling; heals in 2–3 days (e.g., sunburn).
Second-Degree Burns
Epidermis + upper dermis; blisters, pain, swelling; heals with some scarring.
Third-Degree Burns
Entire skin destroyed; gray/white/red/black; no pain (nerves destroyed); requires grafts.
Fingerprints
Dermal papillae form ridges; unique to each individual.