undifferentiated cells that give rise to keratinocytes
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keratinocytes
great majority of epidermal cells, synthesize keratin
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melanocytes
synthesize melanin that shields DNA from UV radiation
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tactile cells
light touch receptor cells associated with dermal nerve fibers
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dendritic cells
macrophages originating in bone marrow that guard against pathogens
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4 events in stratum granulosum
1. Keratohyalin granules release filaggrin—a protein that binds keratin into tough bundles 2. Cells produce tough envelope proteins beneath their membranes 3. Membrane-coating vesicles release lipid mixture that spreads out over cell surface and waterproofs it 4. Keratinocytes’ organelles degenerate and the cells die
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epidermal water barrier
water retention is fostered by tight junctions between skin cells and the waterproofing that occurs in the stratum granulosum
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papillary layer
thin zone of areolar tissue in and near the dermal papilla rich in small blood vessels
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reticular layer
thicker layer of dense, irregular connective tissue stretch marks (striae)
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hypodermis
contains more areolar and adipose tissue pads body and binds skin to underlying tissues common site of drug injection due to many blood vessels
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melanin
Most significant factor in skin color Produced by melanocytes, accumulates in keratinocytes
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eumelanin
brownish black
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pheomelanin
reddish yellow (sulfur containing)
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hemoglobin
pigment in red blood cells; adds reddish to pink hue in skin
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carotene
Yellow pigment acquired from egg yolks and yellow/orange vegetables; Concentrates in stratum corneum and subcutaneous fat
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UV light harmful effects
causes skin cancer, breaks down folic acid
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UV light benefits
stimulates vitamin D synthesis
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cyanosis
blueness due to oxygen deficiency (Grandmas fingers turn blue)
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erythema
redness due to increased blood flow to skin
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pallor
paleness due to decreased blood flow to skin
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jaundice
yellowing due to bilirubin in blood (can be caused by liver)
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hematoma
bruising; clotted blood under skin
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friction ridges
Markings on the fingertips that leave oily fingerprints (unique pattern, remains unchanged throughout life)
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flexion lines (creases)
Lines on the flexor surfaces of the digits, palms, wrists, elbows
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Hemangiomas
(birthmarks) Patches of discolored skin caused by benign tumors of dermal capillaries
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accessory organs
Hair, nails, and cutaneous glands
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Pliable soft keratin
makes up stratum corneum
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compact hard keratin
makes up hair and nails
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Pilus/ Pili
aka hair follicle
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3 hair zones
bulb, root, shaft
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bulb
swelling at the base where hair originates in dermis or hypodermis
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root
remainder of the hair in the follicle
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shaft
portion of hair above the skin surface
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dermal papilla
Bud of vascular connective tissue encased by bulb Only source of nutrition for hair
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hair matrix
Region of mitotically active cells immediately above papilla Hair’s growth center
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3 layers of hair
medulla, cortex, cuticle
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medulla
Core of loosely arranged cells and air spaces
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cortex
Constitutes bulk of the hair Consists of several layers of elongated keratinized cells
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cuticle
Composed of multiple layers of very thin, scaly cells that overlap each other Free edges directed upward
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follicle
diagonal tube that extends into the dermis and possibly hypodermis, contains the hair root and has two principal layers
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epithelial root shaft
Extension of the epidermis lying adjacent to hair root Widens at deep end into bulge—source of stem cells for follicle growth
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connective tissue root sheath
Derived from dermis but a bit denser Surrounds epithelial root sheath
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hair receptors
sensory nerve fibers entwining follicles
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piloerector muscles
(erector pili) smooth muscle attaching follicle to dermis
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black and brown hair
eumelanin
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red hair
pheomelanin
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blond hair
intermediate amount of pheomelanin and very little eumelanin
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gray and white hair
hair have little or no melanin
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nail plate
hard part of nail
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free edge
overhangs the fingertip
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nail body
visible attached part of nail
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nail root
extends proximally under overlying skin
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apocrine sweat glands
groin, anal region, axilla, areola of nipple beard area of men Produce sweat that is milky and contains fatty acids
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bromhidrosis
Disagreeable body odor produced by bacterial action on sweat from apocrine glands
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merocrine sweat glands
Simple tubular glands; Watery perspiration that helps cool the body MOST NUMEROUS SKIN GLAND
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myoepithelial cells
Found in both apocrine and eccrine glands Contract in response to stimulation by sympathetic nervous system and squeeze perspiration up the duct
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acid mantle
inhibits bacterial growth
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diaphoresis
Sweating with wetness of the skin • 1 L sweat per hour may be lost during exercise
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cutaneous transpiration
Water loss from skin not due to sweating • Water diffuses between the keratinocytes and evaporates from the skin surface
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sebaceous glands
flask-shaped and have short ducts opening into hair follicles holocrine secretion style
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sebum
oily secretion of sebaceous glands
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ceruminous glands
secrete a combination of both sebum and dead epithelial cells to form cerumen
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mammary glands
Produce milk
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mammary ridges
(milk lines) Two rows of mammary glands in most mammals
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basal cell carcinoma
Most common skin cancer Least dangerous because it seldom metastasizes forms in stratum basale
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Squamous Cell Carcinoma
Arises from keratinocytes of stratum spinosum Tends to metastasize to lymph nodes and may become lethal
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Melanoma
arises from melanocytes less than 5% of skin cancers
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burns
leading cause of accidental deaths
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burn deaths
Fluid loss, Infection, Toxic effects of eschar (burned, dead tissue)
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debridement
removal of eschar
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first degree burn
Only involves the epidermis • Redness, slight edema, and pain • Heals within days
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second degree burn
(partial-thickness burn) Involves part of dermis, May appear red, tan, or white; blistered and painful, Two weeks to several months to heal and may leave scars
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third degree burn
(full-thickness burn) Involves all of dermis and often some deeper tissues, Often requires skin grafts, Needs fluid replacement, infection control, supplemental nutrition
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autograph
tissue from another location on the same person’s body
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split-skin graft
involves taking epidermis and part of the dermis from undamaged area such as the thigh or buttocks