Study Guide for Exam 2
epidermis layers
deep to superficial
basale →spinosum → granulosum → lucidum →corneum
stratum basale
deepest (1st) layer
single layer of actively dividing cells
older cells pushed towards surface
melanocytes present
stratum spinosum
2nd layer
“spiny” appearance, due to desmosomes between cells
melanin covers DNA in nuclei to protect against UV damage
stratum granulosum
3rd layer
keratin
cells flatten and die
stratum lucidum
4th layer
clear layer
found only in thick skin on palms and soles
flattened, dead keratinocytes
stratum corneum
5th & outermost layer
makes up most of the epidermal thickness
many layers of dead flattened cells that shed regularly
keratin protects skin from abrasion and penetration
"waterproofing”
hair shaft
the part that projects above the skin surface
hair root
the part embedded in the skin
arrector pili
causes the hair to stand erect
medulla
central core of hair; contains soft keratin
cortex
several layers of flattened cells that surrounds the medulla of the hair
cuticle
outermost single layer of overlapping cells of the hair
hair pigment
made from melanocytes and pigment transferred to cortical cells
glands
sebaceous and apocrine sweat _____ empty secretions into hair follicle
basal cell carcinoma
most common form of skin cancer; slow-growing
Excellent cure rate
Affects cells of the stratum basale
Found on sun-exposed areas of the skin
Associated with long term exposure to UV radiation (e.g. sunlight, tanning beds); fair skin, family history, age
Appearance: a pearly white, skin-colored or pink bump; it may rupture, bleed and scab over
squamous cell carcinoma
also common form of skin cancer; grows rapidly
Affects keratinocytes of stratum spinosum
Found most often on head and hands
Usually not life-threatening, but can be aggressive and metastasize
Associated with long-term exposure to UV radiation, fair skin, history of sunburns, weakened immune system, family history
Appearance: firm red nodule, or flat, scaly, reddened patch
melanoma
most fatal skin cancer
Proliferation of melanocytes
Rapid growth and high rate of metastasis
Poor cure rate
Chemotherapy resistance
Metastasis
Late detection (lesion > 4 mm thickness)
Spreading brown-black patch
Risk factors include: fair skin, history of exposure to UV radiation, sunburns, living near equator, having a large number of moles over the body
ABCDEs of melanoma
A is for asymmetrical shape. Look for moles with irregular shapes, such as two very different-looking halves.
B is for irregular borders. Look for moles with irregular, notched or scalloped borders.
C is for changes in color. Look for growths that have many colors or an uneven distribution of color.
D is for diameter. Look for new growth in a mole larger than 1/4 inch (about 6 millimeters).
E is for evolving. Look for changes over time, such as a mole that grows in size or that changes color or shape. Moles may also evolve to develop new signs and symptoms, such as new itchiness or bleeding
prevention
limit sun exposure
avoid strongest rays (between 10AM-2PM)
wear long sleeves/hats/long pants
use sunscreen of at least SPF 15 and apply regularly
regularly examine skin for any changes
sudoriferous glands
eccrine — involved in thermoregulation, excretion
apocrine — scent glands, and their secretions usually have an odor
(sweat)
eccrine gland
involved in thermoregulation, excretion
found over most of the body (numerous)
Composition of sweat:
Mostly water
Contains salts, metabolic waste, nitrates
Slightly acidic, inhibits bacterial growth
apocrine gland
scent glands, and their secretions usually have an odor
Axillary (armpit) and anogenital (genitals & anus) regions
Empty into hair follicles
Influenced by androgens (hormones that bring on puberty)
“Smelly”—sweat has different composition than eccrine glands; bacteria break sweat down and cause odor
epidermis
superficial layer; epithelial tissue
contains the following cells:
keratinocytes
melanocytes
dendritic cells (Langerhan’s cells)
Merkel cells (tactile epithelial cells)
keratinocytes
Most abundant of all epidermal cells
Produce keratin for durability and protection
melanocytes
Produce melanin, a pigment that protects DNA from UV radiation
Found mostly in Stratum Basale
dendritic cells
AKA Langerhan’s cells
Arise from bone marrow, migrate to epidermis
Ingest foreign material and activate our immune system
Merkel cells
AKA tactile epithelial cells
Present at epidermal-dermal junction
Touch receptor
dermis
deep layer; connective tissue
contains the following:
papillary layer — areolar CT
reticular layer — dense irregular CT
papillary layer
areolar CT
Dermal papillae
Capillary loops: tiny blood vessels; nourish
Free nerve endings (pain)
Meissner’s corpuscles (touch)
Dermal ridges in soles and palms cause overlying epidermal ridges (together known as “friction ridges” or “fingerprints”…allow us to grip)
reticular layer
dense irregular CT
Collagen fibers—most run parallel to skin surface
Cleavage lines—separations between bundles of collagen…incisions made parallel to these lines allows more rapid healing
skin functions
Protection
Body temperature regulation
dermal blood vessels constrict and dilate
Cutaneous sensation- nerve endings
Metabolism
produce vit D from exposure to UV light
Excretion — water and wastes through sweat glands
jaundice
accumulation of bilirubin in skin; yellow skin & sclera of the eye
cyanosis
bluish tinge from poorly oxygenated hemoglobin
hemoglobin
causes pink coloration to skin in light colored individuals (skin allows the _______ in the blood to show through)
Endochondral Ossification
(9 weeks) — bone collar forms around diaphysis of the hyaline cartilage model
(10-11 weeks) — cartilage calcifies in the center of the diaphysis and then develops cavities
(3 months) —periosteal bud invades the internal cavities and spongy bone forms
(Birth) — diaphysis elongates and a medullary cavity forms, secondary ossification centers appear in the epiphyses
(Childhood to adolescence) — epiphyses ossify; when ossification is complete, hyaline cartilage remains only in epiphyseal plates and articular cartilages
EO Step 1
9 weeks — bone collar forms around diaphysis of the hyaline cartilage model
Mesenchymal cells 🡪 osteoblasts; a collar of bone forms around diaphysis—similar to scaffolding set up around a building under construction (it offers support)
Chondrocytes in the middle of diaphysis enlarge at the primary ossification center
EO Step 2
10-11 weeks — cartilage calcifies in the center of the diaphysis and then develops cavities
Enlarged chondrocytes at primary ossification center calcify the surrounding matrix—this starves them of nutrients and they die
As a result, calcified matrix begins to cavitate
All the while the healthy cartilage continues to elongate, so the fetus’s skeleton is enlarging
EO Step 3
3 months —periosteal bud invades the internal cavities and spongy bone forms
In the periosteum, there is a nutrient foramen, a hole through which a periosteal bud invades the internal cavity.
The periosteal bud contains blood vessels, nerves, osteogenic cells and osteoclasts
Osteoclasts erode the cartilage matrix while osteoblasts lay done bony matrix and spongy bone begins to form
EO Step 4
Birth —diaphysis elongates and a medullary cavity forms, secondary ossification centers appear in the epiphyses
As the primary ossification center grows, the osteoclasts resorb the spongy bone to form the medullary cavity
The hyaline cartilage model continues to lengthen, being “chased” by osteoblasts and osteoclasts converting it to bone
At the epiphyses, secondary ossification centers appear
EO Step 5
Childhood to adolescence — epiphyses ossify; when ossification is complete, hyaline cartilage remains only in epiphyseal plates and articular cartilages
Secondary ossification occurs much the same way as primary ossification except that the spongy bone is not destroyed and replaced with a medullary cavity; the spongy bone remains
Completion of secondary ossification means that articular cartilage is now only found at the epiphyseal plates and articular cartilages
8 weeks
before # ________, embryo’s skeleton is made of hyaline cartilage and membranes; bone tissue will eventually replace most of these existing structures
ossification
occurs differently in cartilage than in membrane
Intramembranous
The process by which bone develops from a fibrous membrane
Occurs in cranial bones of the skull and the clavicles
endochondral
Reason: Elongation -> Structure/support
The process by which a bone develops by replacing hyaline cartilage
Occurs in all bones below skull (besides clavicles)
compact bone
external layer; solid
osteon = functional unit of compact bone
spongy bone
internal layer
honeycomb appearance
contains red bone marrow
Trabeculae – small, needle-like structures that make up this type of bone
axial skeleton
skull, vertebral column, rib cage
appendicular skeleton
upper and lower limbs, hip and shoulder girdles (i.e. scapula, clavicle)
long bones
Length > width (EX: leg bones, arm bones)
short bones
Cube shaped (EX: carpals & tarsals)
flat bones
Thin, flattened, usually curved (EX: costals, sternum, some skull bones)
irregular bones
Complex shape, don’t fit into any other category (EX: sphenoid, spine)
gross anatomy of long bone
contain the following:
articular cartilage
epiphysis (proximal & distal)
diaphysis
epiphyseal line
medullary cavity
periosteum
endosteum
articular cartilage
hyaline cartilage; covers ends of long bone; forms joint between two articulating bones
diaphysis
central part / shaft of the bone; skinny part of the bone
epiphysis
Located at the tip of the long bone, typically responsible for articulation; primary source of red marrow in long bones
proximal — closest to the center of the body
distal — farther away from the center of the body
epiphyseal line
a ridge on a mature bone that indicates the point where the epiphysis and diaphysis fused together
medullary cavity
hollow and the yellow marrow bone marrow is inside
yellow marrow — fat used as a last resort by the body
periosteum
double layered membrane that surrounds the entire bone except where the articular cartilage is found
Inner osteogenic layer: contains osteogenic cells, osteoblasts and osteoclasts
Outer fibrous layer: made of dense irregular CT
endosteum
lines the internal bone surfaces
gross anatomy of flat bones
Outer layers of compact bone
Middle layer of spongy bone
Inner surfaces covered by endosteum
Outer surfaces covered by periosteum
Except where they form joints with other bones, when they are covered by articular cartilage
osteoporosis
Underlying problem — osteoclast activity > osteoblast activity (so bone resorption > bone deposition)
Result: light porous bones & risk for fractures
Main population at risk — postmenopausal women
estrogen levels plummet, and estrogen is bone protective
Risk factors — Caucasian ethnicity; thin stature; smoking; poorly controlled diabetes and thyroid disease; sedentary lifestyle; prolonged use of corticosteroids
Treatment — bisphosphonates (inhibit osteoclast activity); adequate levels of protein, Vitamin D and Calcium in the diet; weight bearing exercise
Osteogenic cells
stem cells found in periosteum and endosteum…give rise to osteoblasts
osteoblasts
Young cells that secrete matrix
osteocyte
osteoblasts become completely surrounded by and turn into ________; maintain matrix
osteoclasts
large cells that resorb (break down) bone by secreting acids and enzymes that release calcium and amino acids into the bloodstream
hyaline cartilage
most abundant in the body
Tip of nose
Respiratory tract
Costal cartilages
Articular cartilage is where bones form joints - ends of the long bones
elastic cartilage
very stretchy; expand & recoil
Pinnae of ear
Epiglottis
fibrocartilage
meant for absorbing shock; found in areas where we have weight resting on it
Intervertebral discs
Pubic symphysis
Meniscus of knee
structural classifications
3 types based on joint cavity or material — more clear and used more often
fibrous — bones joined by dense fibrous CT; no joint cavity; most are immovable
cartilaginous — bones united by cartilage; no joint cavity; not highly movable
synovial — Bones separated by fluid-filled joint cavity; Categories are based on shape of articular surface, as well as movement joint is capable of
fibrous
bones joined by dense fibrous CT; no joint cavity; most are immovable
sutures — joint held together with very short, interconnecting fibers, and bone edges interlock (EX: only in the skull)
syndesmoses — joint held together by a ligament; fibrous tissue can vary in length, but is longer than in sutures
gomphoses — “peg in socket” joint
cartilaginous
bones united by cartilage; no joint cavity; not highly movable
synchondroses — bones united by hyaline cartilage
symphyses — bones united by fibrocartilage
synovial
Bones separated by fluid-filled joint cavity; Categories are based on shape of articular surface, as well as movement joint is capable of
Plane — articulation between 2 flat bones of similar size
Hinge — Allows for bending and straightening movements
Pivot — allow limited rotating movements
Condylar — articulation between the shallow depression of one bone and the rounded structure of one or more other bones
Saddle — allows for a wide range of movement, including up and down and back and forth
Ball-and-socket — rounded or spherical end of one bone fits into a cup-like depression of another bone
functional classifications
3 types based on movement joint allows
synarthroses — immovable joints
amphiarthroses — slightly movable joints
diarthroses — freely movable joints
sutures
joint held together with very short, interconnecting fibers, and bone edges interlock (EX: only in the skull)
allow for growth during youth
as we age, ______ ossify & fuse
syntoses — closed, immovable sutures
(fibrous joint)
syndesmoses
joint held together by a ligament; fibrous tissue can vary in length, but is longer than in sutures
Fiber length varies, so movement varies
Short fibers offer little to no movement
EX: inferior tibiofibular joint
Longer fibers offer a larger amount of movement
EX: interosseous membrane connecting radius and ulna
(fibrous joint)
gomphoses
“peg in socket” joint
Only examples are the teeth in alveolar sockets
Fibrous connection is the periodontal ligament
Holds tooth in socket
(fibrous joint)
synchondroses
bones united by hyaline cartilage
Almost all are synarthrotic (immovable)
EX: Temporary epiphyseal plate joints; Cartilage of 1st rib with manubrium of sternum
(cartilaginous joint)
symphyses
bones united by fibrocartilage
Fibrocartilage unites bone in symphysis joint
Hyaline cartilage also present as articular cartilage on bony surfaces
strong, amphiarthrotic (slightly movable) joints
EX: Intervertebral joints; Pubic symphysis
(cartilaginous joint)
plane
articulation between 2 flat bones of similar size
nonaxial movement ~ don’t operate around any axis; sliding one bone over another (gliding)
EX: intercarpal joints, intertarsal joints, joints between vertebral articular surfaces
(synovial joint)
Hinge
Allows for bending and straightening movements
uniaxial, permitting movement along only one axis
EX: elbow joints, interphalangeal joints
(synovial joint)
pivot
allow limited rotating movements
uniaxial, allowing rotation around a single axis as the bone moves within the ring
EX: proximal radioulnar joints, atlantoaxial joint
(synovial joint)
condylar
articulation between the shallow depression of one bone and the rounded structure of one or more other bones
biaxial, permitting movement in 2 axes
4 movements are possible: flexion, extension, abduction, and adduction
EX: metacarpophalangeal (knuckle) joints, wrist joints
(synovial joint)
saddle
allows for a wide range of movement, including up and down and back and forth
biaxial, permitting movement in 2 axes (flexion/extension & abduction/adduction)
EX: opposable thumb
(synovial joint)
ball in socket
rounded or spherical end of one bone fits into a cup-like depression of another bone
multiaxial, as possible movements include flexion, extension, abduction, adduction, and rotation
EX: only joints are the hip and shoulder (glenohumeral) joints
(synovial joint)
gliding
One flat bone surface glides or slips over another surface
EX: Intercarpal joints; Intertarsal joints; Between articular processes of vertebrae
angular
Increase or decrease angle between two bones
Movement along sagittal plane
Flexion: decreases the angle of the joint
Extension: increases the angle of the joint
Hyperextension: movement beyond the anatomical position
Movement along a frontal plane
Abduction: away from the midline
Adduction: toward the midline
Movement in more than one plane
Circumduction: Involves flexion, abduction, extension, and adduction of limb; Limb describes cone in space
rotation
turning of bone around its own long axis, toward midline or away from it
Medial: rotation toward midline
Lateral: rotation away from midline
Examples
Rotation between C1 and C2 vertebrae
Rotation of humerus and femur
special movements
Supination and pronation: rotation of radius and ulna
Dorsiflexion and plantar flexion of foot
Inversion and eversion of foot
Protraction and retraction: movement in lateral plane
Elevation and depression of mandible
Opposition: movement of thumb
Supination
palms face anteriorly - Radius and ulna parallel
Pronation
palms face posteriorly - Radius rotates over ulna
Dorsiflexion
bending foot toward shin
Plantar flexion
pointing toes
Inversion
sole of foot faces medially
Eversion
sole of foot faces laterally
Protraction
mandible juts out
Retraction
mandible is pulled toward neck
Elevation
lifting body part superiorly- shrugging shoulders
Depression
lowering body part - opening jaw
Opposition
movement of thumb