5.1-8.1
integumentary system
consists of the skin, hair, nails, and their associated glands
skin
the bodies largest and heaviest organ
functions of the skin
barrier, resistance to trauma and infection, sensation.
vitamin D synthesis, thermoregulation
Epidermis
a keritinized stratified squamous epithelium. Consists of dead cells packed with tough protein keratin.
Lacks blood vessels
Keratinocytes
the majority of the epidermal cells, named for the role of synthesizing keratin
stem cells
undifferentiated cells that divide and give rise to keratinocytes.
Only found in the deepest layer of the epidermis
melanocytes
occur only in the stratum basale, synthesize melanin
Tactile cells
receptors for touch, found in the basal layer, associated with dermal nerve fibers
dendritic cells
found in two layers of the epidermis called the stratum spinosum and stratum granulosum. I
mmune cells that originate in the bone marrow but migrate to elsewhere.
stand guard against toxins, microbes, and other pathogens
Stratum basale
single layer of cuboidal to low columnar keratinocytes resting on the basement membrane
stratum spinosum
several layers of keratinocytes
Thickest layer of the stratum
Produces lots of keratin filaments that flatten as they are continuing to divide
cells appear flatter
Stratum granulosum
consists of three to five layers of flat keratinocytes more in thick skin
dark staining
stratum lucidum
thin zone that is superficial
seen only in thick skin
denesly packed keratinocytes with a clear protein eleidin
No nuclei or other organelles
pale, featureless appearance
stratum corneum
consists of up to 30 layers of dead, scaly keratinized cells
forms a durable surface layer
Resistant to abrasion, penetration, and water loss
epidermal water barrier
crucial to the retention of water
exfoliate
flaking off of dead cells in the form of dander from the epidermal surface
Dermis
deeper of the two layers of skin
Underlaying the epidermis
Composed of fibrous connective tissue
Dermal papilla
A bump or ridge of dermis that extends upward to interdigitate with the epidermis and create a wavy boundary that resists stress and slippage of the epidermis
Epidermal ridges
Downward epidermal waves between the papillae
Papillary layer
Thin zone of areolar tissue in and near the dermal papillae
Allows for the mobility of leukocytes and other defenses against organisms introduced through breaks in the epidermis
Rich in blood vessels
Reticular layer
deep and thick layer
Dense irregular connective tissue
More fibrous than cellular
Collagen forms thicker bundles with less room for ground substance, small clusters of adipocytes
Hypodermis
a layer of connective tissue deep to the skin
where drugs are introduced because it has subcutaneous tissue which is highly vascular and absorbs quickly
subcutaneous fat
hypodermis composed of adipose tissue
Serves as an energy reservoir and thermal insulation
Protects deeper tissue by absorbing pressure
Infants and older people have less of this tissue so they are more prone to be cold
Cyanosis
oxygen deficiency that causes a gray hue in the skin
Erythema
abnormal redness of the skin
Signs of inflammation or infection
Jaundice
Yellowing of the skin caused by an excessive concentration of bilirubin
Indicates liver disease, obstructed bile secretion, or hemolytic disease
Hematoma
a mass of clotted blood in the tissues
Accessory organ (appendages) of the skin
hair, nails, cutaneous glands
Composed of mostly dead keratinized cells
Pilus (hair)
slender filament of keratinized cells that grow from an oblique tube in the skin called a hair follicle
hair follicle
an epidermal pit that contains a hair and extends into the dermis or hypodermis
Downy hair (lanugo)
fine, unpigmented hair that appears on the fetus in the last 3 months of development
Vellus hair
constitutes for two thirds of hair on women
one tenth of hair on men
all of the hair on children
terminal hair
longer, coarser, and usually more heavily pigmented
Eyelashes, eyebrows, and scalp
Shaft of hair
portion of the hair above the skin
root
the portion of the hair bellow the surface
dermal papilla
A bump or ridge of dermis that extends upward to interdigitate with the epidermis and create a wavy boundary that resists stress and slippage of the epidermis
hair matrix
a region of mitotically active cells
the hairs growth center
medulla
tissue deep to the cortex of certain two layered organs such as the lymph nodes, adrenal glands, hairs, and kidneys
Cortex
the outer layer of some organs and covers the medulla
Cuticle
composed of multiple layers of thin scaly cells that overlap
Epithelial root sheath
Extension of the epidermis
Consists of stratified squamous epithelium and lies immediately adjacent to the hair root
apocrine sweat glands
occur in the groin, anal region, axilla, areola, and beard region
Thicker sweat because it contains more fatty acids
Eccrine sweat glands
widely distributed on the body
Mainly palms, soles, and forehead
Primary function to cool the body off
Myoepithelial
specialized cells that are found amid secretory cells
Have contractile properties
Sympathetic nervous system stimulates them to contract and force perspiration up the duct for conditions of overheating, nervousness, or arousal
Sebaceous glands
produce sebum and keep the hair from becoming brittle
Sebum
Oily secretion of the sebaceous glands that keep the skin and hair pliable
Ceruminous glands
modified apocrine glands found only in the external ear canal
Cerumen keeps the ear drum pliable, water proof, kills bacteria, and coats the guard hairs of the ear
Mammary glands
Milk producing glands
Modified apocrine glands that produce a richer secretion and channel it through ducts to a nipple for more efficient conveyance to the offspring
Lesions
A circumscribed zone of tissue injury
such as a skin abrasion
basal cell carcinoma
least deadly because it seldom metabolizes
Third degree burns/full thickness burns
all of the dermis and some deeper tissues are destroyed
Debridement
the removal of toxins from the respiratory tract
Functions of the skeleton
support, protection, movement, electrolyte balance, acid-base balance, blood formation, hormone secretion
osseous tissue
bone tissue
connective tissue in which the matrix is hardened by the decomposition of calcium phosphate and other minerals
mineralization/calcification
hardening of tissue due to the decomposition of calcium deposits
compact, dense, or cortical bone
outer shell of dense white osseous tissue
marrow (medullary) cavity
shell enclosed space
Hollow part of the bone that contains bone marrow
Spongy (cancellous) bone
loosely organized tissue
At the end of bones, occupies the central space
diaphysis
principal features of a long bone and its shaft
Provides leverage and is enlarged to provide strength for the joint
epiphysis
expanded head on each end of the long bone
articular cartilage
a thin layer of hyaline cartilage covering the articular surface of a bone at a synovial joint
Serves to reduce friction and ease joint movement
nutrient foramina
blood vessels penetrate into the bone through these minute holes
Periosteum
a layer of fibrous connective tissue covering the surface of a bone
Osteogenic cells
stem cells that develop from embryonic mesenchyme and then give rise to most other bone cell types
Osteoblasts
bone forming cells that synthesize the organic matter of the bone and then promote mineralization
Becomes an osteocyte
Osteocyte
former osteoblasts
embedded in the matrix and trapped in a lacunae
Lacunae
The small cavities that are in bone tissue
canaliculi
slender channels that interconnect lacunae cavities
Osteoclasts
bone dissolving cells on the surfaces of bones
Spicules and trabeculae
thin plate/layer of tissue that is a lattice of delicate slivers
Spongelike appearance even though it is calcified
Bone marrow
general term for the soft tissue that occupies the marrow cavity of a long bone, spaces amid the trabeculae of spongy bone, and larger canals
Red bone marrow (myeloid tissue)
nearly every bone is with with this
Hematopotetic tissue which produces blood cells
yellow bone marrow
red bone marrow is replaced by this in adults
Limited to the skull, vertebrae, ribs, sternum, part of the pelvic girdle
Yellow bone marrow no longer produces blood
intramembranous ossification
produces the flat bones of the skull, most clavicle, and part of the mandible
endochondral
is a process in which bone develops from a preexisting model composed of hyaline cartilage
appositional growth
bones grow in diameter and thickness
Deposition of a new tissue at the surface
Wolff’s law of bone
that architecture of a bone is determined by the mechanical stresses placed upon it, and the bone thereby adapts to withstand it
ectopic ossification
in an abnormal location such as an ectopic pregnancy
mineral deposition
is a crystallization process in which calcium, phosphate, and other ions, are taken from the blood plasma and deposited in the bone tissue, mainly as crystals
mineral resorption
is the process of dissolving bone
It releases minerals into the blood and makes them available for other uses
hypocalcemia
a calcium deficiency that causes excessive excitability in the nervous system
hypercalcemia
an excess of calcium ions in the blood
makes nerve cells less excitable
calcitriol
is a form of vitamin D produced by the sequential action of the skin, liver, and kidneys
Behaves as a hormone, blood borne chemical messenger from one organ to another
primary ossification center
chondrocytes begin to die while thin walls between them calcify
Osteoblasts start getting produced
primary marrow cavity
when blood vessels invade the primary ossification center, delivering blood borne osteoclasts that digest the calcified tissue creating a hollowed out center
metaphysis
the region of transition from cartilage to bone at the end of the primary marrow cavity
secondary ossification center
When chondrocyte enlargement and death happen this is created
epiphyseal plate
a plate of hyaline cartilage between the epiphysis and diaphysis of a long bone in a child serving as a growth zone for elongation
Calcitonin
produced by parafollicular cells of the thyroid gland
Lowers the blood calcium concentration when it raises too high
osteoclast inhibition
within 15 minutes of being secrete, calcitonin reduces osteoclast activity by as much as 70% so osteoclasts liberate less calcium from the skeleton
Osteoblast stimulation
within an hour, calcitonin increases the number and activity of osteoblasts which deposit calcium into the skeleton
Parathyroid hormone
a hormone secreted by the parathyroid glands that raises blood calcium concentration by stimulating bone resorption by osteoclasts, promoting intestinal absorption of calcium, and inhaling urinary excretion of calcium
stress fracture
break caused by abnormal trauma to a bone
pathological fracture
a break in a bone weakened by some other disease
steps to reforming a bone
Forming of hematoma and granulation tissue
formation of a soft callus
conversion to hard callus
remodeling
closed reduction
a procedure in which the bone fragments are manipulated into normal positions without surgery
open reduction and internal fixation (ORIF)
Involves surgically exposing the fractured bone and using plates, screws, or pins to realign the fragments
Appendicular skeleton
includes the bones of the upper limb and pectoral girdle and the pelvic girdle
axial skeleton
forms the central supporting axis of the body
includes the skull, auditory ossicles, hyoid bon, vertebral column, and thoracic cage
sesamoid bones
bones that form within some tendons in response to strain