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Integumentary System
Consist of skin and accessory structures (hair, glands, nails)
Integument
means Covering
skin
the largest and heaviest organ of the body
Melasma
Chronic skin condition caused by overproduction of melanin (pigment) that results for brown or gray-brown patches to appear.
Sunburn
Acute (short-term) skin injury caused by UV radiation damaging skin cellsmaking the skin ppears as red, swollen, painful skin that may blister and peel.
Homeostasis
the body’s ability to maintain a stable internal environment despite changes in the external environment.
Homeostasis
Keeps conditions (like temperature, pH, water, glucose, electrolytes) within a narrow, healthy range so cells can function properly.
Negative feedback
reverses a change to bring the body back to balance
Positive feedback
amplifies a change until a specific event ends.
Homeostasis
process by which the body maintains a stable internal environment through feedback mechanisms, allowing cells and organs to function properly.
vasodilation
Blood vessels in the dermis dilate to release heat
vasoconstriction
Blood vessels in the dermis constrict to conserve heat.
Vitamin D
essential for calcium absorption and maintains bone health and mineral balance in the blood.
Stratum Corneum
The outermost skin layer has keratin and lipids that form a water-resistant barrier
Sebum
coats the skin with an oily film, reducing evaporation of water to keep skin soft, supple, and moisturized
Too little hydration
dry, cracked skin (xerosis), increased infection risk.
Too much hydration
wrinkling, maceration (like after soaking in water)
integumentary system
regulates hydration by using the stratum corneum, sebum, and sweat glands to prevent excessive water loss while allowing controlled evaporation for cooling.
Sebum
an oily, waxy substance secreted by the sebaceous glands in the skin
Sebum
Made up of fats (lipids), wax esters, squalene, and dead cells.
Overproduction of sebum
oily skin, acne (clogs pores)
Underproduction
dry, flaky skin
Sebum
an oily secretion from sebaceous glands that lubricates, protects, and moisturizes the skin and hair while providing some antimicrobial defense
acid mantle
acidic surface of the skin created by sebum to inhibit the growth of harmful bacteria and fungi
Sebum
provides nutrients for normal skin flora (good bacteria), which compete with pathogens and keep skin healthy.
sebum
contributes to the skin’s immune defense by creating an acidic, antimicrobial barrier that protects against microbes — a local (not systemic) immune response
epidermis, dermis, hypodermis
three layers of the skin
Epidermis
The most superficial layer of the skin and layer of epithelial tissue that rests on the dermis
Epidermis
layer of the skin that prevents water loss and resists absorption , serves as a barrier against germs, and has the ability to generate
Melanocytes
cells that contain melanin for the skin color. It also filters Ultraviolet (UV) radiation from the sun
Langerhans Cells
part of the immune system that acts as a guard and signal the body when they detect a foreign substances
Merkel cells
combine with nerve ending to create a sensory receptor for touch
Arrector pili muscles
tiny smooth muscles that contract to cause goosebumps and sebum release, mainly in response to cold or fear.
Hair Shaft
the visible part of the hair located above the skin
Hair Root
the part of the hair below the skin, inside the follicle
Hair Bulb
the base of the root, enlarged, contains the hair matrix
hair matrix
living cells that actively divide and make new hair
Hair Papilla
inside the bulb, contains blood vessels and nerves that nourish the growing hair.
Keratinization
The process by which vertebrate epithelial cells become filled with keratin protein filaments, die, and form tough, resistant structures such as skin, nails, and feathers
Stratum Corneum
most superficial stratum and roughest layer of epidermis.
callus
the layer of stratum corneum increases produce a thickened area
Corn
a cone-shaped structure resulted from thickening of callus
Stratum lucidum
only found in thick skin
Stratum granulosum
living cells that compressed and flattened as they move up to epidermal layer
Stratum basale
mitosis is active
Stratum basale
new cell production occurs
Stratum Basale
Basal Layer
Stratum Basale
Site of active mitosis → produces new keratinocytes.
Stratum Basale
Contains melanocytes (pigment) + Merkel cells (touch receptors)
Stratum Basale
Function: Cell division and renewal.
Stratum Spinosum
Spiny Layer
Stratum Spinosum
Cells from basale move here and begin differentiation.
Stratum Spinosum
Keratin synthesis starts; cells connected by desmosomes → “spiny” appearance.
Stratum Spinosum
Function: Early keratin production + structural strength.
Stratum Granulosum
Granular Layer
Stratum Granulosum
3–5 layers of flattened keratinocytes
Stratum Granulosum
Cells accumulate keratohyalin granules and lamellar bodies (lipids)
Stratum Granulosum
Function: Transition layer – waterproofing and keratinization.
Stratum Lucidum
Clear Layer
Stratum Lucidum
Thin, transparent layer of dead keratinocytes.
Stratum Lucidum
Found only in thick skin (palms, soles).
Stratum Lucidum
Function: Extra protection and toughness.
Stratum Corneum
Horny Layer
Stratum Corneum
Outermost layer → 20–30 layers of dead, keratinized cells.
Stratum Corneum
Function: Final protective barrier.
Stratum Basale
site of active mitosis (new keratinocytes).
Stratum Spinosum
site of differentiation (keratin production begins).
Stratum Granulosum
cells flatten, accumulate keratin granules, start dying
Stratum Lucidum
clear, dead cells, only in thick skin
Stratum Corneum
outer dead keratinized cells, protective barrier, forms callus/corn when thickened.
Dermis
Composed of dense collagenous connective tissue
Collagen
responsible for structural strength and skin integrity
Collagen fibers
oriented in many different direction and resist stretch, produces cleavage lines or tension lines.
stretch marks
a visible line on the skin that is caused by overstretched skin
Dermal papillae
contain many blood vessels that supply the overlying epidermis with nutrients, remove waste products and help regulate body temperature
Collagen
the most abundant structural protein in the human body (about 25–30% of all proteins)
Collagen
Made of strong fibrous triple-helix chains, giving tissues strength and flexibility.
Loss of collagen
wrinkles, sagging skin
Excess collagen
scars, keloids, fibrosis
Collagen
the body’s main structural protein that provides strength, flexibility, and repair to skin, bones, cartilage, and connective tissues
Subcutaneous tissue
Sometimes called hypodermis
Subcutaneous tissue
Attaches to underlying bone and muscle and supplies blood vessels and nerve
Adipose tissue
located at the hypodermis and functions as padding and insulation
Melanin
a group of pigments primarily responsible for skin, hair and eye color produced by melanocytes
Melanosomes
the “Golgi Apparatus” of melanocytes that package melanin into vesicles
Albanism
Absence of melanin
Cyanosis
when a decreased in blood O2 content produce bluish color of the skin
Cartone
a yellowish in pigment found in the plants, use human as a source of vitamin A and make the skin quite yellowish
Osteogenesis imperfecta
brittle bone disease
Ehlers-Danlos syndrome
hyperflexible joints
Health Assessment
A systematic method of collecting and analyzing data to determine a patient’s health status.
Multifactorial
Health conditions often have many contributing causes: genetic, environmental, lifestyle, etc.
Differential Diagnosis
The process of distinguishing between two or more conditions that present with similar symptoms.
Pathophysiology
The study of how a disease alters normal body functions.
Prognosis
The likely outcome or course of the disease (e.g., recovery, complications).
Infectious Diseases
Spread from person to person or through the environment
Inhalation
Pathogens are spread through the air and enter via the respiratory tract.
Vector-borne
Spread through insects or animals that carry pathogens.
Non-infectious Diseases
Not caused by pathogens and is often chronic, caused by genetics, lifestyle, environment
Autoimmune Diseases
The immune system attacks the body’s own cells