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skin
largest organ of body and cutaneous membrane
functions of the integument.
protecction
prevents water loss
temp regulation
immune defense
excretion
2 layers are..
dermis and epidermis
epidermis
superficial layer
keratinized stratified squamous
avascular
5 layers
cells of epidermis
keratinocytes
melanocytes
langerhan cells
merkel cells
stratum basalw
deepest layer
single layer of cells
attached to dermis by basement membrane
contains melanocytes
produces melanin and protects from UV
stems cells constantly divide
youngest keratinocytes
stratum spinosum
layer (8-10) of numerous cells
cels divide less rapidly
contain keratinocytes
epidermal dendritic cells
immune cells fight infection
stratum granulosum
2-5 layers of flattened diamond-shaped cells
keratinization begins here
water-resistant glycolipid that slows down water loss
stratu lucidum
translucent layer found only on palm of hands, sole of feet
consists of dead keratinocytes
stratum corneum
most superficial layer
20-30 layers of dead squamous cells
structural strength and protection
prevents water loss
thick epidermis
palm of hands, sole of feet
has 5 epidermal strata
no hiar follicles or sebaceous glands
thin epidermis
covers most of the body
only 4 layers
dermis
lies deep to the epidermis
contains collagen fibers
contains blood vessels, sweat glands, oil glands, hair follicles, nail roots, sensory nerve endings, and muscle tissue
papillary layer of dermis
composed of areolar CT
dermal papillae project from the dermis and indent the epidermis
has free nerve endings:
nociceptors (pain)
Merkel (tactile disc)
friction ridges- enhance gripping
reticular layer of dermis
composed of dense irregular
makes up 80% of thickness in dermis
contains blood vessels, sweat glands, oil glands, hair follicles, nail roots, sensory nerve endings and muscle tissue
cleavage lines
flexure lines (palms)
stretch marks
hypodermis
not a layer of the integument
anchors integument to bone and muscle
consist of adipose and areolar CT
hair shaft
projects form the skins surface
columns of dead keratinized epithelial cells
inner medulla
present in thick hair only; includes soft keratin in the core, simialr to that in the epidermis
middle cortex
several layers of keratinocytes with heard keratin
outer cuticle
single layer of keratinocytes with hard keratin, wears over time producing ‘split ends’
hair root
enclosed by follicle
hair bulb
actively growing portion of the hair
dermal papilla
region with blood vessels and nerves that reach the hair bulb
piloerector muscle
cluster of smooth muscle fibers that connect the hair follicle to the upper region of the dermis produces goose bumps
vellus body
hair of children and adult females, usually light
terminal hair
usually darker, eyebrows, scalp
nails
made if hard keratin
parts of nail
free edge, body, root, nail folds, cuticle
glands
a structure that secretes substances into a duct, into a surface, or into blood
sudoriferous
sweat glands
lactiferous
milk glands
sebaceous
oil glands secrete sebum, oily waxy substance
ceruminous
locates only in external ear, form earwax
merocrine glands
most common
sweat exits through a sweat pore in epidermis
sensitive to temperature
produce normal body perspiration
apocrin glands
secrete water
produced at puberty
produce body odor
ducts open into hair follicles
oil glands
everywhere besides palms and soles
simple branched acinar rounded glands
connected to hair follicle
melanin
pigment
blood
hemoglobin
carotene
thickness of the stratum corneum
albinism
inherited inability ot produce melanin
vitiligo
condition in which there is a partial or complete loss of melanocytes from patches of skin
cyanosis
low oxygen concentration, blue
jaundice
excess bile pigment in the blood, liver- yello
pallor
decrease in blood floe to dermis- white
erythema
increased blood flow to derm- red
rashes and hive
allergy to foods and drugs
wounds
common skin pathology defined as any disruption in the skin’s integrity
lacerations
cut or tear in the skin, typically repaired with sutures or stitches
burn rule of nines
body is divided into 11 areas
each area accounts for 9% of total body surface
area surrounding the genitals accounts for 1% of the body’s surface area
the amount of fluid lost in adults can be estimated by computing the percentage of body surface burned
cancer
one the of the msot common disease in teh world; cause by DNA mutation
basal cell carcinoma
most common
arises from keratinocytes in the stratum basale of the epidermis
Skin regularly exposed to UV radiation is at risk for developing these tumors
appears as a nodule with a central crater
rarely metastasizes to other tissues
can be resolved by surgical removal
squamous cell carcinoma
second most common
cancer of keratinocytes of stratum spinosum
scaly plaques may ulcerate and bleed
tumors are more likely to metastasize than basal cell carcinoma
malignant melanoma
cancer of melanocytes
early detection of melanoma is critical due to tendency to metastaize
arms of cancerous melanocytes extend down into dermis and access dermal blood vessels
treated with surgical removal, radiation, and chemo
prognosis depends on size of tumor, depth, and if it got to other tissues
A
asymmetrical shape
B
border irregularity
C
color- black and blue
Diameter
generally larger than 6 mm
E
evolving- changing shape and size
tissue repair
process of wound healing, occurs differently in different tissues and is dependent on the tissues ability to regenerate
aging
wrinkling
decrease in skin’s immune responsiveness
dehydration and cracking
decreased sweat production