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Define Hypertrophy
increase in cell size
Define Hyperplasia
increase in number of cells
Define Atrophy
decrease in cell size
Define Dysplasia
abnormal development
Define Neoplasia
the formation or presence of a new, abnormal growth of tissue (tumor)
List the two main layers of skin and name the layer below it
Epidermis
Dermis
Hypodermis
Describe the structure and function of the hypodermis
binds skin to underlying tissue & more adipose than dermis
function: energy reservoir, thermal insulation
List and briefly explain the five main functions of the skin
Protection: protect underlying tissues from damage/pathogens
Sensation: sensory receptors allow for sensation
Thermoregulation: maintenance of stable internal body temp.
Excretion: lactic acid/urea + small amount of toxins/metals through sweat
Vitamin D Synthesis: precursor to Vitamin D is in deep epidermis that reacts with UV rays to make Vitamin D
Describe the Stratum Basale layer
deepest layer
single layer with cuboidal cells that attach to the basement membrane
closest to blood supply so metabolically/mitotically active
Describe the Stratum Spinosum layer
2nd deepest
thickest stratum; spiky; close to blood supply so metabolically/mitotically active
Describe the Stratum Granulosum layer
middle layer
has keratin bundles/lipid-base substances acting as water barrier and maintaining moisture in the skin
Describe the Stratum Lucidum layer
narrow clear layer of dead keratinocytes found only in thick skin of hands and feet
Describe the Stratum Corneum layer
most superficial layer
several layers of dead flattened keratinocytes and can shed off
Describe characteristics and lifecycle of keratinocytes
Corneum layer continually sheds dead keratinocytes which get replaced by mitosis of basale/spinosum layers that push cells above them to superficial layers; as cells go away from bloody supply they died and cycle continues
What is the function of Keratinocytes?
produce keratin which makes cells rough and waterproof
What is the function of Melanocytes?
produce the pigment melanin in basal layer
What is the function of Merkel cells?
touch receptors that sense light touch and different shapes/textures
found in: fingertips, lips, base of hairs
What is the function of Langerhans cells?
To help protect the body from infection
Describe Thick Skin
found in hands and soles of feet that lack hair follicles but have sweat glands
has Lucidum layer and thicker Corneum layer
Describe Thin Skin
has hairs and sebaceous/sweat glands, more flexible, covers rest of body
No Lucidum layer with thinner corneum layer
Describe the Papillary layer of Dermis
superficial layer of loose connective tissue with special collagen fibers that extend up to anchor the epidermis
Contains Meissner Corpuscles: respond to light pressure/vibrations
Describe the Reticular layer of Dermis
deeper/thicker layer made of dense irregular connective tissue that strengthen the dermis and help prevent traumatic injuries from reaching deep into skin
allows elasticity
Contains Pacinian Corpuscle: responds to deep pressure/vibrations
Explain the advantage of having friction ridges
enhances gripping in hands and feet
Explain how friction ridges are used in the identification of individuals
It is unique for each individual and sweat glands along the ridges leave a film called a fingerprint that can be used for identification
Describe the composition of cleavage lines
gaps between bundles of collagen that indent the epidermis
runs in circular patters in neck and trunk but longitudinal in head and limbs
Explain the importance of cleavage lines
if the skin is cut parallel to lines then edges stay closed and heal better with less risk of scarring
Explain the formation of stretch marks
when skin is extremely stretched during rapid weight game or pregnancy that causes tears in skin that are permanent
Describe Melanin
primary skin pigment ranging from orange-red to black found in basal layer
protects DNA from UV rays but only can absorb some of the UV rather than all
Describe Carotene
Yellow to orange, most obvious in the palms and soles
comes from diet
Describe Hemoglobin
Iron containing protein in red blood cells that gives a pink hue
Define erythema
superficial reddening of the skin, usually in patches, as a result of injury or irritation causing dilatation of the blood capillaries.
Explain thermoregulation of the skin
dilated blood vessels allow for heat loss which is why for fair skin people you can see them get red when they are hot
Describe the structure of Hair
Hair consists of a hair shaft produced by the follicle embedded in the skin, the shaft consists of the outer cuticle, the cortex, and the medulla.
Describe the functions of hair
assist in thermoregulation but body hair too sparse to play significant role
helps protect and feel sensation
Name the three different types of hair
Lanugo: thin nonpigmented hair over entire body as fetus
Terminal: thicker, courser, pigmented on scalp and around eyes
Vellus: thinner, nonpigmented hair over body and during puberty most of it is replaced by terminal
Describe the structure of Nails
A nail is a scale-like modification of the epidermis that forms a clear, protective covering
Nails are made up of hard keratin and have a free edge, a body, and a proximal root
Explain nails growth
grows 0.5mm a week (toes grow slower)
Describe Eccrine (Merocrine) Sweat glands
sweat exits the duct and secretes through sweat pores
99% water with electrolytes and waste products like lactic acid
Primarily for thermoregulation but also protection from pathogens
Describe Apocrine Sweat glands
found in armpits, anal, areolae areas
releases thick sweat rich in proteins into hair follicles
influenced by sex hormones (not active until puberty)
Describe Sebaceous Glands
forms along the sides of the walls of the hair follicle and produces sebum (waxy/oil mix)
uses holocrine secretion
retains moisture and kills/deters bacteria
Describe a 1st Degree burn
red
no blister
resolves in 7 days
does not require medical attention
Describe a 2nd Degree burn
Erythema
Pain
Superficial blisters
required medical attention
Describe a 3rd Degree burn
possibly reaches muscles/bone
not painful since nerves are too damaged
increase risk of dehydration and infection
may require skin grafting
Describe the Rule of Nines
Divides the body into 11 areas, each accounting for 9% of total body area, plus an additional area surrounding the genitals accounting for 1% of body surface area.
Head (4.5%)
Trunk (18%)
Single Arm (4.5%)
Single Leg (9%)
Genitals (1%)
Describe Basal Cell Caranoma Cancer
most common cancer
keratinocytes in basal layer forming crater on skin regularly exposed to UV
destructive to local tissue but doesn't generally metastasize to other tissue
surgical removal generally fixes issue
Describe Squamous Cell Carcinoma Cancer
2nd most common skin cancer
cancer of keratinocytes of spinosum
form scaly plaques that bleed/ulcerate
most common on head/neck
more likely to metastasize but typically can be managed with surgery
Describe Malignant Melanoma Cancer
most dangerous skin cancer
cancer of melanocytes
can be distinguished from normal moles using ABCDE rule
early detection is critical ins it has increased risk of metastasizing since it extends to dermal blood vessel and spreads through blood stream
Describe the ABCDE rule
Asymmetrical Shape
Border Irregularity
Color (blue-black)
Diameter usually larger than 6mm
Evolving shape and size