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9 - Integumentary system
Basic characteristics
Relativley waterproof
washable
stretchable
Invisibly repair small cuts, scratches, & burns
Guaranteed to last a lifetime (with reasonable care)
Thick skin
Components of the integumentary system
Skin
Skin derivatives - Hair, nails, oil glands, sweat glands
What are the main functions of the skin?
protection
Physical barrier from enviornmental factors
Repair
Thermoregulation
sensation
Vitamin D synthesis
What are the 2 layers of the skin?
Epidermis
Dermis
What is the epidermis composed of?
Tightly packed epithelial cells that line the surface of the skin
4-5 layers
Avascular (no blood vessels)
Layers of the epidermis (Thick Skin)
Stratum corneum
Stratum lucidum ‘
Stratum granulosum
Stratum spinosum
Stratum basale
Where is thick skin found on the body?
Only on the palms of the hands & soles of feet
Layers of the epidermis (thin skin)
Stratum corneum
Stratum granulosum
Stratum spinosum
Stratum basale
Stratum germinative (basale)
Deepest layer
Function: Form a bond between the epidermis and dermis
What type of cell junction anchors the stratum Germinative to the basal lamina?
Hemidesmosomes
What are the “layers” of the epidermis?
Dermal papillae
Epidermal ridges
Dermal papillae
Increase the surface area of the basal lamina (basal layer); strengthen attachment between epidermis and dermis
Epidermal ridges
Ridges of the epidermis that form fingerprints
What cells are located in the epidermis?
Melanocytes
Merkel cells
Melanocytes
Synthesize melanin (pigment)
Merkle cell
detect light touch (triggers nervous system)
Stratum Spinosum (spiny layer)
Contains 8-10 layers of keratinocytes
How are the keratinocytes in the stratum spinosum bound together?
By desmosomes (cell junctions)
Why do the cells in the stratum spinosum continue to divide?
To increase thickness of the epithelium
What are the cells of the stratum spinosum
Keratinocytes
Langerhan cells
Langerhan cells
Immune cells; defend against foreign invaders that deep into the skin
Stratum Granulosum (Grainy layer)
Continue producing: Keratinocytes
Start producing: keratohyalin
Granules create a “grainy” look
Keratohyalin
Promotes dehydration of the cells
Stratum Lucidum (Thick skin)
Clear, glossy layer
Keratinocytes surrounded in eleidin
Eleidin
Clear protein that surrounds keratinocytes
Stratum Corneum (horny layer)
Layer composed of dead, keratinized cells
Resistant to abrasions, cut, and water loss
What is Keratinization?
The process of forming a layer of dead, protective cells filled with keratin
List all the cells of the epidermis
Keratinocytes
melanocytes
Merkel cells
Langerhan Cells
Dermis
Vascular
Contains hair follicles, sweat glands, & oil glands
Strong, flexible tissue
Has 2 layers
What are the 2 layers of the dermis?
Papillary layer
Reticular layer
What cells are located in the dermis?
fibroblasts
Mast cells
Macrophages
Leukocytes (white blood cells)
Which layer of the dermis is highly vascularized? (Hint: Most superficial)
Papillary layer
Describe the papillary layer
Highly vascularized
Contains Epidermal ridges (fingerprints)
Contain touch & pain receptors
What layer of the dermis contains collagen & elastic fibers and also consists of dense irregular connective tissue
Reticular layer
Cutaneous Sensations
Skin that’s supplied with cutaneous sensory receptors
What are the sensory receptors of the dermis?
Merkel disc
Meissner’s corpuscle
Pacinian’s corpuscle
Root hair plexus
Free nerve endings
Merkel disc
Detects light sensations
Meissner’s corpuscle
Detects light touch/sensations
Pacinian’s corpuscle
Detects Deep touch/pressure
Think about Pacinian being located deeper into the dermis
Free nerve endings
Detect painful stimuli
Root hair plexus
Wind blowing through hair
What layer makes up about 80% of the dermis?
The reticular layer
What is collagen’s role in the dermis?
Collagen binds water, helping to hydrate the skin
How does elastic fibers contribute to the reticular layer of the skin?
It gives the skin elasticity
How does the reticular layer of the dermis get its strength
Dense irregular connective tissue gives the reticular layer its strength
Which layer of the dermis contains LARGER blood vessels, lymph vessels, and nerve fibers
The reticular layer
What is a blister?
The accumulation of fluid that creates a pocket that separates the dermis and the epidermis
What fibers make up the lines of cleavage?
Elastic & collagen fibers
What are the lines of cleavage?
Collagen & elastin fibers arranged in parallel uniform on the skin
What does the lines of cleavage do in regards to the skin?
Resists force in a specific direction
What is the significance in regards to line of cleavage?
Lines of cleavage helps a surgeon know where to make appropriate cuts. This will help in regards to proper healing of the skin & less scarring, as well as making sure the cut stays shut.
Is the hypodermis considered a layer of the skin?
Technically no, because it’s mainly composed of fats.
What are the other names for the hypodermis?
Subcutaneous layer, superficial fascia
What are the main functions of the hypodermis?
Heat regulation/insulation
Energy reservoir
What cells make up the hypodermis?
Adipocytes (fat cells)
Why are injections mostly injected subcutaneously?
Because its mostly composed of fats; no major organs & only some capillaries.
What is the fat distribution in females?
Back the cervical (neck), arms, thighs, stomach, breasts, and gluteal region.
What is the fat distribution in males?
Abs/abdomen, gluteal region, thighs
What are the major types of pigments of the skin?
Eumelanin
Carotene
Hemoglobin
Jaundice
Eumelanin
Brown pigmentation
Carotene
Yellow to orange pigmentation found in certain plant products
Where does carotene accumulate at in the skin?
Carotene accumulates in the Str. Corneum & Hypodermis
What can carotene be converted into?
Vitamin A
Hemoglobin
Red pigmentation from RBCs
Why do caucasian people typically show more hemoglobin pigmentation?
Because they have less pigmentation, the skin is transparent enough for hemoglobin to be seen through.
Cyanosis
Blue pigmentation due to the lack of oxygen/little to no presence of oxygen in hemoglobin
Jaundice
Yellow pigmentation of the skin, typically indicating liver problem
What does jaundice indicate?
Indicates a buildup of builirubin (waste product)
Vitiligo
Loss of melanocytes & color in the skin
Albanism
Have melanocytes, but the melanin is not produced or melanin can’t be distributed to keratinocytes
What areas of the body are not covered with
soles of feet
palms of hands
lips
portions of external genitalia
What are the 3 functions of hair?
protects and insulates
Guards openings of the body (nose, eyes, etc.)
sensitive to light touch
What are the structures of the hair follicles?
hair bulb
hair shaft
hair root
arrector pilli muscle
sebaceous gland
Steps of hair growth cycle
follicle becomes active
produces new hair
club hair is shed
What are the accessory organs of the hair?
arrector pilli muscle
sebacous gland
sweat glands
Arrector pilli muscle
contracts to make the hair stand; produces goosebumps
Is the arrector pilli muscle voluntary or involuntary?
involuntary
sebaceous gland
lubricates the hair
What are the different types of hair?
Terminal hair
Vellus hair (peach fuzz)
lanugo
Lanugo
Fine hair that appears on a fetus in the last 3 months of development
Vellus (peach fuzz)
Bdoy hair of female and children; very pale and fine
Terminal hair
Corser, longer (darker) hair; eyelashes, eyebrows, scalp, axillary (armpit), pubic region
What does terminal hair grow in response to?
Androgens (testosterone)
Sudoriferous (sweat) gland
Sweat gland
Sweat glands are located all over the body, except?
Nipples & part of external genitalia
What are the 2 types of sudoriferous (sweat) glands?
Eccrine & Apocrine
Where is eccrine gland located?
Underneath the sweat pore of the skin
What is the type of mode of secretion eccrine gland uses?
Merocrine; excreted by exocytosis
function of eccrine gland
excretes water and electrolytes through a sweat pore on the skin
Where is eccrine glands found?
All over the body
Where are the most abundant spots where eccrine glands is located?
Palms, soles of feet, & forehead
What are the main components of sweat? How much of it is water?
99% of sweat is water; some saltls, vitamin c, antibodies, metabolic wastes, lactic acid
Where are Apocrine glands most common at?
Axillary (armpit) & anogenital regions
function of apocrine glands
Ducts empty into hair follicles
How is body odor created?
When it’s decomposed by bacteria on the skin
What is Apocrine glands mode of secretion?
Merocrine
perspiration
When water penetrates the surface
What are the 2 types of perspiration?
insensible
sensible