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What is the Integumentary System?
Skin, Hair, Nails, Sudoriferous & Sebaceous glands, sensory receptors
Three layers of the skin
Epidermis, Dermis, Hypodermis
What is the top layer of the skin?
Epidermis
What is the middle layer of the skin?
Dermis
What is the lower level of the skin?
Hypodermis
Describe Keratinized stratified squamous epithelium
Keratinized means its dead and waterproof
Stratified squamous means its many layers of thin flat cells
What’s the function of Keratinized stratified squamous epithelium?
Protects underlying tissues from abrasion, germs(pathogens), and water loss.
Where is the Keratinized stratified squamous epithelium?
Its mainly on the Epidermis, the top layer of the skin
Sequence the layers of the Epidermis, from bottom to top
Stratum Basale
Stratum Spinosum
Stratum Granulosum
Stratum Lucidum
Stratum Corneum
What type of cells are the Stratum Corneum made up of? And where is the Stratum Corneum located specifically?
Corneocytes. It is the outermost layer of the epidermis.
What type of cells are the Stratum Lucidum made up of? And where is the Stratum Lucidum located specifically?
Keratinocytes filled with eleidin (a clear protein), located only in thick skin, such as the palms of the hands and soles of the feet, just beneath the stratum corneum.
What type of cells are the Stratum Granulosum made up of? And where is the Stratum Granulosum located specifically?
Keratinocytes containing keratohyalin granules. It is located just below the stratum corneum (or lucidum in thick skin) and above the stratum spinosum in the epidermis.
What type of cells are the Stratum Spinosum made up of? And where is the Stratum Spinosum located specifically?
Keratinocytes connected by desmosomes, It is located below the stratum granulosum and above the stratum basale in the epidermis.
What type of cells are the Stratum Basale made up of? And where is the Stratum Basale located specifically?
Basal keratinocytes, melanocytes, and Merkel cells. It is the deepest layer of the epidermis, sitting directly on the basement membrane above the dermis
Are Keratinocytes in all of the cell layers of the Epidermis? T or F
True
What do Keratinocytes do?
They synthesize keratin
Where can we find Keratinocyte stem cells and what do they do?
Only in the basal layer, and their function is cell divison.
Where are melanocytes?
Only in the Stratum Basale layer.
What do melanocytes do, and whats the color range?
They synthesize melanin, yellow → brown → black
Describe Melanin
Melanin packaged into melanosomes
Melanosomes transferred to keratinocytes
Melanin shields DNA from UV
What do Tactile/Merkel Cells do?
They’re responsible for sensory
What are Epidermal Dendritic Cells?
Langerhan cells
Macrophages
What do Epidermal Dendritic Cells do?
they activate the immune response
Stratum Basale (basal layer)
Deepest layer
Singe layer of cells
Keratinocyte stem cells
Melanocytes
Tactile (Merkel) cells
Stratum spinosum
Several layers of keratinocytes
No cell division
Tight junctions
Desmosomes
Glycolipid produced
Epidermal dendritic cells
Stratum Granulosum
3 – 5 layers of keratinocytes
Keratinization begins
Keratin accumulates
Nucleus and organelles disintegrate
Cells start to die
Stratum Lucidum
2-3 cell layers
Translucent
Only in thick skin
Palmar surfaces of hands
Plantar surfaces of feet
Stratum Corneum
Superficial Layer
20 – 30 layers
Dead, flat cells: Keratinized
Thick plasma membrane
Lipid coating
Functions:
Protection
Waterproofs
Humans can shed ~50,000 cells
every minute
T or F
True
Whick takes up most of the body? Thick or Thin skin
Thin Skin
The main function of melanin is to______
shield the nucleus from damage by ultraviolet radiation
properties of thick skin
Palms & soles
5 layers
Sweat glands
No hair follicles
No sebaceous glands
properties of thin skin
Most of body
4 layers
No stratum lucidum
Sweat glands, hair follicles &
sebaceous glands
Florio is taking a drug that inhibits cell division. Which layer of the epidermis would be affected by this drug?
Stratum Basale
What are the 3 pigments that contribute to skin color
Melanin, Carotene, Hemoglobin
Describe Carotene
Yellow to Orange, acquired from some fruits and veggies
Describe Hemoglobin
Red pigment, pinkish hue of skin
What 2 layers make up the Dermis
Papillary Layer, Reticular Layer
What type of tissue is the Papillary Layer made up of?
Areolar CT
What type of tissue is the Reticular Layer made up of?
Dense Irregular CT
What are Dermal papillae, and where are they?
Capillary loops, tactile(Meissner’s) corpuscles, Free nerve endings, and in the Papillary layer.
What are tactile corpuscles?
they’re light touch receptors
What are free nerve endings and where
They’re for pain, and in the dermal papillae in the papillary layer
What are friction ridges?
Large folds and valleys of epidermis and dermis
What type of fibers are in the Reticular Layer?
Collagen and Elastic Fibers
What is in the Reticular Layer?
Lamellar (Pacinian) Corpuscles, and Pain Receptors
What are Lamellar Corpuscles, and where are they
They’re deep in the dermis, and detect deep pressure. They’re in the Reticular Layer
What are cleavage(tension) lines?
Bundles of collagen and elastic fibers
They’re oriented in parallel bundles
Affects tissue healing
Bundles resist stress during routine movement
What is a Blister?
Separation of dermis and epidermis by a fluid filled
What are stretch marks (straie)?
Tearing of dermis
Where is the Subcutaneous Layer?
In the Hypodermis, superficial fascia
deep to the skinW
What type of CT is the Subcutaneous Layer made up of
Adipose and Areolar CT
What are the functions of the Subcutaneous Layer
Protection, Energy Storage, Insulation
The subcutaneous layer is not well vascularized. T or F
False, it is very well vascularized.
The principal tissue found in the reticular layer of the dermis is
___________.
dense irregular connective tissue
What cells produce vitamin D3 when exposed to UV radiation?
KeratinocytesW
What ways can you get Vitamin D3 intake?
From the Sun (UV radiation), from food or supplements
What do we need Vitamin D for?
Vitamin D is needed to absorb calcium from small intestine.
What are some Epidermal derivatives?
Nails, Hair, Hair follicles, sweat glands, oil glands
Hair (Pili) consists of what cells?
dead, keratinized cells
Three structures of hair
Hair bulb, root, shaft
What are the three layers to hair, name them from outer to inner
Cuticle, cortex, medulla
What does a hair follicle do?
surrounds the root of the hair
What is the hair matrix made up of?
stem cells
What is hair papilla made up of?
Dermal tissue, capillaries
Root hair plexus
Nerve fibers
Sensitive touch receptors
Arrector pili muscle
Smooth muscle attached to follicle
Make hair stand up
Forces sebum out of follicle
Lubricates skin
Functions of Hair
maintains warmth (protects against heat loss)
alerts body of insects or other things on the skin
guards the scalp from physical trauma
shields skin from sunlight
Hair and nails are derivatives of the _________.
Epidermis
Apocrine Gland
Apical membrane pinches off and cytoplasmic contents becomes secretion
Merocrine Gland
Secretions are packaged into vesicles and released by exocytosis
Holocrine Gland
Cell accumulates a product and then ruptures, secretion is made up of product and cell fragments
what are the three types of exocrine glands
Eccrine (Merocrine), Apocrine sweat, Sebaceous
Merocrine (Eccrine) glands
Entire body
Merocrine glands
Secrete sweat
99% water
1% NaCl, vitamin C, antibodies, dermicidin, metabolic wastes
Functions
Thermoregulation
Antibacterial properties
Release metabolic wastes
Apocrine sweat glands
Only in axillae, around nipples, anogenital
areas
Merocrine glands
Secrete viscous, cloudy sweat
Lipids and proteins
Produces odor when broken down by bacteria
Ducts empty into hair follicles
Begin functioning at puberty
Function: Pheromone signaling and emotional sweating
Mammary glands
Breast
Secrete milk
What are specialized apocrine sweat glands
Ceruminous, they’re in the external ear canal and secrete cerumen.
Are Sebaceous glands in thick skin? Y or No
NO
Where do Sebaceous glands secrete, and what type of secretion?
They secrete into hair follicles and its holocrine secretion
What is Sebum?
Bactericidal
Softens hair and skin
Relatively inactive until puberty
Whitehead
Blocked sebaceous duct
Closed
Blackhead
Blocked sebaceous gland
Open - sebum oxidize
Pustule
Red elevation
Contains pus
WBC, dead skin cells, bacteria
Cyst
Severely inflamed
What are the two types of tissue repair?
Regeneration, and Fibrosis
What is regeneration
complete replacement of damaged cells, function restored
What is fibrosis
gap filled by scar tissue w/ collagen fibers, function not fully restored
What are the steps of tissue repair?
Wound → blood clot, WBC clean wound → blood vessels grow, granulation tissue forms → regeneration and fibrosis.
What are Burns?
Tissue damage from heat, electricity, radiation, or certain chemicals
What are the dangers of severe burns?
Water loss and electrolyte imbalance
Infection
Describe 1st degree burns
Only the epidermis is damaged
Localized redness, swelling, and pain
Most important role of eccrine sweat glands
Body temperature regulation
Describe 2nd degree burns
Epidermis and upper regions of dermis are damaged
Blisters, swelling, painful
Describe 3rd degree burns
Epidermis, dermis and subcutaneous layer damaged
• Skin color turns gray-white, cherry red, or black
• No initial edema or pain (nerve endings destroyed)
• Dehydration & electrolyte imbalance is major concern
• Skin grafting usually necessary
What causes skin cancer?
Overexposure to UV radiation
Frequent irritation of the skin
Most skin tumors are malignant and metastasize. T or F
False, most skin tumors are benign and do not metastasize
Describe Cell Carcinoma
Keratinocyte stem cells
• Stratum basale
• Slow growing and do not often metastasize
Skin Cancer
Describe Squamous Cell Carcinoma
• Keratinocytes of stratum spinosum
• Most often on scalp, ears, lower lip or hands
• Early detection and removal = good prognosis
• Can metastasize
Describe Melanoma
Melanocytes
Increased risk if severe sunburns (especially in
childhood)
Aggressive growth and highly metastatic
• Survival rate improved with early detection and
removal
• Advanced cases difficult to cure
Which is most dangerous type of skin cancer?
Melanoma
What forms of therapy for Melanoma
Chemo,interferon, and radiation