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Nail Anatomy

  • Hyponychium: Acts as a barrier to prevent dirt and debris from getting underneath the nail plate.

  • Free Edge: The visible part of the nail that extends beyond the fingertip.

  • Nail Body: Main part of the nail that is hardened and visible.

  • Lunula: The crescent-shaped area at the base of the nail.

  • Eponychium: Also known as the cuticle, protects the nail base.

Nail Growth

  • Nail Root: Part of the nail where cells undergo mitosis to grow the nail.

  • Growth occurs from the nail root towards the free edge.

  • Nails are composed of keratinized epithelial cells, making them harder than hair due to higher keratin content.

Sweat Glands

  • Two types of sweat glands:

    • Apocrine Glands: Function begins around puberty; associated with hair, such as in the armpits. Produce pheromones that may influence social interactions.

    • Eccrine Glands: More common and distributed throughout the body, responsible for temperature regulation by evaporating sweat.

Skin Anatomy

  • Thin Skin: Contains hair; covers most body regions except palms and soles of feet.

  • Functions: Temperature regulation, protection, vitamin D synthesis, sensation.

Burns Classification

  • Rule of Nines: Method to assess the percentage of body surface burned.

  • First Degree Burns: Affect only the epidermis, painful but do not blister.

  • Second Degree Burns: Affect epidermis and part of dermis, cause blistering and are painful.

  • Third Degree Burns: Affect all layers (epidermis, dermis, and fat), typically do not hurt due to nerve damage; may require skin grafting.

  • Fourth Degree Burns: Extend into muscle and bone, often necessitating amputation.

Healing Post-Burn

  • Damage to collagen and elastin fibers leads to potential scarring and contractures as skin heals.

Skin Cancer Types

  • Basal Cell Carcinoma: Most common and slow-growing; appears as a pimple-like lesion that does not heal.

  • Squamous Cell Carcinoma: Malignant, grows faster than basal cell; often shows scabs and is commonly found in sun-exposed areas.

  • Melanoma: Dangerous form of skin cancer; can occur at any age and may spread rapidly. Characteristics include asymmetrical moles with uneven borders and varied coloration.

Aging Skin Changes

  • Skin loses elasticity and thickness, leading to wrinkles and susceptibility to injury.

  • Decreased oil and sweat production results in dryness and cracking of skin.

  • Loss of melanocytes leads to graying hair and hyperpigmented spots.

  • Subcutaneous fat diminishes, leading to sagging skin and altered facial contour.

Bone Tissue Anatomy

  • Protection: Bones shield internal organs; e.g., cranium protects the brain, ribs protect thoracic organs.

  • Calcium Storage: Bones store calcium and release it as needed for bodily functions.

  • Bone Structure:

    • Diaphysis: Shaft of long bones.

    • Epiphysis: Ends of long bones; varies in shape according to joint function.

    • Metaphysis: Area between the diaphysis and epiphysis; growth plate during development.

Cartilage and Joint Structures

  • Hyaline Cartilage: Covers ends of bones for shock absorption and friction reduction in joints.

  • Periosteum: Dense irregular connective tissue covering the bone, contains bone-forming cells.

Bone Cells and Formation

  • Osteoblasts: Bone-forming cells that create the mineralized matrix of bone.

  • Osteocytes: Mature bone cells trapped within the matrix.

  • Osteoclasts: Cells that break down bone tissue.

  • Calcification Process: Bone formation through osteoblast activity; important for achieving bone hardness.

Types of Bone

  • Compact Bone: Dense and strong; forms the outer layer of bones.

  • Spongy Bone: Lighter and less dense; located inside bones, helps with weight reduction.

  • Bone Marrow: Located in the medullary cavity; involved in blood cell formation.

Fractures and Bone Remodeling

  • Bone healing involves complex processes that include remodeling after fractures, influenced by various factors including nutrition and blood supply.

  • Types of Fractures: Discussed later in detail.