RD

Chapter 5: The Integumentary System

Chapter 5: The Integumentary System

Layers of the Skin

The skin is composed of three layers:

  1. Epidermis – Superficial layer, made of keratinized stratified squamous epithelium.

  2. Dermis – Deep layer, contains blood vessels, nerves, and glands.

  3. Hypodermis (Subcutaneous Tissue) – Not part of the skin; adipose tissue for insulation and shock absorption.

Layers of the Epidermis (Mnemonic: "Before Signing, Get Legal Counsel")

  1. Stratum BasaleDeepest layer; mitotic cells (actively dividing).

    • Contains melanocytes (produce melanin) and Merkel cells (sensory receptors).

  2. Stratum Spinosum – Several layers of keratinocytes, connected by desmosomes for strength.

  3. Stratum GranulosumCells begin to die, produce keratohyalin granules (for waterproofing).

  4. Stratum LucidumOnly in thick skin (palms, soles); transparent layer.

  5. Stratum CorneumOutermost layer, made of dead keratinized cells; provides protection.

Functions of the Skin

  1. Protection – Chemical, physical, and biological barriers.

  2. Temperature Regulation – Sweating, blood vessel dilation/constriction.

  3. Cutaneous Sensation – Touch, pain, temperature receptors.

  4. Metabolic FunctionsVitamin D production.

  5. Blood Reservoir – Stores 5% of body’s blood.

  6. Excretion – Removes salts & wastes through sweat.

Skin Cancer & Burns

  • Basal Cell CarcinomaMost common, least dangerous; originates in stratum basale.

  • Squamous Cell CarcinomaCan spread, originates in stratum spinosum.

  • MelanomaMost dangerous, arises from melanocytes.

    • ABCD Rule: Asymmetry, Border irregularity, Color variation, Diameter >6mm.