Dermis and Hypodermis A&P1

Topic Set 11: Hypodermis & Blood Supply

Bio 4.1 Race and Hypodermis Structure/Accessory

Epidermis, Dermis, Hypodermis, and Cutaneous Glands

Chapter 4 Skin and Body Membranes Body Membranes Functions of body membranes Cover body surfaces Line body cavities Form protective sheets around organs Classified according to tissue types Body Membranes Two major categories Epithelial membranes Cutaneous membranes Mucous membranes Serous membranes Connective tissue membranes Synovial membranes Epithelial Membranes Epithelial membranes are simple organs Also called covering and lining membranes These membranes contain both: Epithelial tissue layer Connective tissue layer Epithelial Membranes Cutaneous membrane = skin Dry membrane Outermost protective boundary Consists of two layers Epidermis is composed of keratinized stratified squamous epithelium Dermis is mostly dense (fibrous) connective tissue Epithelial Membranes • Mucous membranes (mucosae) • I Moist membranes Some mucosae secrete protective, lubricating mucus Line all body cavities that open to the exterior body surface • Adapted for absorption or secretion • ' Consists of two layers • Epithelium type depends on site • Loose connective tissue (lamina propria) Epithelial Membranes Serous membranes (serosae) Line compartments in the ventral body cavity that are ciosed to the exterior of the body Occur in pairs, separated by serous fluid, with a visceral and parietal layer Consists of two layers Simple squamous epithelium Areolar connective tissue Epithelial Membranes Specific serous membranes Peritoneum Cover organs in the abdominal cavity Pleurae Surround the lungs Pericardia Surround the heart Connective Tissue Membranes Synovial membranes Loose areolar connective tissue only (no epithelial tissue) Line fibrous capsules surrounding joints Line bursae Line tendon sheaths Secrete a lubricating fluid to cushion organs moving against each other during muscle activity Integumentary System Integumentary system consists of the: Skin (cutaneous membrane) Skin appendages Sweat glands Oil glands Hair Nails Functions of the Integumentary System Insulates and cushion deeper body organs Protects the entire body from: Mechanical damage (bumps and cuts) Chemical damage (acids and bases) Thermal damage (heat or cold) Ultraviolet (UV) radiation (sunlight) Microbes (bacteria) • Water loss Functions of the Integumentary System Regulates heat loss as controlled by the nervous system Acts as a mini-excretory system; sweat aids in the loss of Urea Salts Water Synthesizes vitamin D Secretions create a protective acid mantle Structure of the Skin Two kinds of tissue compose the skin Epidermis Dermis Subcutaneous tissue (hypodermis) Anchors the skin to underlying organs Not technically part of the integumentary system Composed mostly of adipose tissue Serves as a shock absorber and insulates deeper tissues Structure of the Skin Epidermisouter layer Composed of stratified squamous epithelium Most cells are keratinocytes which produce a fibrous protein called keratin Keratinization makes the epidermis tough Desmosomes connect keratinocytes together Avascular Composed of five layers (strata) Structure of the Skin Summary of strata (layers) of the epidermis from deepest to most superficial Stratum basale Stratum spinosum Stratum granulosum Stratum lucidum (thick, hairless skin only) Stratum corneum Structure of the Skin Stratum basale (stratum germinativum) Deepest layer of epidermis Lies next to dermis Wavy borderline with the dermis anchors the two together Cells undergoing mitosis Daughter cells are pushed upward to become the more superficial layers Stratum spinosum Cells become increasingly flatter and more keratinized Structure of the Skin Stratum granulosum Stratum lucidum Formed from dead cells of the deeper strata Occurs only in thick, hairless skin of the palms of hands and soles of feet Stratum corneum Outermost layer of epidermis Shingle-like dead cells are filled with keratin (protective protein prevents wat loss from skin Structure of the Skin Melanin Melanin is a pigment produced by melanocytes Melanocytes are mostly in the stratum basale of the epidermis Color is yellow to brown to black Structure of the Skin Epidermal dendritic cells Alert and activate immune cells to a threat (bacterial or viral invasion) Merkel cells Associated with sensory nerve endings Serve as touch receptors called Merkel discs Structure of the Skin Dermis Connective tissue Underlies the epidermis Two regions Papillary Reticular Structure of the Skin Two regions of the dermis Papillary layer (upper dermal region) contain projections called dermal papillae Areolar connective tissue Indent the epidermis above Many projections contain capillary loops, and others house pain and touch receptors On palm and sole surfaces, papillae increase friction and gripping ability Fingerprints are identifying films of sweat Structure of the Skin Two regions of the dermis Reticular layer (deepest skin layer) Dense irregular connective tissue Blood vessels Sweat and oil glands Deep pressure receptors (lamellar corpuscles) Structure of the Skin Other dermal features Cutaneous sensory receptors Phagocytes Collagen and elastic fibers Blood vessels I Nerve supply Skin Color • Three pigments contribute to skin color 1. Melanin • Yellow, reddish brown, or black pigments 2. Carotene • Orange-yellow pigment (also found in some vegetables) 3. Hemoglobin Red coloring from blood cells in dermal capillaries Oxygen content determines the extent of red coloring Skin Color Redness (erythema) due to embarrassment, inflammation, hypertension, fever, or allergy Pallor (blanching) due to emotional stress (such as fear), anemia, low blood pressure, impaired blood flow to an area Jaundice (yellow cast)-indicates a liver disorder • Bruises (black and blue marks)-hematomas Appendages of the Skin Cutaneous glands are all exocrine glands Sebaceous glands Sweat glands Hair and hair follicles Nails Appendages of the Skin Sebaceous (oil) glands Located all over the skin except for palms and soles Produce sebum (oil) Makes skin soft and moist Prevents hair from becoming brittle Kills bacteria Most have ducts that empty into hair follicles; others open directly onto skin surface Glands are activated at puberty with increased androgens Appendages of the Skin Sweat (sudoriferous) glands Produce sweat Widely distributed in skin Two types of sudoriferous glands Eccrine glands Apocrine glands Appendages of the Skin Eccrine glands More numerous, located all over the body Open via duct to sweat pores on the skin's surface Produce acidic sweat Water, salts, vitamin C, traces of metabolic waste Function in body temperature regulation Appendages of the Skin Apocrine glands Ducts empty into hair follicles in the armpit and genitals Begin to function at puberty Release sweat that also contains fatty acids and proteins (milky or yellowish color) • Play a minimal role in body temperature regulation Appendages of the Skin Hair Located body-wide except for palms, soles, nipples, lips Produced by hair follicle Root is enclosed in the follicle Shaft projects from the surface of the scalp or skin Consists of hard keratinized epithelial cells Melanocytes provide pigment for hair color Hair grows in the matrix of the hair bulb in stratum basale Appendages of the Skin Hair anatomy Central medulla Cortex surrounds medulla Cuticle on outside of cortex Most heavily keratinized region of the hair Melanin provides color Appendages of the Skin Associated hair structures Hair follicle Composed of an inner epithelial root sheath andan outer fibrous sheath Dermal region provides a blood supply to the hair bulb (deepest part of the follicle) Arrector pili muscle connects to the hair follicle to pull hairs upright when we are cold or frightened Appendages of the Skin Nails Heavily keratinized, scalelike modifications of the epidermis Stratum basale extends beneath the nail bed, which is responsible for growth Lack of pigment makes nails colorless Appendages of the Skin Parts of a nail Free edge Body is the visible attached portion Nail folds are skin folds that overlap the edges of the nail; the cuticle is the proximal edge Root of nail is embedded in skin Growth of the nail occurs from nail matrix of nail bed Homeostatic Imbalances of Skin Infections and allergies Athlete's foot Caused by fungal infection (Tinea pedis) Itchy, red peeling skin between the toes Boils (furuncles) and carbuncles Caused by inflammation of hair follicles Carbuncles are clusters of boils caused by bacteria Cold sores (fever blisters) Caused by human herpesvirus 1 Blisters itch and sting Homeostatic Imbalances of Skin Infections and allergies Contact dermatitis Caused by exposure to chemicals that provoke allergic responses Itching, redness, and swelling of the skin Impetigo Caused by bacterial infection Pink, fluid-filled raised lesions around mouth/nose Psoriasis Triggered by trauma, infection, hormonal changes, or stress Red, epidermal lesions covered with dry, silvery scales that itch, burn, Crack, or sometimes bleed Homeostatic Imbalances of Skin • Burns Tissue damage and cell death caused by heat, electricity, UV radiation, or chemicals Associated dangers Protein denaturation and cell death Dehydration and electrolyte imbalance Circulatory shock Result in loss of body fluids and infection from the invasion of bacteria Homeostatic Imbalances of Skin Extent of a burn is estimated using the rule of nines Body is divided into 11 areas for quick estimation Each area represents about 9 percent of total body surface area The area surrounding the genitals (the perineum) represents 1 percent of body surface area Homeostatic Imbalances of Skin . First-degree burn (superficial burn) Only epidermis is damaged Skin is red and swollen Second-degree burn (superficial partial-thickness burn) Epidermis and superficial part of dermis are damaged Skin is red, painful, and blistered Regrowth of the epithelium can occur Homeostatic Imbalances of Skin Third-degree burn (full-thickness burn) Destroys epidermis and dermis; burned area is painless Requires skin grafts, as regeneration is not possible Burned area is blanched (gray-white) or black Fourth-degree burn (full-thickness burn) Extends into deeper tissues (bone, muscle, tendons) Appears dry and leathery Requires surgery and grafting May require amputation Homeostatic Imbalances of Skin Criteria for deeming burns critical (if any one is met): Over 30 percent of body has second-degree burns Over 10 percent of the body has third-or fourth-degree burns Third-or fourth-degree burns of the face, hands, feet, or genitals Burns affect the airways Circumferential (around the body or limb) burns have occurred Homeostatic Imbalances of Skin Skin cancer Most common form of cancer in humans Most important risk factor is overexposure to ultraviolet (V) radiation in sunlight and tanning beds Cancer can be classified two ways Benign means the neoplasm (tumor) has not spread Malignant means the neoplasm has invaded other body areas Concept Link Recall that mitosis gone wild is the basis for cancer (Chapter 3, pp. 82-83). These cells lack normal control of cell division and divide quickly, resulting in errors during DNA replication, mitosis, or both. Cells experiencing rapid, uncontrolled growth become cancerous and can metastasize (spread) to other parts of the body. Homeostatic Imbalances of Skin . First-degree burn (superficial burn) Only epidermis is damaged Skin is red and swollen Second-degree burn (superficial partial-thickness burn) Epidermis and superficial part of dermis are damaged Skin is red, painful, and blistered Regrowth of the epithelium can occur Homeostatic Imbalances of Skin Third-degree burn (full-thickness burn) Destroys epidermis and dermis; burned area is painless Requires skin grafts, as regeneration is not possible Burned area is blanched (gray-white) or black Fourth-degree burn (full-thickness burn) Extends into deeper tissues (bone, muscle, tendons) Appears dry and leathery Requires surgery and grafting May require amputation Homeostatic Imbalances of Skin Criteria for deeming burns critical (if any one is met): Over 30 percent of body has second-degree burns Over 10 percent of the body has third-or fourth-degree burns Third-or fourth-degree burns of the face, hands, feet, or genitals Burns affect the airways Circumferential (around the body or limb) burns have occurred Homeostatic Imbalances of Skin Skin cancer Most common form of cancer in humans Most important risk factor is overexposure to ultraviolet (V) radiation in sunlight and tanning beds Cancer can be classified two ways Benign means the neoplasm (tumor) has not spread Malignant means the neoplasm has invaded other body areas Concept Link Recall that mitosis gone wild is the basis for cancer (Chapter 3, pp. 82-83). These cells lack normal control of cell division and divide quickly, resulting in errors during DNA • One or more of the ABCD characteristics is evolving Developmental Aspects of Skin and Body Membranes Lanugo, a downy hair, covers the body by the fifth or sixth month of fetal development but disappears by birth Vernix caseosa, an oily covering, is apparent at birth Milia, small white spots, are common at birth and disappear by the third week Acne may appear during adolescence Pimples, scales, and dermatitis are more common with aging skin Developmental Aspects of Skin and Body Membranes In youth, skin is thick, resilient, and well hydrated With aging, skin loses elasticity and thins Skin cancer is a major threat to skin exposed to excessive sunlight Balding (alopecia) and/or graying occurs with aging; both are genetically determined other factors that may contribute include drugs and emotional stress

Dermis and Hypodermis

**labels**. ⏱️ **90 minutes** ## Goal ## Daily study time --- ## DAY 1 — Chapter 4: Tissues ### Focus - [ ] Epithelial tissue - [ ] Simple vs. stratified - [ ] Squamous vs. cuboidal vs. columnar - [ ] Connective tissue - [ ] Bone, blood, cartilage - [ ] Muscle tissue - [ ] Skeletal vs. cardiac vs. smooth - [ ] Nervous tissue - [ ] Neurons vs. neuroglia ### 👀 Visual practice - [ ] Look at unlabeled tissue images - [ ] Identify the tissue without looking at the answer - [ ] Label the important structures ### 📝 Practice - [ ] 10-question mini-test - [ ] Review anything I missed ### 🚨 Things I Keep Forgetting - [ ] ### 💡 One Thing I Learned Today - [ ] ### 🎯 What I Need to Review Tomorrow - [ ] --- ## DAY 2 — Chapter 5: Skin ### Focus - [ ] Epidermis - [ ] Dermis - [ ] Hypodermis - [ ] 5 epidermal layers - [ ] Hair follicles - [ ] Sweat glands - [ ] Sebaceous glands - [ ] Skin functions - [ ] Burns - [ ] Pigmentation - [ ] Wound healing ### 👀 Visual practice - [ ] Label a skin cross-section - [ ] Identify the epidermal layers ### 📝 Practice - [ ] 10-question mini-test - [ ] Review missed questions from Day 1 ### 🚨 Things I Keep Forgetting - [ ] ### 💡 One Thing I Learned Today - [ ] ### 🎯 What I Need to Review Tomorrow - [ ] --- ## DAY 3 — Chapter 6: Bone Tissue ### Focus - [ ] Compact bone - [ ] Spongy bone - [ ] Osteon - [ ] Osteocytes - [ ] Osteoblasts - [ ] Osteoclasts - [ ] Central canal - [ ] Lamellae - [ ] Trabeculae - [ ] Ossification - [ ] Bone remodeling - [ ] Calcium regulation - [ ] Fractures ### 👀 Visual practice - [ ] Identify an osteon - [ ] Label osteon structures - [ ] Identify compact vs. spongy bone ### 📝 Practice - [ ] 10-question mini-test - [ ] Review missed questions ### 🚨 Things I Keep Forgetting - [ ] ### 💡 One Thing I Learned Today - [ ] ### 🎯 What I Need to Review Tomorrow - [ ] --- ## DAY 4 — Chapter 7: Axial Skeleton ### Focus - [ ] Skull - [ ] Cranial bones - [ ] Facial bones - [ ] Vertebral column - [ ] Cervical vertebrae - [ ] Thoracic vertebrae - [ ] Lumbar vertebrae - [ ] Sacrum - [ ] Coccyx - [ ] Ribs - [ ] Sternum ### 👀 Visual practice - [ ] Identify bones from different angles - [ ] Identify major landmarks ### 📝 Practice - [ ] 10-question mini-test - [ ] Review missed questions ### 🚨 Things I Keep Forgetting - [ ] ### 💡 One Thing I Learned Today - [ ] ### 🎯 What I Need to Review Tomorrow - [ ] --- ## DAY 5 — Chapter 8: Appendicular Skeleton ### Focus - [ ] Clavicle - [ ] Scapula - [ ] Humerus - [ ] Radius - [ ] Ulna - [ ] Pelvic girdle - [ ] Femur - [ ] Patella - [ ] Tibia - [ ] Fibula - [ ] Foot bones ### 👀 Visual practice - [ ] Identify unlabeled bones - [ ] Identify bone markings - [ ] Compare right vs. left when needed ### 📝 Practice - [ ] 10-question mini-test - [ ] Review missed questions ### 🚨 Things I Keep Forgetting - [ ] ### 💡 One Thing I Learned Today - [ ] ### 🎯 What I Need to Review Tomorrow - [ ] --- ## DAY 6 — Mixed Review ### Weak areas - [ ] Chapter 4: __ - [ ] Chapter 5: __ - [ ] Chapter 6: __ - [ ] Chapter 7: __ - [ ] Chapter 8: __ ### Practice - [ ] 20 mixed questions - [ ] Unlabeled lab identification - [ ] “What structure is this?” questions - [ ] Review every missed question - [ ] Re-study weakest structures ### 🚨 Things I Keep Forgetting - [ ] ### 💡 One Thing I Learned Today - [ ] ### 🎯 What I Need to Review Tomorrow - [ ] --- ## DAY 7 — Mock Exam ### 📝 Full Chapters 4–8 exam - [ ] Multiple choice - [ ] True/False - [ ] Tissue identification - [ ] Bone identification - [ ] Skin identification - [ ] “What structure is this?” - [ ] Lab/practical-style questions - [ ] Timed section ### After the test - Score: ***/*** - Missed: - [ ] Review missed concepts - [ ] Retake missed questions - [ ] Rapid-fire structure identification - [ ] Stop studying and rest ### 🚨 Things I Keep Forgetting - [ ] ### 💡 One Thing I Learned Today - [ ] ### 🎯 What I Need to Review Tomorrow

epidermis, dermis, hypodermis

5hair and hypodermics

Hypodermis

Ch5.1 Dermis, Hypodermis & Sensory Receptors

The Dermis and Hypodermis

Estudo da Hipoderme, Obesidade e Lipedema

5hair and hypodermics

Hair Replacement & Hypodermic Tissue Building

Hair Replacement & Hypodermic Tissue Building

RA II Hair replacement and hypodermic tissue building

skin structures, epidermal region, dermal region, Hypodermal region

Study Guide Module 2 MODULE 2 STUDY GUIDE The Integumentary System ⸻ CHAPTER 1: OVERVIEW OF THE INTEGUMENTARY SYSTEM Components of the Integumentary System The integumentary system consists of: * Skin * Hair * Nails * Sweat glands * Sebaceous glands The skin is the largest organ in the body. Functions of the Integumentary System 1. Protection 2. Sensation 3. Thermoregulation 4. Vitamin D synthesis 5. Communication ⸻ CHAPTER 2: LAYERS OF THE SKIN The skin has two major layers: Epidermis * Superficial layer * Keratinized stratified squamous epithelium * Avascular Dermis * Deeper layer * Connective tissue * Contains blood vessels, nerves, glands, and hair follicles Hypodermis * Not technically part of the skin * Also called subcutaneous layer * Contains adipose tissue Functions: * Energy storage * Cushioning * Insulation * Anchoring skin ⸻ CHAPTER 3: EPIDERMIS Cell Types Keratinocytes * Most abundant cells * Produce keratin Melanocytes * Produce melanin * Protect against UV radiation Tactile (Merkel) Cells * Touch receptors Dendritic Cells * Immune defense * Phagocytize pathogens ⸻ EPIDERMAL LAYERS Deep → Superficial Stratum Basale * Deepest layer * Single layer of cuboidal cells * Contains stem cells * Contains melanocytes * Contains tactile cells * Site of mitosis Stratum Spinosum * 8–10 layers thick * Contains dendritic cells * Connected by desmosomes Stratum Granulosum * 3–5 layers * Keratinization begins * Cells flatten * Organelles begin breaking down Stratum Lucidum * Only in thick skin * Palms and soles * Dead transparent cells Stratum Corneum * 15–30 layers * Dead keratinized cells * Protection from abrasion * Prevents dehydration ⸻ THICK VS THIN SKIN Thick Skin Found on: * Palms * Soles Contains: * Stratum lucidum Thin Skin Found everywhere else Does not contain: * Stratum lucidum ⸻ EPIDERMAL WATER BARRIER Located between: * Stratum spinosum * Stratum granulosum Functions: * Waterproofing * Prevents dehydration * Prevents excess water entry Components: 1. Filaggrin 2. Lamellar proteins 3. Lamellar lipids 4. Tight junction proteins ⸻ CHAPTER 4: DERMIS Made of connective tissue. Papillary Layer Contains: * Areolar connective tissue * Dermal papillae * Capillaries * Tactile corpuscles (Meissner corpuscles) Function: * Light touch sensation Reticular Layer Contains: * Dense irregular connective tissue * Hair follicles * Sweat glands * Sebaceous glands * Arrector pili muscles * Lamellated (Pacinian) corpuscles Function: * Deep pressure * Vibration sensation ⸻ DERMAL FIBERS Collagen Provides: * Strength * Support * Water retention Elastin Provides: * Elasticity * Stretching ability ⸻ CHAPTER 5: PIGMENTATION Melanin Produced by: * Melanocytes Functions: * Skin color * UV protection Effects of UV Exposure UV stimulates: * Keratinocytes * Melanocytes Result: * Increased melanin production * Tanning ⸻ Disorders of Pigmentation Albinism Cause: * Lack of melanin production Effects: * Pale skin * Light sensitivity * Increased skin cancer risk Vitiligo Cause: * Loss of melanocyte activity Effects: * White patches on skin ⸻ CHAPTER 6: FUNCTIONS OF THE SKIN Protection Protects against: * Microorganisms * Chemicals * UV radiation * Water loss * Physical trauma Dermicidin: * Antimicrobial substance in sweat ⸻ Sensory Function Skin detects: * Touch * Pain * Temperature * Pressure * Vibration Receptors Meissner Corpuscles * Light touch Pacinian Corpuscles * Deep pressure * Vibration Tactile Cells * Touch Hair Root Plexus * Detects hair movement ⸻ Thermoregulation When Body Is Hot Blood vessels: * Dilate Sweat glands: * Increase secretion Result: * Cooling When Body Is Cold Blood vessels: * Constrict Result: * Conserves heat Can lead to: * Frostbite ⸻ Vitamin D Synthesis UV exposure stimulates vitamin D production. Vitamin D helps: * Calcium absorption * Bone health * Immune function Deficiency causes: Rickets Children Osteomalacia Adults ⸻ Communication Examples: * Facial expressions * Goosebumps * Sweating * Hair patterns ⸻ CHAPTER 7: HAIR Hair Structure Hair Shaft Visible portion Hair Root Embedded portion Hair Follicle Surrounds root Hair Bulb Growth region Hair Matrix Mitotic cells Hair Papilla Blood supply ⸻ Hair Layers 1. Medulla 2. Cortex 3. Cuticle ⸻ Hair Functions * Protection * Thermoregulation * Sensation * Communication ⸻ Hair Growth Average: * 0.3 mm/day Normal loss: * About 50 hairs/day ⸻ Hair Color Determined by: * Melanin Gray hair: * Reduced melanin production ⸻ Arrector Pili Muscle Functions: * Causes goosebumps * Helps retain heat Controlled by: * Sympathetic nervous system ⸻ Alopecia Definition: * Hair loss Pattern baldness: * Hormonal and genetic ⸻ CHAPTER 8: NAILS Functions: * Protection * Support for grasping Structures: * Nail body * Nail root * Nail matrix * Nail bed * Lunula * Cuticle (eponychium) * Hyponychium ⸻ CHAPTER 9: GLANDS Eccrine Sweat Glands Location: * Most of body Functions: * Thermoregulation Secrete: * Water * Salt * Waste products ⸻ Apocrine Sweat Glands Location: * Armpits * Genital regions Characteristics: * Empty into hair follicles * Produce odor after bacterial breakdown ⸻ Sebaceous Glands Produce: * Sebum Functions: * Lubricates skin * Waterproofs skin * Prevents drying * Antibacterial effects ⸻ CHAPTER 10: SKIN CANCER Basal Cell Carcinoma Origin: * Stratum basale Characteristics: * Most common * Least likely to metastasize ⸻ Squamous Cell Carcinoma Origin: * Stratum spinosum Characteristics: * More aggressive * Can metastasize ⸻ Melanoma Origin: * Melanocytes Characteristics: * Most deadly * Highly metastatic ABCDE Rule A = Asymmetry B = Border irregularity C = Color variation D = Diameter > 6 mm E = Evolving ⸻ CHAPTER 11: SKIN DISORDERS Eczema Symptoms: * Dry skin * Itching * Rash * Inflammation Treatment: * Moisturizers * Corticosteroids ⸻ Acne Cause: * Excess sebum * Keratin buildup * Bacterial infection Common locations: * Face * Chest * Back ⸻ CHAPTER 12: WOUND HEALING Steps: 1. Clot Formation Stops bleeding 2. Scab Formation 3. Fibroblast Activity Produces collagen 4. Capillary Growth 5. Epidermal Repair ⸻ CHAPTER 13: BURNS First-Degree Burn Damage: * Epidermis only Symptoms: * Redness * Pain ⸻ Second-Degree Burn Damage: * Epidermis + part of dermis Symptoms: * Blisters * Swelling * Pain ⸻ Third-Degree Burn Damage: * Epidermis * Dermis * Hypodermis Characteristics: * Nerve destruction * Often painless initially * Requires grafting ⸻ Rule of Nines Head and neck = 9% Each arm = 9% Each leg = 18% Trunk = 36% Genitalia = 1% ⸻ CHAPTER 14: SCARS Scar Tissue Produced by: * Fibroblasts Contains: * Collagen Lacks: * Hair follicles * Sweat glands * Sebaceous glands ⸻ Keloid Raised scar due to excessive collagen Atrophic Scar Sunken scar Examples: * Acne scars * Chickenpox scars ⸻ CHAPTER 15: PRESSURE AND FRICTION INJURIES Bedsores Cause: * Prolonged pressure Result: * Reduced blood flow * Tissue death ⸻ Stretch Marks Cause: * Rapid growth * Pregnancy * Weight gain ⸻ Calluses Cause: * Repeated friction Result: * Thickened epidermis ⸻ Corns Specialized calluses ⸻ Blisters Cause: * Friction Result: * Fluid accumulation between skin layers ⸻ CHAPTER 16: AGING AND THE INTEGUMENTARY SYSTEM Changes: Epidermis * Thinner * Slower cell division Dermis * Less collagen * Less elastin * Slower healing Hypodermis * Fat redistribution * Less cushioning Hair * Thinner * Grayer Nails * Slower growth * More brittle Glands * Less sweat * Less sebum Skin * Wrinkles * Sagging * Dryness ⸻ HIGH-YIELD EXAM FACTS Epidermal Layers Basale → Spinosum → Granulosum → Lucidum → Corneum Touch Receptors * Meissner = Light touch * Pacinian = Pressure/Vibration Pigment Cell * Melanocyte Immune Cell * Dendritic Cell Touch Cell * Merkel (Tactile) Cell Cancer Origins * Basal Cell Carcinoma = Stratum Basale * Squamous Cell Carcinoma = Stratum Spinosum * Melanoma = Melanocytes Sweat Glands * Eccrine = Cooling * Apocrine = Odor Burn Depths * 1st = Epidermis * 2nd = Epidermis + Dermis * 3rd = Epidermis + Dermis + Hypodermis Vitamin D Deficiency * Rickets * Osteomalacia This should cover essentially all of the major concepts from the four readings and is the type of material most likely to appear on a Module 2 Anatomy & Physiology exam

Hypodermic Syringe Model