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
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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
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