Integument Flashcards

1
Q

three major layers from outermost to innermost

A
  • epidermis
  • dermis
  • hypodermis
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2
Q

functions of the skin 6*

A
  • protective: keratin synthesis, hairs, sebum
  • sensory: specialized nerve endings
  • thermoregulation: sweat glands control of blood flow
  • metabolic: vitamin D synthesis, ion balance
  • immunological: langerhans cells and wandering lymphocytes
  • absorption* : nicotine, steroids
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3
Q

thick skin

A
  • located on palms and soles
  • hairless
  • fingerprint grooves
  • SSKE
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4
Q

thin skin

A
  • located everywhere other than palms and soles
  • usually has hair and hair associated glands
  • SSKE
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5
Q

epidermis layers

-exterior inward

A
  • stratum corneum
  • stratum lucidum
  • stratum granulosum
  • stratum spinosum
  • stratum basale (germinativum)
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6
Q

stratum basale

A

turnover takes 15-30 days

  • stem cells are located at the top of ridges and the have a vertical mitotic axis, moving the new cells down into the bottom of the ridge
  • once at the bottom of the ridge the cells divide along a horizontal mitotic axis
  • contain melanocytes and merkel cells
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7
Q

hyperproliferation of the stratum basale

A
  • HPV infection of basal keratinocytes gives rise to warts
  • basal cell or squamous cells give rise to carcinoma
  • melanocytes –> melanoma
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8
Q

stratum spinosum

A
  • prickle cell layer
  • thickest living layer
  • abundant desmosomes which give rise to the prickle appearance when sectioned
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9
Q

stratum granulosum

A
  • keratohyaline granules contain: filagrin, loricrin, and trichohyalin
  • these granules are highly phosphorylated which allows them to stay heavily with hematoxylin
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10
Q

stratum corneum

A
  • dead cells packed with keratin
  • the abundance of protein makes this layer eosinophilic
  • lipids in this layer allow the skin to be water proof
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11
Q

melanocytes

A
  • neural crest derivatives
  • lie superficial to BL
  • constant numbers between races
  • synthesize tyrosinase (unique to this cell type)
  • pigment donation to the surrounding cells so they can use it to protect against UV
  • melanosomes contain the melanin
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12
Q

melanin formation within melanosomes

A
  • tyrosine converted to DOPA which is convertedto melanin
  • this breaks off from the golgi
  • these melanosomes are taken up by the cells surrounding the melanocyte and is used as a melanin cap which is placed between the sun and the nucleus
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13
Q

melanocyte activity is promoted by

A
  • UV light

- melanocyte stimulating hormone

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14
Q

melanin polymorphisms

A
  • eumelanin: this is the wild type form of melanin found in most people
  • phaeomelanin: this is a mutant form which does not block UV light as well, causes red hair, higher risk for melanoma, weaker antioxidant but does allow the individual to make much more vitamin D
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15
Q

pigmentation variations

A
  • freckles: ephelides, localized increase in melanin production, develop in response to sun exposure
  • moles: nevus, localizzed aggregation of melanocytes, appear soon after birth
  • albinism: lack of pigment, tyrosinase defect type 1
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16
Q

tattoo

A

-need to get the ink in the dermis so scar tissue can form

17
Q

langerhans cells

A
  • lantigen presenting
  • no desmosomes, few IF
  • derived from bone marrow
18
Q

merkel cell

A

-mechanoreceptors

19
Q

papillary

A
  • this is where the ridges between the dermis and epidermis reside
  • it increases the surface area for greater attachment
20
Q

hairs

A
  • keratinized epithelial structures
  • composed of a infundibulum, isthmus, bulb, and dermal papilla (epithelial-mesenchymal interaction)
  • associated with sebaceous glands, apocrine glands, and arrector pili muscle
  • melanocytes at the base of the hair follicle give the hair its color
  • contains trichohyaline, which gives it its rigidity
21
Q

glands of the skin

A
  • eccrine
  • apocrine
  • sebaceous
22
Q

eccrine gland of the skin

A
  • simple, coiled tubular
  • thermoregulatory
  • salt balance
  • has myoepithelial cells
  • ducts modify the secretion
23
Q

sweat contains

A
  • water
  • urea
  • NaCl
  • dermcidin
  • trace elements
  • ions
24
Q

apocrine sweat glands

A
  • simple, coiled tubular
  • apocrine (or eccrine) secretion
  • product is stored
  • ducts do not modify the secretion
  • restricted distribution
  • develop at puberty
  • activated by stress ad sexual stimulation
  • glands contain myoepithelial cells
25
Q

sebaceous glands

A
  • acinar morphology
  • holocrine secretion
  • secrete oily substance (sebum)
  • usually assocatied with hairs
  • may exist without hairs
  • fordyce spots on lip
26
Q

free nerve endings

A
  • non encapsulated
  • thermoreceptors
  • mechanoreceptors
  • nociceptors
  • extend to stratum Gr.
27
Q

merkel endings

A

-non encapsulated

slow adapting mechanoreceptors

28
Q

meissners corpuscle

A
  • encapsulated
  • rapidly adapting mechanoreceptors
  • high density = discriminatory (braille)
  • dermal papilla
29
Q

pacinian corpuscle

A
  • encapsulated
  • rapidly adapting mechanoreceptor for vibration
  • up to 2 mm in length
  • located in hypodermis