Ch.5 Skin Flashcards

(32 cards)

1
Q

z

Skin

A
  • last for life
  • Waterproof,
  • stretchable
  • washable
  • if damaged can repair itself
  • Largest organ
  • Weighs 9 -11 pounds
  • Average 1-2 mm thick (ranges 1.5 – 4 mm)
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2
Q

What are the four ways that skin is a barrier?

A
  1. Protection barrier
  2. chemical barrier
    -melanin prevents UV light from damaging DNA
    - bacteriocides & acids inhibit microbial growth
    - lipids prevent dehydration & make us waterproof d. keratin prevent abrasions, resists chemicals
  3. physical barrier
    - tight junctions inhibit microbial entry
  4. biological barrier
    - contains immune cells
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3
Q

Skin Functions

A

-Temperature regulation= sweat & dermal blood flow
- Sensory reception
- Vitamin D production= UV light converts cholesterol to a form of vitamin D
- Blood reservoir= 5% of blood
- Excretion= waste products with sweat

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4
Q

Epidermis

A
  • top layer of skin
  • keratinized stratified squamous epithelium
    Four types of cells:
  • Keratinocytes
  • Melanocytes
  • Langerhans
  • Merkel cells
    4-5 distinct layers:
  • strantum corneum
  • stratum lucidum
  • stratum granulosum
  • strantum spinosum
  • stratum basale
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5
Q

Keratinocytes

Epidermis cell

A
  • most abundant
  • produce keratin (fibrous protein, that protects from heat,
    microbes, and chemicals)
  • produce lamellar granules (waterproofing)
  • arise by mitosis from basal layer and pushed to apical surface
  • at apical surface they are dead cells full of keratin
  • shape changes from cubodial to squamous
  • life span ~ 40 days
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6
Q

Melanocytes

Epidermis cell

A
  • reside in the basal layer
  • have projections (processes) that are in contact with
    surrounding keratinocytes
  • produce melanin and ship it to keratinocytes (keratinocytes cap their nucleus to shield DNA from UV light
  • Note: melanin + carotene (vit.A) + hemoglobin contribute to skin color
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7
Q

Langerhans

Epidermis cell

A
  • Reside primarily in middle layers
  • WBC’s (migrate from bone marrow to skin)
  • Function in phagocytosis & initiation of immune reactions
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8
Q

Merkel cells

Epidermis cell

A
  • Reside in basal layer
  • Involved in touch reception
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9
Q

stratum corneum (horny layer)

A
  • top layer of epidermis
  • Many layers (20-30)
  • Dead, flat keratinocytes full of keratin
  • Glycolipids between cells for waterproofing
  • Continuously sloughed off
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10
Q

stratum lucidum (clear layer)

A

second top layer of epidermis
- Extra layers of keratinocytes in thick skin

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11
Q

stratum granulosum (granular layer)

A
  • middle layer of epidermis
  • keratinocytes
  • Flattening
  • Organelles disintegrating, cells dying
  • Pre-keratin converting to keratin
  • Lamellar granules accumulate (secrete waterproofing lipids into spaces between cells)
  • Some Langerhans cells
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12
Q

stratum spinosum (prickly layer)

A
  • second to last bottom layer of epiderms
  • Several layers of cells
  • Keratinocytes with pre- keratin filaments
  • Langerhans (epidermal dendritic cells)
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13
Q

stratum basale (basal layer)

A
  • bottom layer of epidermis
  • 1 layer of cells:
  • Cubiodial, mitotic keratinocytes
  • Melanocytes
  • Merkel cells
  • some Langerhans
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14
Q

Dermis

A
  • second layer of the skin under the epidermis
  • Strong, flexible connective tissue
  • Cells include fibroblasts, macrophages, mast cells and white blood cells
  • “Hide” (animal hides used to make leather products)
    Two sublayers:
  • Papillary
  • Reticular
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15
Q

Papillary region

A
  • top sublayer of the dermis
  • Areolar connective tissue
  • Contains dermal papillae with capillary loops and touch receptors
  • On palms and soles deeper dermal ridges cause overlying epidermal ridges
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16
Q

Reticular region

A
  • bottom sublayer of dermis
  • Dense irregular connective tissue
  • Adipose, glands, receptors
  • Provides the skin’s extensibility and elasticity
17
Q

Hypodermis

A
  • underneath dermis
  • (subcutaneous layer)
  • Not part of skin –> Anchors skin to underlying tissue
  • Areolar & adipose connective tissue
  • Stores fat to insulate the body from heat loss
18
Q

Hair

A
  • Color= melanocytes at follicle base
  • Functions= protection (heat loss and initiate reflexes)
  • Found on all skin except palmar and plantar surfaces, lips, and genitals
  • Dead keratinized cells
  • Tough, durable, cells do not flake off
20
Q

Nails

A
  • Function = protection, scratching, grasping
  • Structure = body, free edge, root
21
Q

3 types of skin glands

A
  • sudoriferous
  • ceruminous
  • sebaceous
22
Q

Sudoriferous Glands

Type of skin gland

A
  • sweat glands
  • simple,tubular glands
  • sweat = water, ions, waste
  • Two Types: eccrine & apocrine
23
Q

eccrine

Skin Gland –> Sudoriferous Glands –> Eccrine gland

A
  • Located over most of body, especially on forehead, palms, soles
  • Duct opens into skin surface
24
Q

Apocrine

Skin Gland –> Sudoriferous Glands –> apocrine

A
  • Primarily in axilla, groin
  • Duct opens into hair follicle
  • Sweat contains lipids & proteins
25
Ceruminous | Type of skin gland
- wax glands - modified apocrine sweat glands  located in ear canal - secretion is waxy - Function: protection
26
Sebaceous Glands | Type of skin gland
- oil gland - simple alveolar glands - holocrine - duct into hair follicles - found all over except on soles and palms - Function = soften & lubricates hair and skin, antibacterial
27
Burns
- first degree = only epidermis is affected should heal on own - second degree = epidermis + upper dermis is affected blisters, painful - third degree = epidermis + whole dermis affected may look white, red, or black not painful (receptors are gone) f luid loss & infection are a major concern
28
Types of Skin Cancer
1. Basal cell carcinoma 2. Squamous cell carcinoma 3. Malignant melanoma
29
Basal cell carcinoma
basal layer keratinocytes divide and invade dermis, usually not malignant
30
Squamous cell carcinoma
spiny layer keratinocytes divide tends to metastasize (spreads) to lymph nodes
31
Malignant melanoma
cancer of melanocytes often develops at the site of moles rapidly metastasize to lymph nodes and blood vessels, use the ABCD rule
32
Melanoma ABCD Rule
- A = Asymetry - B = Border irregularity - C = Color - D = Diameter