Chapter 6 Flashcards
What does the integumentary system consist of?
The skin and its accessory organs; hair, nails, and cutaneous glands
Inspection of the skin, hair, and nails is significant part of a physical exam
What is the skin vulnerable to?
Radiation, trauma, infection, and injurious chemicals
What is dermatology?
Scientific study and medical treatment of the integumentary system
What are the two layers of the skin?
Epidermis: stratified squamous epithelium
Dermis: connective tissue layer
What is the hypodermis and is it part of the integumentary system?
Another connective tissue layer below the dermis
Not part of integumentary system
Where is thick skin found and what are its characteristics?
On palms and sole, has sweat glands but no hair follicles or sebaceous glands
Epidermis from 0.4 to 0.6 mm thick
Where is thin skin found and what are its characteristics?
Covers rest of the body, possesses hair follicles, sebaceous glands, and sweat glands
Epidermis from 0.075 to 0.150 mm thick
What is the epidermis composed of?
Keratinized stratified squamous epithelium
What are the five types of cells of the epidermis?
Stem cells, Keratinocytes, Melanocytes, Tactile (Merkel) cells, Dendritic (Langerhans) cells
What is the function of stem cells in the epidermis?
Undifferentiated cells that give rise to keratinocytes
In deepest layer of epidermis (stratum basale)
What is the function of melanocytes in the epidermis?
Synthesize pigment melanin that shields DNA from ultraviolet radiation
What is the function of tactile (Merkel) cells in the epidermis?
Touch receptor cells associated with dermal nerve fibers
What is the function of dendritic (Langerhans) cells in the epidermis?
Macrophages originating in bone marrow that guard against pathogens
What is the composition of stratum basale?
A single layer of cuboidal to low columnar stem cells and keratinocytes resting on the basement membrane
Melanocytes and tactile cells are scattered among the stem cells and keratinocytes
What is the composition of stratum spinosum?
Produce more and more keratin filaments which causes cell to flatten; the higher up in this stratum, the flatter the cells appear
Consists of 8-10 layers of keratinocytes
What is the composition of stratum granulosum?
Consists of three to five layers of flat keratinocytes
Contains coarse dark-staining keratohyalin granules
What is the name of the layer found throughout the stratum?
Stratum spinosum
Named for artificial appearance created in histological section; involved in immune responses, arise from red bone marrow
Numerous desmosomes and cell shrinkage produces spiny appearance
What is the name of the layer consisting of three to five layers of flat keratinocytes?
Stratum granulosum
Consists of three to five layers of flat keratinocytes
Contains coarse dark-staining keratohyalin granules
In which layer are keratinocytes densely packed with eleidin?
Stratum lucidum
Seen only in thick skin
Keratinocytes are densely packed with eleidin
Eleidin intermediate product in keratin maturation; UV light protection
Cells have no nucleus or other organelles
Zone has a pale, featureless appearance with indistinct boundaries
Which layer consists of up to 30 layers of dead, scaly, keratinized cells?
Stratum corneum
Up to 30 layers of dead, scaly, keratinized cells
Dry thickened surface
Form durable surface layer
Surface cells flake off (exfoliate)
Resistant to abrasion, penetration, and water loss
How long does it take for newly formed keratinocytes to push the older ones toward the surface?
The Life History of a Keratinocyte
Newly formed keratinocytes push the older ones toward the surface
In 30 to 40 days a keratinocyte makes its way to the skin surface and flakes off
Slower in old age
Faster in injured or stressed skin
Calluses or corns—thick accumulations of dead keratinocytes on the hands or feet
Dandruff: clumps of dander stuck together by sebum (oil)
It takes 15–30 days for a cell to move from stratum basale to stratum corneum
What are the three important developments that occur in the stratum granulosum?
In stratum granulosum three important developments occur
Keratinocyte nucleus and other organelles degenerate; cells die
Keratohyalin granules release a protein filaggrin
Binds the keratin filaments together into coarse, tough bundles
Membrane-coating vesicles release lipid mixture that spreads out over cell surface and waterproofs it
Epidermal water barrier—forms between stratum granulosum and stratum spinosum
Lipids secreted by keratinocytes
Tight junctions between keratinocytes
Thick layer of insoluble protein on the inner surfaces of the keratinocyte plasma membranes
What is the name of the connective tissue layer beneath the epidermis?
The Dermis
Dermis—connective tissue layer beneath the epidermis
Ranges from 0.2 mm (eyelids) to 4 mm (palms, soles)
Composed mainly of collagen with elastic fibers, reticular fibers, and fibroblasts
Well supplied with blood vessels, sweat glands, sebaceous glands, and nerve endings
What are the upward fingerlike extensions of the dermis?
The Dermis
Hair follicles and nail roots are embedded in dermis
Smooth muscle (piloerector muscles) associated with hair follicles
Contract in response to stimuli such as cold, fear, and touch—goose bumps
Dermal papillae—upward fingerlike extensions of the dermis
Friction ridges on fingertips that leave fingerprints