Chapter 6 - Skin Flashcards

(73 cards)

1
Q

The Integumentary System is made up by…?

A

(hair, nails, glands,
sensory receptors)

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2
Q

the Skin is…?

A
  • Largest organ by weight
  • Composed of several tissue types
  • Also called the cutaneous membrane
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3
Q

The skin contains what 2 layers?

A

epithelial tissue overlying connective tissue

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4
Q

Epidermis

A

Outer Layer of skin, composed of stratified squamous epithelium

Basement membrane between epidermis and dermis

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5
Q

Dermis

A

Inner Layer of skin, thicker than epidermis

Connective tissue, with collagenous and elastic fibers,
muscle, blood, nervous tissue

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6
Q

Subcutaneous layer (hypodermis):

A
  • Beneath dermis; insulating layer
  • Areolar and adipose connective tissue.
  • Not considered part of the skin
  • Contains blood vessels that supply skin
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7
Q

Epidermis, more info

A
  • Stratified squamous epithelium
  • Lacks blood vessels
  • Deepest layer, stratum basale, nourished by blood vessels in dermis
  • As cells grow, they migrate toward free surface, away from nutrient supply
  • As they migrate, older cells, keratinocytes, begin to flatten and die
  • Thickest on palms and soles (0.8 through 1.4 mm)
  • Most of body has thinner epidermis, 0.07 through 0.12 mm
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8
Q

Keratinization

A

Process of hardening, dehydration, and keratin accumulation
that occurs in epidermal cells as they migrate outward

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9
Q

Keratin

A

Tough, fibrous, waterproof protein made and stored in the cells
* As cells reach outer surface, become tightly packed, develop desmosomes,
form outermost layer, stratum corneum

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10
Q

stratum corneum cells are…?

A

eventually shed from skin surface

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11
Q

What is the Function of the Epidermis?

A

protects against water loss, harmful chemicals, mechanical injury,
pathogens

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12
Q

What are the Special Cells of the Epidermis?

A

Dendritic (Langerhans) Cells:

Tactile (Merkel) Cells:

Melanocytes:

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13
Q

Dendritic (Langerhans) Cells:

A
  • Found in the stratum spinosum
  • Phagocytes; protect skin and underlying tissues from infection
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14
Q

Tactile (Merkel) Cells:

A
  • Found in stratum basale
  • Along with sensory nerve endings, for Tactile Discs in dermis
  • Act as sensory receptors for light touch
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15
Q

Melanocytes

A
  • Found in stratum basale
  • Produce the pigment melanin
  • Absorbs UV light from sunlight and provides skin color
  • Melanin is distributed to keratinocytes, to protect from UV
    radiation (DNA damage, fibroblast damage, skin cancer)
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16
Q

Skin color results mainly from…?

A

Melanin Pigment

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17
Q

What are other Factors affecting Skin Color?

A

Hereditary Factors and Albinism

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18
Q

Hereditary Factors

A
  • All people have same number of melanocytes, but vary in
    amount of melanin produced (this is under genetic control)
  • Varying distribution and size of melanin granules
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19
Q

Albinism

A

inherited mutation in melanin genes; lack
melanin

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20
Q

Environmental Factors to Skin Color

A

Sunlight, UV light from sunlamps, and X-Rays

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21
Q

Physiological Factors

A
  • Oxygenation in blood of dermal blood vessels: pinkish,
    cyanosis
  • Vasodilation/vasoconstriction of dermal blood vessels
  • Accumulation of carotene pigment from diet
  • Jaundice
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22
Q

Dermis

A
  • Inner layer of skin
  • Average of 1 to 2 mm thick
  • Contains projections called dermal papillae between epidermal
    ridges
  • Binds epidermis to underlying tissues
  • Connective tissue layer, containing muscle fibers, nerve cell
    processes
  • Dermal blood vessels supply nutrients to all skin cells
  • Contains hair follicles, sweat and sebaceous glands
  • Contains sensory receptors: Lamellated (Pacinian) corpuscles
    for pressure, Tactile (Meissner’s) corpuscles for light touch
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23
Q

The dermis consists of 2 layers which are…?

A

Papillary and Reticular layer

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24
Q

Papillary layer:

A
  • Superficial layer
  • Areolar connective tissue
  • Thinner of the 2 layers
  • Location of dermal papillae, which form fingerprints
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25
Reticular layer:
* Deeper layer * Dense irregular connective tissue * Thicker of 2 layers
26
Accessory structures of the skin originate from the...?
Epidermis, extend into Dermis or Hypodermis
27
Accessory structures of the skin include...?
* Hair follicles * Nails * Skin glands (sweat and sebaceous) If accessory structures remain intact, injured/burned dermis can regenerate
28
Nails
protective coverings on ends of fingers and toes
29
What are the 3 parts of a nail? CHECK THIS IN THE POWERPOINT
* Nail plate (body): Visible portion, keratinized cells, overlies nail bed * Nail bed: Surface of skin, under nail plate * Nail matrix: Active growth region, not visible, at proximal end of nail bed
30
Lunula
Pale, half-moon-shaped region that lies over nail matrix; nail matrix conceals deeper blood vessels
31
Cuticle
Fold at proximal end of nail; part of stratum corneum that extends slightly over nail
32
Hair is present on all surfaces of skin except...?
palms, soles, lips, nipples, parts of external reproductive organs
33
Hair follicle:
Tube-like depression of epidermal cells from which hair develops; extends into dermis or the subcutaneous layer
34
Parts of Hair
Hair Root, Hair Bulb, Hair Shaft, Hair Papilla, Arrector pili Muscle
35
Hair Root
Extends from skin surface to dermis or hypodermis
36
Hair Bulb
Deepest part of hair root; contains dividing cells of hair matrix
37
Hair Shaft
Portion of hair that extend beyond skin surface; composed of dead, epidermal cells
38
Hair Papilla
contains blood vessels to nourish hair Hair color is due to type and amount of melanin
39
Arrector pili muscle:
Attached to hair follicle; contracts in response to cold or fear, and causes goosebumps
40
Sebaceous Glands:
* Holocrine glands * Usually associated with hair follicles * Produce sebum, which consists of fatty material and cellular debris * Sebum keeps hair and skin soft and waterproof * Excess sebum can result in acne * Absent on palms and sole
41
Sweat (Sudoriferous) Glands:
* Widespread in skin * Originate in deeper dermis or hypodermis as ball-shaped coils
42
What are the types of Sweat Glands?
Eccrine (merocrine) glands: Apocrine sweat glands: Specialized sweat glands:
43
Eccrine (merocrine) glands:
* Most numerous, consist mainly of water, some salts, wastes * Respond to elevated body temperature * Open to body surface through pores
44
Apocrine sweat glands:
* Axillary and groin areas; open into hair follicles * Called apocrine, but secrete by exocytosis * Respond to emotions, pain
45
Specialized sweat glands:
* Ceruminous glands—ear wax * Mammary glands—milk
46
Skin is...?
Versatile and vital for Homeostasis
47
What are the functions of the Skin?
Protective Barrier, Sensation, Excretion, Protection of Vitamin D, Regulation of Body Temperature
48
Protective barrier:
Protects against harmful substances, UV radiation, microorganisms, water loss
49
Sensation
Contains sensory receptors for touch, pressure, temperature changes, pain
50
Excretion
of some wastes
51
Production of Vitamin D
Starts in skin; when produced and activated, helps with calcium absorption
52
Regulation of Body Temperature
Helps cool body by sweating and blood flow changes
53
What are the methods of Heat Loss through the Skin?
Radiation, Conduction, Convection, and Evaporation
54
Radiation
Primary method, infrared heat rays travel from warmer skin to cooler environment
55
Conduction
Heat moves from warmer skin to cooler objects it is in contact with
56
Convection
Heat loss from skin into circulating air currents
57
Evaporation
Heat is lost through sweat as it evaporates, and carries heat away from the skin
58
When body temperature rises, what happens...?
* Thermoreceptors signal hypothalamus * Vasodilation of dermal blood vessels * Vasoconstriction of deep blood vessels * Sweat glands are activated
59
When body temperature falls, what happens...?
* Thermoreceptors signal hypothalamus * Vasoconstriction of dermal blood vessels * Vasodilation of deep blood vessels * Sweat glands are inactive * Muscles contract involuntarily (shivering)
60
Hyperthermia
abnormally high body temperature * Can occur on hot, humid day, when sweat cannot evaporate * When air temperature is high, radiation is less effective * Body may gain heat from hotter air * Skin becomes dry, person gets weak, dizzy, nauseous, with headache, rapid pulse
61
Hypothermia
abnormally low body temperature * Can result from prolonged exposure to cold, or illness * Shivering is involuntary skeletal muscle contraction, caused by hypothalamus * Progresses to confusion, lethargy, loss of reflexes and consciousness * Without treatment, organs shut down
62
Inflammation
* A normal response to injury or stress * Body’s attempt to restrict spread of infection * Blood vessels in affected tissues dilate and become more permeable, allowing fluids to leak into the damaged tissues
63
Inflamed skin may become:
* Reddened * Swollen * Warm * Painful
64
A Shallow Cut results in...?
Shallow cuts only affects the epidermis, results in epidermal cells along its margin dividing more rapidly than usual, to fill gap
65
A Deep Cut results in...?
reaching dermis or subcutaneous layer, results in blood vessels breaking
66
Released blood forms a...?
Clot
67
What is the full process with a Deep Cut?
* Clot consists of fibrin, blood cells, and platelets * Clot and dried tissue fluid form scab * Epithelial cells reproduce, fill in the wound * Fibroblasts secrete collagen fibers to bind wound together * Growth factors stimulate new tissue formation * Phagocytic cells remove dead cells and debris, scab sloughs off * Excess collagenous fibers may form elevated mass called a scar
68
Burns are classified by...?
extent of tissue damage
69
Superficial, partial-thickness (first degree) burn:
* Injures only epidermis, as in sunburn; redness, heat, inflammation * Healing takes days to weeks, no scarring
70
Deep, partial-thickness (second degree) burn:
* Destroys epidermis and some dermis, as in burn from hot liquid * May blister, healing varies with severity of burn and stem cell survival * Stem cells in hair follicles and glands can help regenerate skin * Usually recovers completely, no scarring
71
Full-thickness (third degree) burn:
* Destroys epidermis, dermis, accessory structures * Results from prolonged exposure to heat, flames, hot liquids * Some healing from margins * Often requires skin graft, skin substitutes
72
Rule of Nines:
* Divides body surface into regions of 9% or multiples of 9 * Used to estimate extent of injured body surface from a burn for treatment * From this estimate, plans to replace fluids, electrolytes, and skin can be figured
73
Life-Span Changes
* Cell cycle slows, skin becomes scaly, age spots appear * Epidermis and dermis become thinner * Loss of fat in subcutaneous layer; person feels cold * Wrinkling, sagging of skin occur * Sebaceous glands secrete less oil; skin becomes dry * Melanin production slows; hair whitens * Hair thins * Number of hair follicles decreases * Nail growth becomes impaired * Sensory receptors decline * Body temperature regulation becomes less effective * Diminished ability to produce Vitamin D