Integumentary system Flashcards

1
Q

cutaneous membrane

A

skin

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2
Q
  1. Regulates body temperature.
  2. Stores blood.
  3. Protects body from external environment.
  4. Detects cutaneous sensations.
  5. Excretes and absorbs substances.
  6. Synthesizes vitamin D.
A

Skin

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3
Q

Two main parts of integumentary system

A

Epidermis
Dermis

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4
Q

surface epithelial layer

A

Epidermis

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5
Q

deeper connective tissue layer

A

Dermis

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6
Q

lies deep to dermis; is not part of the skin

A

Subcutaneous (subQ) layer or hypodermis

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7
Q

nerve endings that are sensitive to pressure.

A

pacinian (lamellated) corpuscles

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8
Q

Keratinized stratified squamous epithelium

A

Epidermis

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9
Q

4 cell types

A

Keratinocytes
Melanocytes
Langerhans cells
Merkelcells

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10
Q

90% of epidermal cells
4-5 layers
Produce keratin
Protectsskin
Waterproofs skin

A

Keratinocytes

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11
Q

Make up 8% of epidermal cells
Transfer pigment to keratinocytes
Produce melanin

A

Melanocytes

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12
Q

a yellow-red or brown-black pigment that contributes to skin color and absorbs damaging ultraviolet (UV) light.

A

Melanin

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13
Q

aka epidermal dendritic cells
Immune response

A

Langerhans cells

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14
Q

Consist of tactile disc and neuron
for touch sensation

A

Merkel cells

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15
Q

Four Layers (strata)

A

Stratum basale (stratum germinativum)
Stratum spinosum: 8-10 cell layer
Stratum granulosum makes keratin
Stratum corneum: flattened dead cells

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16
Q

Includes stem cells; new cells arise here

A

Stratum basale (stratum germinativum)

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17
Q

8-10 cell layer
Cells beginning to look flattened
provides both strength and flexibility to the skin

A

Stratum spinosum

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18
Q

makes keratin
Losing cell organelles and nuclei
lipid-rich secretion acts as water sealant

A

Stratum granulosum

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19
Q

flattened dead cells
Cells here consist mostly of keratin.
Cells here are shed and replaced from below.

A

Stratum corneum

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20
Q

-Present only in thick skin areas of fingertips,
palms, and sole
-consists of four to six rows of clear, flat, dead
keratinocytes with large amounts of keratin
-provides an additional level of toughness

A

Stratum Lucidum

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21
Q

transfer of a patch of healthy skin taken from a donor site to cover a wound.

A

Skin Grafts

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22
Q

skin taken from the same individual

A

Autograft

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23
Q

identical twin

A

Isograft

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24
Q

individual’s epidermis are removed, and the keratinocytes
are cultured in the laboratory to produce thin sheets of skin

A

Autologous skin transplantation -

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25
- chronic skin disorder in which keratinocytes divide and move more quickly than normal from the s. basale to the s. corneum. - abnormal keratin, which forms flaky, silvery scales at the skin surface,
Psoriasis
26
various topical ointments and ultraviolet phototherapy
Tx
27
-second, deeper part of the skin -composed of dense irregular connective tissue containing collagen and elastic fibers
Dermis
28
thin superficial
papillary region
29
thick deeper
reticular region
30
— surfaces of the palms, fingers, soles, and toes have a series of ridges and grooves - part genetically determined and is unique for each individual - basis for identification
Epidermal ridge pattern
31
dark color
Melanin
32
yellow to red
Pheomelanin
33
brown to black
Eumelanin
34
yellow orange
Carotene
35
pink-red
Hemoglobin
36
Depends on blood flow
Hemoglobin in blood
37
- Precursor of vitamin A - In stratum corneum and adipose layers-
Carotene
38
- Pheomelanin - yellow to red - Eumelanin - brown to black - Darkness depends on amount of melanin produced. - Provides some protection against UV rays
Melanin
39
producing cells, synthesize melanin from the amino acid tyrosine in the presence of an enzyme called tyrosinase.
Melanin
40
Synthesis occurs in an organelle called
Melanosome
41
increases the enzymatic activity with thus increases melanin production.
Exposure to ultraviolet (UV) light
42
benign localized overgrowth of melanocytes
nevus or a mole
43
the inherited inability of an individual to produce melanin
Albinism
44
the partial or complete loss of melanocytes from patches of skin produces irregular white spots.
Vitiligo
45
skin appear bluish, blood is not picking up an adequate amount of oxygen from the lungs
Cyanotic
46
yellowish appearance of the skin is due to a buildup of bilirubin
Jaundice
47
redness of the skin, engorgement of capillaries in the dermis with blood due to skin injury
Erythema
48
paleness of the skin
Pallor
49
mucous membranes, nail beds, and skin appear bluish
Cyanotic
50
usually indicates liver disease
Jaundice
51
exposure to heat, infection, inflammation, or allergic rxn
Erythema
52
may occur in conditions such as shock and anemia
Pallor
53
Accessory Structures
- Hair - Skin glands - Nails
54
- Found on most skin surfaces - Made of fused keratinized cells - Consists of shaft and root - Surrounded by hair follicle
Hair
55
bulb which includes growing matrix producing cells
Base
56
muscle that pulls on hair
Arrector pili
57
- secrete oily sebum - Connected to hair follicles; keeps hair from drying out
Sebaceous gland
58
- Eccrine sweat gland - wide distribution- thermoregulation - Apocrine sweat gland - axilla, groin, areolae, beard - Contain other cell material
Sudoriferous (sweat) gland
59
- Wax combines with sebum to produce cerumen or earwax - waterproofs the canal and prevents bacteria and fungi from entering cells
Ceruminous (wax) gland
60
wide distribution- thermoregulation
Eccrine sweat gland
61
axilla, groin, areolae, beard q Contain other cell material
Apocrine sweat gland
62
Plates of packed hard dead keratinized cells
Nails
63
part extending past finger or toe
Free edge
64
major visible portion in nails
Nail body (plate)
65
portion of the nail that is buried in a fold of skin
root
66
crescent-shaped area of the proximal end of the nail body
lunula
67
the homeostatic regulation of body temperature.
Thermoregulation
68
dermis houses an extensive network of blood vessels that carry 8–10% of the total blood flow in a resting adult.
Blood reservoir
69
FUNCTIONS OF THE SKIN
Blood reservoir Protection Cutaneous sentations Excretion Absorption Vitamin D synthesis
70
usually is an indication of impending or actual tissue damage
Pain
71
include tactile sensations—touch, pressure, vibration, and tickling—as well as thermal sensations such as warmth and coolness
Cutaneous sentations
72
enables a drug contained within an adhesive skin patch to pass across the epidermis and into the blood vessels of the dermis.
Transdermal (transcutaneous) Drug Administration
73
angina pectoris (chest pain)
Nitroglycerin
74
Motion sickness
scopolamine
75
estrogen-replacement during menopause
estradiol
76
ethinyl estradiol and norelgestromin
contraceptive
77
smoking cessation
nicotine
78
relieve severe pain in cancer patients
fentanyl
79
a hormone that aids in the absorption of calcium from foods in the GIT into the blood.
Calcitriol
80
three common forms of skin cancer
Basal cell carcinomas Squamous cell carcinomas Malignant melanomas
81
- 78% of all skin cancers - tumors arise from cells in the stratum basale and rarely metastasize.
Basal cell carcinomas
82
- 20% of all skin cancers, arise from the stratum spinosum, and have a variable tendency to metastasize
Squamous cell carcinomas
83
- arise from melanocytes and account for about 2% of all skin cancers. - metastasize rapidly and can kill a person within months of diagnosis
Malignant melanomas
84
Early warning signs of malignant melanoma
A (asymmetry) B (border) C (color) D (diameter) E (evolving)
85
irregular shapes, two very different looking halves.
A (asymmetry)
86
irregular notched, indented, scalloped, or indistinct—borders.
B(border)
87
- uneven coloration, contain several colors
C (color)
88
about the size of a pencil eraser
D(diameter)
89
change in size, shape, and color
E (evolving)
90
can be cured by surgical excision in 99% of the cases
Basal cell carcinoma
91
Prognosis is good if treated by radiation therapy or removed surgically
Squamous cell CA
92
- Resistant to chemotherapy - Treated by wide surgical excision accompanied by immunotherapy -Chance of survival is poor if the lesion is over 4 mm thick
Malignant melanoma
93
tissue damage caused by excessive heat, electricity, radioactivity, or corrosive chemicals that denature (break down) proteins in the skin.
Burns
94
– only the epidermis is damaged - Symptoms include localized redness, swelling, and pain, no blister
First-degree
95
– epidermis and upper regions of dermis are damaged - redness, blister formation, edema, and pain result
Second-degree
96
– entire thickness of the skin is damaged, burned area appears gray-white, mahogany, or black; - Most skin functions are lost, marked edema, and the burned region is numb because sensory nerve endings have been destroyed.
Third-degree
97
Burns considered critical if:
- Over 25% of the body has second-degree burns, — Over 10% of the body has third-degree burns - There are third-degree burns on face, hands, or feet - When the burn area exceeds 70%, more than half the victims die.
98
A quick means for estimating the SA affected by a burn
Rule of Nine