Integumentary System (Ch. 5) Flashcards

(46 cards)

1
Q

function of integumentary system

A

→ acts as barrier & repels water

→ protects from abrasions, infections, dehydration

→ helps regulate body temp. (sweating, goosebumps)

→ acts as sensory organ

→synthesis of vitamin D

→ absorption/ excretion

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2
Q

thick vs. thin skin

A

thin skin thick skin

everywhere there palmar surface of hand

isn’t thick skin plantar surface of feet

→hair →NO hair

→oil glands → NO oil glands

→fewer sweat glands → MORE sweat glands

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3
Q

skin layers:

A

→ epidermis (superficial)

→dermis

→hypodermis

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4
Q

hypodermis

A

contains mostly adipose tissue with some areolar connective tissue

→anchors skin to underlying tissues, but still allows for some movement capability

NOT part of skin, but is part of integument

provides thermal insulation, storage site for triglycerides, shock absorption

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5
Q

dermis

A

deepest layer of skin

thick layer of connective tissue that consists mainly of collagen fibers, fibroblasts, and mast cells

→highly vascularized and innervated tissue

contains sensory corpuscles, glands (sebaceous, eccrine), lymphatic vessels

separated into 2 layers: papillary & reticular

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6
Q

papillary region of dermis

A

superficial-most layer of dermis

→made up of areolar connective tissue with many elastic fibers

→ contains Meissner’s (tactile) corpuscles

sensory receptors for light (sensitive) touch

located in DERMAL PAPILLAE

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7
Q

reticular region of dermis

A

deepest layer of dermis

→ made up of mostly dense, irregular connective tissue & small amount of areolar connective tissue

→allows for stretching of skin

tears in reticular later = stretch marks

→contains pacinian corpuscles

sensory receptors for deep touch

→contains 5 different types of glands, hair follicles, & associated smooth muscle structures

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8
Q

skin glands found in dermis layer

A

sweat glands (sudoriferous glands)

apocrine glands

→eccrine (merocrine) glands

modified apocrine (sweat) glands

→ceruminous glands

→mammary glands

sebaceous glands

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9
Q

eccrine glands

A

most common type of sudoriferous (sweat) gland

found in large amounts in palms, soles of feet and forehead

secretes “true sweat”*

*mostly water, also salts, vitamin C, antibodies, anti-microbial protein & small traces of metabolic wastes

primary function: release/produce sweat to prevent overheating (thermoregulation)

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10
Q

apocrine glands

A

only found in axillary & anogenital regions

larger than eccrine glands, begin functioning @ puberty

secretes viscous, milky or yellowish sweat that contains fatty substances & proteins

→body odor is produced when these secretion components are broken down by bacteria on skin

exact function UNKNOWN

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11
Q

ceruminous glands

A

modified sudoriferous gland

found in external ear canal

secretes EARWAX (CERUMEN)

→deters insects, waterproofs ear canal, helps block entry of foreign material

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12
Q

mammary glands

A

modified sudoriferous gland

→milk-producing

→develop within a female breast’s during pregnancy & lactation

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13
Q

sebaceous glands

A

oil glands

found in all thin skin areas

larger on face, neck & upper chest, smaller in size on all other areas of thin skin

→secretes sebum (oil)

→prevents water loss

→softens & lubricates skin & hair

→inhibits bacterial growth

→secretes oil into hair follicle & arrector pili contraction forces it to surface

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14
Q

epidermis

A

keratinized, stratified squamous epithelium

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15
Q

5 important cells found in epidermal layer

A
  1. keratinocytes: synthesize keratin (waterproof & strengthens)
  2. basal cells: undifferentiated, immature skin stem cells
  3. dendritic (langerhans) cells: immunity cells
  4. melanocytes: synthesize melanin
  5. tactile (merkel) cells: touch receptors
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16
Q

layers of epidermis:

A

from deep to superficial:

→ stratum basale

→ stratum spinosum

→stratum granulosum

→stratum lucidum (FOUND ONLY IN THICK SKIN)

→ stratum corneum

beautiful skin gets lotion constantly

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17
Q

stratum basale

A

basal layer

deepest epidermal layer that’s attached to dermis

→ single layer of basal (stem) cells, the deepest layers of keratinocytes & some melanocytes

as cells go through mitosis, they’re pushed closer to surface

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18
Q

stratum spinosum

A

spiny layer

consists mostly of keratinocytes that are spikey-looking

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19
Q

stratum granulosum

A

grainy layer

4-6 layers of keratinocytes that are flattened

→ layer where keratinization begins

20
Q

stratum lucidum

A

clear layer

thin layer that’s seen ONLY in thick skin

consists of 2-3 rows of dead keratinocytes

21
Q

stratum corneum

A

cornified layer

consists of 30+ layers of dead, scaly keratinized cells

accounts for ¾ of epidermis thickness

dead but still helps to protect underlying layers

22
Q

skin color

A

melanin produced by melanocytes determines color of skin, hair, & eyes

everyone has approx. same # of melanocytes but variations is due to amount of melanin pigment produced

exposure to sun causes melanocytes to make more melanin*

*blocks & absorbs excess UV LIGHT that cause cancer that may damage DNA of mother cells in basal layer

23
Q

carotene

A

yellowish-orange pigment found in plant products

→ accumulates in stratum corneum & fat tissue of hypodermis

converted into vitamin A which is crucial for skin & eye health

24
Q

erythema

A

red or pinkish hue under skin

→ caused by increased # of hemoglobin in capillaries of skin due to increased blood flow

can be caused by sunburns, inflammation, embarrassment, medications, allergies, fever, hypertension, etc.

25
cyanosis
abnormal blue tint/coloring of skin → caused by decreased blood flow or decreased hemoglobin or oxygen levels mostly seen in nail bed & lips but can be found anywhere
26
pallor
pale or ashen skin color → caused by decreased blood flow to skin (anemia, low blood pressure, etc.)
27
jaundice
yellowing of skin & whites of eyes → caused by increased levels of bilirubin in blood usually indicates liver disease or problem
28
bronzing
skin appears gold/bronze color commonly due to addison's disease
29
bruising
skin appears black/blue → caused by clotted blood below skin's surface hematoma is a larger collection of blood under skin
30
albinism
genetically inherited condition → not able to produce pigment melanin
31
hair
also called pilus (pili) functions to protect body and act as sensory organ → terminal refers to hair on head → vellus refers to hair on head
32
hair follicle
mostly dead, keratinized cells wall of hair follicle has 2 layers: 1. connective sheath → outer layer, made of dermis tissue 2. epithelial sheath → inner layer, made of epithelial tissue
33
hair structure
bulb→ swelling in dermis where a hair originates (created by hair follicle) root→ remaining area of hair within skin shaft → remainder of hair that's above skin's surface
34
hair structure
contains 3 concentric (circular) layers: 1. medulla→ inner layer 2. cortex→ middle layer 3. cuticle→ outer layer shape of hair determines texture of hair circular shape = straight hair oval shape = wavy hair square shape = curly hair
35
piloerector muscle (arrector pili)
smooth muscle that reacts to cold, fear, touch, and goosebumps by pulling hair follicle into upright position
36
nails
clear, tightly packed, keratinized epidermal cells **function:** keep meissner's & pacinian corpuscles at right distance beneath epidermis in order to work properly, protection, pick up things, scratching
37
burns
degree of burn tells you how many layers of integument are damaged 1. first degree 2. second degree 3. third degree
38
first degree burns
**ONLY EPIDERMIS LAYER** **REDDENED SKIN**
39
second degree burns
involves **EPIDERMIS** and **PART OF DERMIS** **BLISTERS** will show up
40
third degree burns
aka full thickness burn involves **EPIDERMIS, ALL of DERMIS, and commonly hypodermis, muscle, and/or bone** skin will be **CHARRING**
41
what do burn treatments focus on?
fluid replacement & infection control
42
what is the rule of nines?
a measurement system that determines % of whole body affected by burn injury
43
pt. has burns on front of their chest, entire right arm, & half of right leg
9% chest + 9% entire R arm + 9% ½ of R leg = 27% body affected
44
basal cell carcinoma
most common type of skin cancer → least malignant → arises from cells in stratum basale → usually seen in sun-exposed areas → grows very slowly & 99% of cases cured by surgical removal
45
squamous cell carcinoma
2nd most common skin cancer → arises from keratinocytes in stratum spinosum layer → usually seen on head & hands → grows rapidly & metastasizes if not removed
46
melanoma
least common but **DEADLIEST** → highly metastatic & resistant to chemotherapy → originates in melanocytes → must be removed to prevent spreading → ⅓ of cases come from moles, other ⅔ are spontaneous