Skin Flashcards

(51 cards)

1
Q

Functions of the skin (6)

A
  • protection for underlying tissues against abrasions, impact, fluid loss and chemicals; keratin - abrasion, water repellant, Melanin - UV rays
    • Vitamin D synthesis
    • Excretion of salts, sebum, water
    • Thermoregulation
    • Sensation
      • Storage of fats
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2
Q

What kind of cells is the epidermis made up of

A

Stratified squamous epithelium of keratinocytes (cells that contain keratin)

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3
Q

Does the epidermis have a blood supply

A

No

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4
Q

where does the epidermis get its nutrients from

A

the vasculature of the dermis

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5
Q

What are the 5 layers of the epidermis

A

Corneum, leusedum, granulosum, spinosum, basale

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6
Q

What does the stratum basale do

A

it is columnar cells which divide and daughter cells migrate up to replenish the layer above. Where the Melanocytes are found

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7
Q

what does the Stratum spinosum do

A

Linked together by desmosomes, the cells become increasingly spiky/flattened as they move upwards

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8
Q

What does the stratum granulosome do

A

dehydrates cells further, keratin fibres cross link, waxy material is secreted into the ECM

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9
Q

What does the stratum lucidum do

A

Is in thick skin which is palms of feet and hands, Is an extra leyer

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10
Q

What does the stratum corneum do

A

it is dead cells with no nuclei. layer can be easily removed with tape

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11
Q

why is the epidermis wavy

A

to increase surface area so it can get resources from dermis blood supply

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12
Q

What do desmosomes do?

A

Anchor neighbouring cells in the epidermis

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13
Q

what do hemidesmosomes do

A

anchors the stratum basale to the dermis

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14
Q

what are the two layers of the dermis

A

Papillary layer - consists of highly vascularised tissues (for nourishment)
Reticular layer - mesh like structure os collagen and elastin fibres
Both layers contain blood vessels, lymphatics, sensory nerve fibres and accessory structures.

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15
Q

What are the two plexus of the skin

A

The cutaneous plexus which is between the hypodermis and the dermis and supplies the lower dermis and hypodermis with blood
The sub papillary plexus which branches off the cutaneous plexus located deep to the papillary layer supplying blood to the upper dermis and epidermis

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16
Q

Hypodermis purpose

A

The main function is thermoregulation as it contains fat to act as insulation
Also where injections go to.
Mainly consists of adipocytes

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17
Q

First degree burn

A

Superficial - only involve the epidermis
Red, pink, dry, painful
skin remains intact
heals 3-10 days

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18
Q

Second degree burn

A

Normal: Epidermis and some dermis
Painful, moist, red, blistered
usually 1-2 weeks to heal; needs good dressing to avoid infection
Deeper: Epidermis and entire dermis
whiteish waxy looking areas
may lose sensation and get scarring
1 month to heal

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19
Q

Third degree burn

A

Full thickness burn ie. all layers of skina dn may involve some muscle and bone
waxy white to deep red or black
Hard, dry and leathery
no pain due to sensory nerve endings being destroyed
may require skin grafting and weeks to regenerate + scarring

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20
Q

Accessory structures of the skin

A

Hair, sweat glands, receptors, nails

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21
Q

What is Hair made of

A

dead, keratinised cells

22
Q

Anatomy of hair follicle

A

hair shaft projects from follicle
Also has arector pilli muscles which when contract cause hair follicle to stand up and goose bumbs
And root hair plexus - a collection of nerves at the base for sensation
Sebaceous glands - produce sebum

23
Q

Sebum

A

Oily secretion from sebaceous glands
Nourishes hair shaft and naturally moisturises skin
water repellant

24
Q

Sweat glands

A

Eccrine - found in most areas of the skin
Apocrine - founs in armpit, nipples and groin

25
Apocrine sweat glands
Found in armpit, groin and around nipples Secrete sticky, oily and sometimes odourus secretions into base of hair follcle more deep one secreted by hormones
26
Eccrine sweat glands
Found all over the skin pour water secretions directly on skin surface Located more superficially imporatnt for thermoregulation Has antibacterial action
27
Nails
Protect fingertips and toes Enhance sensation by creating backboard
28
Skin aging
Thinning epidermis Thin dermis (sagging and wrinkling) - reduced collagen; so not holding it as tight anymore Slower skin repair Drier epidermis impaired cooling; less sweat Less pigmentation (due to low melanin production); pale skin, grey hair
29
What does melanin do
absorbs UV light; protecting cells from UV damage
30
Where is melanin produced
Melanocytes in the stratum basale
31
How is melanin transported to epidermal cells
Melanosomes - vesicles containing melanin
32
Do melanocytes or melanosomes get shed
mELANOSOMES AS FOUND THROUGH THE EPIDERMIS
33
What is a mole
cLUSTER of melanocytes Over poliferation can be caused by sun exposure
34
What is a freckle
Melanocytes over producing melanosomes over production caused by sun exposure
35
Vitamin D purpose
essential for normal calcium metabolism and strong bones
36
What does Vit D deficiency cause
causes rickets - due to calcium deficiency and affects mood
37
What is required for Vit D synthesis
UV exposure
38
2 types of skin cancer
Basal cell carcinoma and malignant melanoma
39
Basal cell carcinoma
Quite common but metasis (spread) is rare (benign) Originates in the stratum basale
40
Malignant melanoma
Rare but deadly of not treated Orginates in melanocytes Highly metastatic mortality rate dependent on tumour
41
Tattoo
has to go into dermis so that it doesn't get shed off
42
What are the prmiary mechanisms for heat transfer
Radiation, evaporation, convection and conduction
43
Radiation
increased vasodilation for heat transfer
44
Evaporation
of sweat
45
Convection
aIRFLOW takes heat away - reduced by goosebumps
46
Conduction
Touching something cold
47
to keep warm blood flow to skin is: and how:
Reduced - by constriction of smooth muscle bands around arterioles and pre capillary sphincters in the dermis relaxation does the opposite for heat loss
48
What system controls skin blood flow
Sympathetic nervous system
49
Which hormone control skin blood flow
noradrenaline - which acts on a1 adrenergic receptors on the vascular smooth muscle of the skin
50
Vasoconstriction
the blood vessels reduce blood flow which controlled by increased sympathetic nervous system activity
51
Vasodilation
tHE BLOOD vessels incease blood flow in response to increased temp and controlled by a decrease in SNS activity