The Integumentary System Flashcards
1
Q
Integumentary System
A
-
Largest organ in surface aera
- Approximately 3000 square inches
- 16 percent of body weight
2
Q
The Integumentary system
A
-
Cutaneous membrane
-
Epidermis
- Accessory structures:
- Hair follicles
- nails
- Exocrine Glands
- Subcutaneous layer
-
Epidermis
3
Q
The Epidermis
A
-
Stratified Squamous Epithelium
-
Keratinized epithelium
- produces keratin ex. Fingernails
- Attached to dermis by the basil lamina
-
Cell types include:
- Keratinocytes: produces keratinized epithelium
- Melanocytes: pigment cells
- Langerhans cells: Immune system
- Merkel cells: Sensory cells (touch)
-
Keratinized epithelium
4
Q
Dermis
A
-
Connective tissue proper
- papillary Layer - thin layer of loose areolar connective tissue
- Reticular layer - thick layer of dense irregular connective tissue
-
Provides structural strength and elasticity to skin
- Collagen, reticular, and elastic fibers
- Contains the blood vessels and nerves of the skin
5
Q
Subcutaneous Layer (subQ) (Hypodermis)
A
- Connects skin to underlying tissues
- Loose Fibrous connective tissue (Adipose tissue) for strength and elasticity
- Contains fat (Adipose connective tissue) for padding and insulation -Body shape
- Contains many blood vessels and nerves
- Also called Superficial Fascia
6
Q
The fascia of the body wall
A
7
Q
Integumentary system Functions
A
- Nutrient storage
- temperature regulations
- Excretion
- Vitamin D3 Synthesis
- Sensory Detection
- Protection
8
Q
- *Integumentary system:**
- *Nutrient Storage**
A
-
To meet body’s requirement for constant supply of lipids
- Synthesis of membranes (Phospholipids and Glycolipids)
- Synthesis of lipid hormones
-
ATP Production in mitochondria via breakdown of fatty acids
- Fatty Acids → Acetyl coA
9
Q
- *Integumentary System:**
- *Temperature Regulation**
A
-
Dermis layer blood vessels
- Dilate for heat loss
- Constrict for heat conservation
- Mainly occurring in the reticular/papillary layer of dermis
-
Sweat Glands
- Secretes water which evaporates and cools skin
-
Subcutaneous layer
- Insulating layer of fat
10
Q
- *Integumentary System:**
- *Excretion**
A
- Excretion - Removal of waste products from body
-
Sweat glands secrete waste products along with other molecules
- Water
- Electrolytes (ions including NA+ and CL-)
- Organic waste such as urea (mainly) and ammonia (very little amount)
11
Q
Vitamin D3 Synthesis
A
- Vitamin D3 - Steroid (cholesterol) Derivative
-
Epidermal cells exposed to UV light synthesize cholecalciferol from cholesterol
- Cholesterol → Cholecalciferol → Calcitriol
-
Calcitriol - Hormone affecting Bone growth
- Stimulates Ca2+ and Po42- absorption
- Regulates Ca2+ ion concentration in body
12
Q
- *Integumentary System:**
- *Sensory Detection**
A
-
Pain (Nociceptors)
- Free nerves endings (Sensory Dendrites)
- Temperature (Thermoreceptors)
-
Touch, Pressure, Vibration
- Lamellated corpuscles
- Tactile (Meissner’s) Corpuscles
- Tactile Discs (Merkle’s discs and Merkle cells)
- Hair root plexus
13
Q
- *Integumentary System:**
- *Protection of the Body**
A
-
Layers of Keratinized cells
- Abrasion protection
- Water resistant
- Insensible perspiration (uncontrollable water loss) (300-500 ml/d)
- Resistant to Microbial invasion
-
Melanocytes
- Protection against ultraviolet radiation
14
Q
The structure of the epidermis
A
15
Q
Keratinization of the Epidermis
A
- Form by cell division of stem cells in the stratum germinativum (Basal Layer)
- New cells push older cells upward
- Oldest cells in the corneum layer eventually are shed (Flake off)
- 7-14 days to move from stratum germinativum to the stratum corneum
- 30 days (AVG) until shed from corneum
- Accumulate large amounts f keratin in the stratum granulosum and cells dies
16
Q
Epidermal Ridges
A
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Epidermal ridges of stratum germinativum are interlocked with dermal papillae
- Fingerprints
- Improves grip
17
Q
Skin Color
A
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Blood supply in dermis
- Hemoglobin in RBC provides color
- Cyanosis *blueish color* = hemoglobin with low oxygen
-
Epidermal Pigmentation
- Beta-carotene = dietary in origin
- Melanin - produced by melanocytes
- Provides some UV protection
18
Q
Melanocytes
A
- All humans including albinos, have the same number of melanocytes per unit aera of the skin
-
Darker pigmentation is due to:
- Faster rates of melanin gene expression
- Types of melanin produced
- Length of melanocyte process
19
Q
Disorder of the Epidermis
A
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Hyperkeratosis (Producing karyocytes to quickly)
- Calluses and corns (Thickening of skin)
- Psoriasis (Shedding skin cells to quickly)
-
Xerosis
- (Dry skin)
-
Herpes and warts
- Viral Infection
- Cancers of the skin
20
Q
skin cancer
A
- Actinic Keratosis (pre-cancerous) -Genetic
- Basal Cell Carcinoma - Most common
- Squamous cell carcinoma - Verry common
- Melanoma
21
Q
Neoplasms and Cancer
A
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Neoplasm (tumor): Abnormal tissue growth, loss of normal control of cell division
- Genetic mutations
- Benign: Cells usually remain with in a confined connective tissue capsule - not life threatening
- Malignant (Invasive, cancerous): Cells spread into surrounding tissue or disperse to distant sites - establish secondary tumors
22
Q
Elasticity of Skin
A
- Water content helps maintain flexibility and resilience of skin
- Dermis tolerates limited stretching
- Aging, hormones, and excess UV reduce amount of elastin fibers in dermis
- Stretch marks caused by excessive stretching of the dermis, exceeding the elastic capabilities of the skin
23
Q
Dermal Circulation
A
- Cutaneous Plexus: Vessels located at border between subcutaneous layer and dermis
-
Papillary Plexus: Vessels at dermis-epidermis border
- Vessels from these plexi supply nutrients and oxygen to epidermis, dermis, and accessory structures
- Contusion (bruise): rupture of dermal blood vessels
24
Q
Accessory structure of the skin
A
- Hair follicles and hair
- Nails of fingers and toes
- Exocrine glands
-
Epidermal Derivatives
- Originate form epidermis during embryological development
25
**Hair Growth**
* **Hair types =** Grows in a cyclical cycle
* Vellus hairs (peach fuzz)
* Terminal Hairs (Heavy)
* Club Hair (no longer growing)
* **Hair follicles may alter hair type in response to circulating hormones**
* **Hair growth sensitive to changes in body chemistry, blood circulation, and radiation**
26
**Hair Follicle**
* **Hair Bulb**
* Hair matrix - Germinative layer of hair bulb
* Produces keratinocytes that form the hair
* Has cyclic growth pattern
* **Melanocytes -** Produce melanin that is taken up by keratinocytes giving color to the hair
* **Hair Papilla -** Dermal CT at base of follicle contains capillaries and nerves
* **Hair shaft -** composed of dead keratinized cells
* **Hair Medulla (middle) -** dead cells with soft keratin and melanin
* **Hair Cortex (beyond the middle) -** dead cells with hard keratin and melanin
* **Cuticle -** Superficial protective layer of overlapping, dead keratinized cells
27
**Hair Follicle Walls**
* **Internal Root sheath -** Produced by cells at periphery of hair matrix
* **External Root Sheath -** extension of epidermis from surface of skin down to hair matrix
* **Glassy Membrane -** basal lamina connecting hair sheath (epidermis) to surrounding dermis
* **Dermal connective tissue sheath surrounds follicle**
28
**Hair Follicle Attachments**
* **Arrector Pili Muscles -** Contraction raises hair roughly perpendicular to skin surface
* **Root hair plexus -** sensory nerves surrounding base of each hair follicle
* **Apocrine -** Sudoriferous sweat glands
* **Sebaceous oil glands**
29
**Exocrine glands in the skin**
* **Ceruminous -** Wax producing glands of ear canals
* **Mammary -** Milk producing glands
* **Sudoriferous -** Sweat glands
* Merocrine
* Apocrine
* **Sebaceous -** oil glands
30
**Sweat Glands - Sudoriferous**
* **Merocrine (eccrine) sweat gland:**
* Sensible perspiration (evaporative cooling)
* open directly into skin surface
* Most numerous in palms and soles
* **Apocrine sweat glands:**
* Secrete fluid containing lipids
* Bacterial action produces strong odor
* Open into hair follicles, located in axillae (Arm pit) and genetical regions
* become active after puberty (Sensitive to hormone changes)
* **Both use merocrine secretion**
31
**Sebaceous Glands**
* **Discharge waxy sebum onto hair shaft or onto epidermal surface**
* **Sebum -** Mixture of lipids, proteins, and electrolytes
* Inhibits growth of bacteria
* Conditions hair and skin
* Holocrine Secretion
32
**Ceruminous Glands**
* **Modified Sweat glands**
* **Produce secretions that combine with secretions of sebaceous glands to form waxy substance - cerumen** (ear wax)
33
**Mammary Glands**
* **Anatomically similar to apocrine sweat glands**
* **Maturation depends on hormones secreted at puberty then during pregnancy**
34
**Nails**
* **Nail Root -** Site of nail production
* Germinal matrix of stem cells
* continuous growth
* Nail growth sensitive to changes in body metabolism
* **Nail body -** Dead, keratinized cells
* **Nail bed (sterile Matrix):**
* Thin layer of epithelium underlying nail body
* Many nerve endings and blood vessels
35
**Wounds and Healing**
* **Closed wounds -** Contusions
* **open wounds -** Abrasions, incisions, lacerations, punctures, avulsions, and burns
* **Regeneration process includes formation of:**
* Scab
* Granulation tissue
* Scar Tissue
36
**Healing of Skin Damage**
* **Minimal scarring if edges of wound can close cleanly or easily**
* Well approximated incision or laceration
* Parallel to tension (cleavage) lines
* **To fill in gap edges do not meet - granulation tissue, followed by scar tissue**
* Blood clot (scab) forms providing temporary covering
* Cells of stratum germinativum divide and migrate in to form new epithelium
* Fibroblasts migrate in to form new, typically abnormal, connective tissue of dermis
37
**Burns**
* **First degree burn -** some epidermal damage
* **Second Degree burn -** epidermal and some dermal damage
* **Third Degree burn (full thickness burn) -** loss of epidermis and dermis, extending into subcutaneous layer, loss of accessory structure
* **Burn treatments to assist repair:**
* Skin grafts (spit thickness and full thickness)
* Synthetic skin
38
**Ulceration**
* **Ulcers in skin -** loss of circulation leads to death of epidermal cells allowing bacteria to invade
* Decubitus ulcers = bedsores
* Diabetic ulcers - peripheral neuropathy and atherosclerotic peripheral arterial disease
39
**With age**
* **Integument thins- epidermis and dermis**
* **Number of Langerhans cells decrease**
* **blood flow decreases**
* **Melanocyte activity decreases**
* **Hair follicles function declines**
* **Repairs occur more slowly**
* **Vitamin D production decreases**
* **Glandular activity declines**
* **Reduced elastin production**