Unit 4: Ch 6 (Integumentary System) Flashcards
1
Q
Accessory structures
A
- Only found in thin skin
- Hair & nails
- Cutaneous glands
2
Q
Alopecia
A
- Thinning of hair/baldness
- Worsened by disease, poor nutrition, fever, emotional stress, radiation, chemotherapy
3
Q
Anatomical differences between dermis and epidermis
A
-
Epidermis
- avascular
- keratin
-
Dermis
- vascular
- contains blood vessels, glands, and nerve endings
- contains hair follicles & nail roots
4
Q
Blister
A
- Damaged dermal blood vessel (ie burn, friction)
- Results in serous fluid seeping out of vessel and accumulating
- Separates the epidermis from the dermis until the fluid is either reabsorbed or expelled by rupture
5
Q
Colors of diagnostic value
A
-
Cyanosis (blue)
- Blueness of skin resulting from a deficiency of oxygen in the circulating blood
- Examples: Lung disease, cardiac arrest, slow blood flow, airway obstruction
-
Erythema (red)
- Redness of the skin caused by increased blood flow in dilated cutaneous blood vessels or by dermal pooling of red blood cells
- Examples: exercise, hot weather, sunburn, anger
-
Albinism (white)
- Lack of pigmentation that alters the integumentary system
- Effected people have inherited a recessive, nonfunctional tyrosinase allele from both parents
-
Jaundice (yellow)
- Yellowing of the skin and whites of the eyes resulting from high levels of bilirubin in the blood
-
Hematoma/bruise (multiple)
- A mass of clotted blood showing through the skin
- Can be a variety of colors depending on how much healing has occurred
6
Q
Cutaneous glands
A
-
Sudoriferous (sweat) glands
- Merocrine (eccrine): at birth
- Myoepithelial cells
- Sensible (see/feel sweat) v. insensible (unable to see/feel sweat)
- Apocrine: post-puberty
- Bromhidrosis: body odor
- Pheromones
- Merocrine (eccrine): at birth
- Sebaceous: oil gland next to hair follicle
- Ceruminous: ear wax
- Mammary: produces milk
7
Q
Cutaneous membrane
A
- The skin
- 2 regions
-
Epidermis
- Keratinized stratified squamous epithelium
- Surface consists of dead cells packed with keratin
- Avascular; dependent on diffusion
- Arises from the ectoderm
-
Dermis
- Fibrous connective tissue: collagen, elastic, & reticular fibers, fibroblasts
- Vascular
- Arises from the mesoderm
-
Epidermis
- The hypodermis is NOT a part of the cutaneous membrane
8
Q

A

9
Q
Dendritic/Langerhans cells
A
- Found in stratum spinosum & stratum granulosum
- Provide immunity
10
Q
Dermal papilla
A
- Provides the hair with its sole source of nutrition
11
Q
Dermis layers
A
-
Papillary layer (superficial)
- Areolar connective tissue
- Rich in small blood vessels
- Allows for the mobility of leukocytes and other defenses
- Superficial 1/5 of dermis
- Often extends upward as dermal papillae
-
Reticular layer (deep)
- Dense irregular connective tissue
- Collagen fibers in all planes. Stretching of skin can tear the collagen fibers and produce striae (stretch marks)
- Deeper 4/5 of the dermis
12
Q
Epidermis stratification
- Cell classification
- Layers
- Cells present
A
- Keratinized stratified squamous epithelium
- Layers
- Stratum corneum
- Stratum lucidum (only in thick skin)
- Stratum granulosum
- Stratum spinosum
- Stratum basale
- Cells
- Stem cells
- Keratinocytes
- Melanocytes
- Tactile/Merkel cells
- Dendritic/Langerhans cells
13
Q

A

14
Q
Flexion lines (flexion creases)
A
- Lines on the flexor surfaces of the digits, palms, wrists, elbows, etc
- The skin is tightly bound to deeper connective tissues along these lines
15
Q
Fontalis muscles
A
Muscles for eyebrow expressiveness
16
Q
Friction ridges
A
- Produce fingerprints
- Enhance fingertip sensitivity to texture by vibrating and stimulating sense organs called lamellar corpuscles
- Form during fetal development and remain unchanged for life
- Patterns result from a combination of heredity and the surfaces that the fetus randomly touches with its fingertips before birth
17
Q

A

18
Q
Hair cycle
A
-
Anagen
- growth stage
- 6-8 years
-
Catagen
- mitosis ceases
- the follicle shrinks and the hair dies and loses its anchorage
- Hair becomes a club hair (easily pulled out while brushing)
- 2-3 weeks
-
Telogen
- hair follicle rests
- 1-3 months
19
Q
Hair follicle structure
A
- Hair follicle contains the hair root
- 2 layers
-
Epithelial root sheath
- Extension of the epidermis
- Stratified squamous epithelium
- Widens to form a bulge, a source of stem cells for follicle growth
-
Connective tissue root sheath
- Derived from the dermis
- Collagenous connective tissue
- Surrounds the epithelial sheath
-
Epithelial root sheath
20
Q
Hair functions
A
- Barrier (Antimicrobial properties & water retention)
- Hair receptors (feel sensations)
- UV protection (pigmentation)
- Thermoregulation (arrector pili)
- Mate attraction (apocrine glands)
21
Q
Hair matrix
A
- The hair’s growth center
- Contains stem cells that undergo mitosis to create daughter cells
22
Q
Hair root plexus
A
Responsible for identifying different sensations
23
Q
Hair types
A
-
Downy
- Fine, unpigmented hair that appears on the fetus
-
Terminal
- Longer, coarser, and usually more heavily pigmented
- Forms eyelashes, eyebrows and covers the scalp
- After puberty, it forms pubic hair, facial hair, and some of the hair on the trunk and limbs
-
Vellus
- 2/3 of the hair of women
- 1/10 of the hair of men
- All the hair of children except for the eyebrows, eyelashes, and hair of the scalp
24
Q
Hair zones
A
- 3 zones along the length of a hair follicle
- Shaft: Hair above the skin
- Root: Hair beneath the surface
- Bulb: Deepest hair
25
Hemangiomas
* Patches of skin discolored by benign tumors of the blood capillaries
* Types
* _Capillary hemangiomas_
* strawberry birthmarks
* 90% disappear by 6 YOA
* _Cavernous hemangiomas_
* flatter and duller in color
* 90% disappear by 9 YOA
* _Port-wine stain_
* flat and pink-to-purple in color
* remains for life
26
Hirsutism
* Excessive or undesirable hairiness in areas that are not usually hairy, especially in women and children
* Usually results from either masculinizing ovarian tumors or hypersecretion of testosterone by the adrenal cortex
* Often associated with menopause
27
Hypodermis/Subcutaneous Tissue
* Areolar or adipose tissue between skin and muscle
* Binds skin to underlying tissues
* Subcutaneous fat
* Notes
* Drugs are injected into the hypodermis due to large blood supply, resulting in drugs entering the circulatory system and traveling throughout the body
* Not a part of the cutaneous membrane
28
Keratinocyte life history
* Most immature keratinocytes found in deepest layers
* Avg life span = 30 to 40 days
* Stratum granulosum
* Keratinocytes die
* Epidermal water barrier
* Consists of
* lipids secreted by keratinocytes
* tight junctions between keratinocytes
* Dead cells exfoliate as dander
* _Dandruff_: exfoliation included with secretions from nearby hair
* _Dander_: exfoliation process
29
Keratinocytes
* Majority of epidermal cells
* Synthesize keratin
30
Lunule
* Aids in capillary refill assessment (nail structure)
31
Melanin
* Important for preventing the disruption of UV radiation
* Only found in melanocytes in the stratum basale
* 2 types
* _Eumelanin_: darker colors
* _Pheomelanin_: lighter colors
32


33
Nails
* Derivative of the _stratum corneum_
* Flat nails are one of the distinguishing characteristics of humans and primates. Serve as keratinized tools for grooming, picking apart food, and other manipulations
34
Pattern baldness
* Condition in which hair is lost unevenly across the scalp rather than thinning uniformly
* Results from a combination of genetic and hormonal influences
35
Piloerector muscles (aka arrector)
* Thermal regulation
* Respond to cold, fear, touch, or other stimuli
* Smooth muscle and involuntary contractions
* Straight hair releases heat
* Layered hair retains heat
* Example: goosebumps
36
Pilus / Pili
* Hair roots which grow from a hair follicle
* Terminology
* Pilus = hair (singular)
* Pili = hair (plural)
37
Skin categories
* **Thin skin**
* 4 functional layers (does not incl _stratum lucidum_)
* Found with accessories (ie hair follicles & subcutaneous glands)
* **Thick skin**
* 5 functional layers
* No accessories
* Can absorb more pressure than thin skin
* Skin that can manipulate the environment (ie palms & soles of feet)
38
Skin color factors
* _Melanin_: most significant factor
* _UV rays_: geographic and ethnic variation
* _Hemoglobin_: red pigment of blood
* _Carotene_: yellow pigment acquired from egg yolks and yellow/orange vegetables
39
Skin functions
* Barrier functions (physical barrier & waterproofing)
* Nonverbal communication
* Resistance to trauma and infection
* Sensation
* Thermoregulation
* Vitamin D synthesis
40
Skin markings
* **Friction ridges**: markings on the fingertips that leave fingerprints
* **Flexion lines**: marks sites where the skin folds during flexion of the joints (ie lines on digits, palms, wrists, elbows)
* **Freckles**: flat patches that vary by heredity and sun exposure
* **Moles**: an elevated patch of melanized skin
* **Hemangiomas**: patches of skin discolored by benign tumors of the blood capillaries
41
Skin sensory receptors
* _Free nerve ending_: not encapsulated, sense hot/cold
* _Lameliated/Pacinian_: pressure
* _Corpuscle/Meissner_: low frequency vibration
* _Tactile/Merkel_: light touch
* _Nociceptor_: identify pain
42


43
Stem Cells
* Undifferentiated cells that divide and give rise to keratinocytes
* Once differentiated they can only make new epidermal cells
* Found only in the stratum basale
44
Stratum basale
* Single-layer
* Stem cells, keratinocytes, melanocytes, tactile cells
* Site of most mitosis
45
Stratum corneum
* Most superficial layer; contact with external environment
* Up to 30 layers of dead, scaly, keratinized cells
* Resistant to abrasion, penetration, and water loss
46
Stratum granulosum
* 2-5 layers of cells with dark-staining _keratohyalin granules_
* Begins to form the waterproof layer of skin
* Cells die in this layer
47
Stratum lucidum
* Thin zone superficial to the stratum granulosum
* _Only_ in thick skin
* Cells have no nucleus or organelles. Featureless appearance with indistinct cell boundaries
* Keratinocytes are packed with a clear protein named _eleidin_
48
Stratum spinosum
* Several layers; primarily on _palms and soles_
* Dendritic cells, keratin filaments
* Attached to desmosomes and bound by tight junctions
49
Subcutaneous fat
* Functions
* Energy reservoir
* Thermal insulation
* Found in the hypodermis layer
* Adipocytes
* Notes
* Thicker in women
* Not uniformly distributed
50
Tactile/Merkel Cells
* Sensory receptors for light touch