AP1 Exam 2 Flashcards
Hypodermis
aka subcutaneous layer
NOT part of the skin
Functions of the skin
Protection
Absorbs
Excretion
Thermoregulation
Cutaneous sensation
Synthesis of Vitamin D
A mole:
aka Nevus
benign overgrowth of melanocytes
Most cells in the epidermis are:
Keratinocytes
Melanocytes
contain special organelle called melanosome: synthesize melanin from the amino acid tyrosine in the presence of the enzyme tyrosinase
produce melanin and transfer to keratinocytes
melanin protect the DNA within keratinocytes
Merkel cells and tactile discs function in the:
sensation of touch
Layers of the epidermis
Stratum corneum
Stratum lucidum (not present everywhere)
Stratum granulosum
Stratum spinosum
Stratum basale
Keratinocytes
have intermediate filaments called tonofilaments composed of a protein that will later form keratin
continuously undergo mitosis and migrate to more superficial layers
Transition between the deeper living cells and the more superficial dead cells: which layer?
Stratum granulosum
Stratum granulosum
transition from living to dead keratinocytes
filled with granules of keratin
lamellar granules release a waterproofing lipid solution
Where is stratum lucidum located?
Fingertips
Palms
Soles
*cells are lucid/clear
Dermis consists of:
irregular CT with collagen and elastic
contains blood vessels, nerves, glands, hair follicles, and Arrectores pilorum muscles
Dermis is divided into two regions:
Papillary region (more superficial): connects the dermis to the epidermis
Reticular region
Sudoriferous gland
aka sweat gland
two types: eccrine and apocrine
Dermal papillae within the papillary region of the dermis greatly increase ______ ______.
surface area
allows for better adhesion to epidermis
more SA for diffusion
Touch corpuscles
Meissner corpuscles
Free nerve endings:
sensation of warmth, coolness, pain, tickle, itch
Subcutaneous layer
aka hypodermis
more fibers than cells: attach dermis to deeper tissues
larger blood vessels
pacinian aka lamellated corpuscles: sense pressure
lamellated corpuscle
aka pacinian corpuscle
sense pressure
Epidermal ridges
aka fingerprints
develop during 3rd and 4th fetal months as the epidermis conforms to the contours of the underlying dermal papillae
Skin color is due to the combination of these 3 pigments:
Melanin: amount and expression is genetically determined
Carotene: amount and expression is genetically determined
Hemoglobin
The number of ______ is about the same in all races. It is the amount of ______ produced and distributed that contributes to differences in skin color. Increased exposure to UV light increases enzymatic activity of ______.
melanocytes
melanin
melanosome: increased melanin production leads to tan
Carotene:
yellow-orange pigment
precursor to vitamin A (used to synthesize pigments for vision)
Hair picture
The hair follicle is located in the:
dermis
Hair matrix
produces new hair cells and push the growing hair through the pilary canal
Associated with hairs are:
sebaceous glands
arrector pili muscle
hair root plexuses: group of dendrites and nerve fibers endings that form a network around a hair follicle; sensitive to touch when hair shaft is moved
Each nails consists of:
nail body
free edge
nail root
Nail picture
Nail matrix:
epithelium deep to the nail root
produce new keratinocytes
Sebum
secreted by sebaceous glands
keeps hair from drying
prevents excessive evaporation of H2O
inhibits growth of some bacteria
Eccrine sweat glands
merocrine glands
more common and found in most places
Apocrine sweat glands
apocrine gland
found in association with hair that develops at puberty (axilla, groin, beard)
Psoriasis
keratinocytes divide and move more quickly than normal from the stratum basale to the stratum corneum and are shed prematurely
make an abnormal keratin: forms flaky, silvery scales (most common on knees, elbows, and scalp)
Most common carcinoma:
basal cell carcinoma
Three forms of skin cancer:
Basal cell carcinoma (most common)
Squamous cell carcinoma
Malignant melanoma (least common, most threatening)
*all are attributed to excessive sun exposure
Albinism
inherited INABILITY of an indiv. to produce melanin
most cases: unable to synthesize tyrosinase
Vitiligo
partial/complete loss of melanocytes from patches of skin
irregular which spots
may be an autoimmune disorder attacking melanocytes (no apparent genetic link)
Jaundice caused by a buildup of ______
bilirubin
Striae are caused by:
aka streaks aka stretch marks
rapid stretching and tearing of dermis (puberty, weight gain, pregnancy)
first appear as purple or reddish lines (tearing of vessels in dermis)
Alopecia
partial/complete lack of hair (from aging, chemo, etc.)
Wound healing
Epidermal wound healing: return to normal function
Deep wound healing: loss of some function; scar tissue formation (fibrosis)
Epidermal wound healing
only epidermal involvement
basal cells break away from basement membrane
they migrate into the wound until they are in full contact (as a sheet moving up from the bottom)
contact inhibition: once they are in contact they stop migrating; mitosis of basal cells is stimulated
return to normal function
Stages of deep wound healing
Inflammatory phase: blood clot, increased blood flow and permeability, WBCs and mesenchymal cells move into the area; scab formed
Migration phase: epithelial cells form bridge, fibroblasts move into area and produce collagen
Proliferative phase: growth of epidermal cells, increased collagen, regeneration of blood vessels
Maturation phase: collagen fibers become organized, fibroblasts decrease, blood vessels normal, scab sloughs off
Degrees of burns
First degree: only epidermal involvement; no blisters
Second degree (partial thickness): part of dermis involved, blisters, scarring
Third degree (full thickness): deep into dermis, lose deep nerve endings (numbness), edema, vary in appearance
*rule of 9’s is only for 2nd and 3rd degree burns
Eczema
inflammation of the skin
characterized by patches of red, blistering, dry, extremely itchy
Wart
mass produced by uncontrolled growth of epithelial skin cells
caused by papillomavirus
Hirsutism
condition of excessive body hair
Lanugo
cover the body of the fetus
fine, nonpigmented, downy hairs
Terminal hairs
coarse, heavily pigmented hair
hair of head, eyebrows, eyelashes (secondary characteristic)
Vellus hairs
short, fine, pale hairs
develop on most of the body during childhood
Cartilage consists of:
ground substance of chondroitin sulfate (provides plasticity)
dense network of collagen (provides strength) and elastic fibers
chondrocytes reside in spaces called lacunae (little lakes)
no blood vessels (slow healing and growth)
Cartilage is covered by CT called ______
Perichondrium>>once vascularized, this becomes periosteum
Types of cartilage
Hyaline: most abundant, ends of long bones, smooth surface for joint movement
Fibrocartilage: very strong, long thick bundles of collage, disc shaped segment between bones (think intervertebral discs, pubic symphysis)
Elastic: threadlike network of elastic fibers, malleable parts of body (auricle, epiglottis)
Yellow bone marrow is:
adipose connective tissue
triglyceride storage: function of bone tissue
Structure of long bone picture:
*epiphyseal plate (growth plate) in children
*articular cartilage is hyaline cartilage
The bone matrix is made up of:
50% hydroxyapatite (calcium phosphate and carbonate) for hardness
25% water
25% collagen
Osteogenic cells:
mesenchyme
*differentiates into osteoblast
Osteoclasts come from ______ lineage.
WBC (macrophage of bone)
breaks down bone
Compact bone
aka cortical bone
most of the skeleton is compact bone
Spongy bone
aka cancellous bone, trabecular bone
site of hematopoiesis>red bone marrow
spongy bone lessens the overall bone weight
Compact bone picture
Compact bone is arranged in osteons aka Haversian systems: form concentric lamellae
Interstitial lamellae: between osteons
Outer (external) circumferential lamellae: directly deep to the periosteum
Inner circumferential lamellae: line the medullary cavity
Lacunae: small spaces between lamellae housing osteocytes
Canaliculi: channels connecting lacunae, filled with ECF, contain fingerlike projections of osteocytes
Central (osteonic) canal: blood and lymph. vessels run through here
Perforating (Volkmann’s) canals: blood and lymph. vessels run from central canal to outer cortex of the bone
Spongey bone picture
Spongey bone are arranged in a lattice of thin columns called trabeculae.
Still have lamellae, lacunae, and canaliculi just in a different layout
Ossification
aka osteogenesis
process of forming new bone
Osteogenesis occurs by two different methods:
Intramembranous ossification: spongy bone, can be remodeled to form compact, forms flat bones
Endochondral ossification: cartilage (cartilage model) is replaced by bone, forms both compact and spongy bone, formation of most bones, 1 primary and 2 secondary centers of growth
Intramembranous ossification picture
does not go through cartilage stage
Endochondral ossification picture
*1 primary and 2 secondary centers of growth
Ossification contributing to bone length is usually complete by ___to ___ years of age.
18-21
*bones can still continue to thicken and are capable of repair even after epiphyseal plate closure
Bone fractures
Open
Comminuted
Greenstick
Impacted
Vitamin A for bones:
stimulates osteoblasts
Vitamin C for bones:
needed for synthesis of collagen
Vitamin D for bones:
promotes absorption of calcium from foods in the GI tract into the blood
Vitamin K and B12 for bones:
needed for synthesis of bone proteins
Bone resorption
minerals (calcium, phosphate) into the blood
removal of minerals and collagen fibers from bone by osteoclasts
Bone deposition
deposit minerals into bone (calcium, phosphate)
addition of minerals and collagen to the bone by osteoblasts