Ch 21- Integumentary System Flashcards

1
Q

What are the functions of the Integumentary System?

A

-Protection
First line of defense against bacteria, virus , protect underlying structures from UV.
-Body temp regulation- blood vessels dilate if too hot and constrict if too cold
-Sensory
-Regulate water loss

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2
Q

What is sebum?

A

Sebum is acidic, which retards growth of bacteria

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3
Q

What do Langerhans cells do?

A

phagocytize pathogens and alert the immune system to the presence of pathogens

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4
Q

What vitamin does the skin produce?

A
Vitamin D production
Needed for calcium absorption
Useful to digestive and skeletal systems
Small amounts of UV radiation are needed
Vitamin D leaves the skin and enters the liver and kidneys
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5
Q

What are the two layers of the skin?

A
2 layers- Epidermis and Dermis
Epidermis
Outer, thinner region
Made of stratified squamous epithelium
Five layers (strata)
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6
Q

What is the epidermis?

A

Most superficial layer, Deepest epidermal layer
Contains melanocytes
Traps UV radiation and prevents damage to underlying layers of the skin
Contains Langerhans cells – macrophages

Sensory nerves
Free nerve endings – pain and temperature sensations
Tactile cells (Merkel cells) – touch sensations

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7
Q

What is Stratum spinosum

A

Contains keratinocytes , above basale
Makes keratin— protein that makes the epidermis waterproof and resistant to pathogens
Contains melanocytes and Langerhans cells

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8
Q

What is Stratum granulosum?

A

Contains granules
Act in waterproofing and production of keratin fibers
Middle layer …cells begin to die

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9
Q

What is Stratum lucidum?

A

Soles of your feet and palm of hands

Thin layer of dead cells

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10
Q

What is Stratum corneum ?

A

Cells are keratinized (hardened)
Serves as a mechanical barrier against microbes
Thick layer of dead cells forming an impermeable layer

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11
Q

What is dermis?

A

Numerous sensory nerve fibers, hair follicles, oil and sweat glands
Elastic fibers stretch to allow movement of muscles and joints
Collagenous fibers prevent skin from being torn
Binds the epidermis to the subcutaneous tissue
where all four types of major tissues are found
Papillary layer - Finger prints (dermal papillae). Provides epidermis with nutrition, dissipated heat, pain and touch receptors.
Reticular layer - thickest layer with arteries, veins, glands and attaches the epidermis to the subcutaneous layer

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12
Q

What is Hypodermis?

A

Composed of
Adipose (fat) and loose connective tissue
Blood vessels and nerves
Energy storage in adipose tissue
Injections given in this area are called hypodermic or subcutaneous

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13
Q

What are accessory organs

A

Hair follicles
Arrector pili muscles
Nails
Sweat and oil glands

Hirsutism – characterized by excessive body and facial hair in women due to increased production of male sex hormone
Alopecia – hair loss
Androgenic alopecia – male pattern baldness
Alopecia areata – sudden onset of patchy hair loss

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14
Q

What is the Sudoriferous (sweat) glands consisting of?

A

Eccrine
Watery sweat
Activated by heat

Apocrine 
Thicker sweat with 
more proteins, in armpit
 and groin areas
Activated by nervousness or stress
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15
Q

How does inflammation promote healing?

A

Extra blood to area
Extra nutrients for skin repair
Defensive cells

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16
Q

Basal Cell Carcinoma

A
From basal layer
Rarely metastasizes
New growth or sore that will not heal
Waxy, smooth, red, pale, flat, or lumpy
May or may not bleed
Surgery
17
Q

Squamous Cell Carcinoma

A

From upper cells of the epidermis
Metastasizes
Treatment same as basal cell

18
Q

Malignant Melanoma

A

Arise from melanocytes
Metastasizes
Itches or bleeds
Chemo or radiation

19
Q

Stages of cancer

A
0-Only found in epidermis
1-Spread to epidermis and dermis 
2-thick plus ulceration
3-Spread to one or more lymph nodes
4-Spread to other body organs or lymph nodes far from original melanoma
20
Q

Types of tests

A

Biopsy
Skin scrapings for fungal culture
Tissue Culture
Microbiology Cultures

21
Q

Sratum basale

A
stratum germinativum
Deepest  epidermal layer
Cells constantly dividing via mitosis
New cells pushed to the surface, die and sloughed off
Contains melanocytes 

EPIDERMIS

22
Q

Ceruminous or wax glands

A

modified sweat glands that are found in the ear canal and produce cerumen (earwax)