Chapter 5 - Integumentary Flashcards
Dermatology
Study and treatment of integumentary system: the skin (integument), hair, nails, and cutaneous glands
Skin is the body’s _________ organ.
largest
The Layers of Skin Plus a Nearby Layer
- Epidermis: epithelium of skin
- Dermis: connective tissue of skin
- Hypodermis: connective tissue just underneath skin
Thick Skin
- Palms of hands, front of fingers, soles of feet, bottom of toes
- Hairless, no sebaceous/oil glands but does sweat
- Adaptive for high friction
Thin Skin
- Covers most of body
- Hairy, has both sebaceous oil glands and sweat glands
Functions of Skin
- Resistance to trauma & infection
- Water retention
- Sensation
- Vitamin D synthesis
- Thermoregulation
- Nonverbal communication
Epidermis
- Keratinized stratified squamous epitehlium
- Avascular (nutrients diffuse from deeper connective tissue)
- Sparse nerve endings
Cells of the Epidermis
- Stem cells
- Keratinocytes
- Melanocytes
- Tactile (Merkel) cells
- Dendritic (Langerhans) cells
Stem Cells
- Divide and produce keratinocytes
- Only in stratum basale
Keratinocytes
- Synthesize keratin
- Vast majority of epidermal cells (found in many layers)
Melanocytes
- Make melanin (brown to black pigment)
- Melanin is taken up by keratinocytes and used to protect their DNA from UV radiation
- Found in stratum basale
Tactile (Merkel) Cell
- Touch receptors that join with nerves
- Only found in stratum basale
Dendritic (Langerhans) Cell
- Immune cells, guard against toxins/microbes/pathogens
- Found in stratum spinosum, stratum granulosum
Layers of the Epidermis
- Stratum Corneum - layers of dead, scaly cells
- Stratum Lucidum - only in thick skin, no organelles
- Stratum Granulosum - cells have dark granules
- Stratum Spinosum - several layers of cells
- Stratum Basale - one cell thick, varied cell types
Dermis
- Rich in collagen fiber
- Large blood supply
- Cutaneous glands
- Hair follicles
- Piloerector muscles
- Nail roots
Layers of the Dermis
- Papillary layer
2. Reticular layer
Papillary Layer of Dermis
- Superficial, thin layer
- Areolar tissue
- Rich in blood vessels
Reticular Layer of Dermis
- Deep, thick layer
- Dense irregular connective tissue
- Striae (stretch marks): stretching of the dermal collagen
Hypodermis
- Not a true layer of the skin
- Located below the dermis
- Contains adipose (subcutaneous fat) and areolar tissue
Functions of Hypodermis
- Pads body
- Binds skin to underlying tissues
- Energy reservoir
- Thermoregulation
Skin Color Components
- Melanin
- Hemoglobin
- Carotene
Melanin
- Eumelanin - brownish black
- Pheomelanin - reddish yellow
- Across individuals, skin tones vary due to type and distribution of melanin (not number of melanocytes)
Hemoglobin
red pigment of blood
Carotene
- Yellow orange
- Concentrates in stratum corneum
Diagnostic Skin Colors
- Cyanosis
- Erythema
- Pallor
- Albinism
- Jaundice
- Hematoma
Cyanosis
Blue skin tone due to lack of oxygen