Chapter 6: Integumentary System Flashcards

1
Q

What are the main functions of the integument?

A
  1. Protection from External Environment (Physical barrier)
  2. Prevention of Water Loss and Water Gain (transpiration)
  3. Vitamin D Synthesis (Vitamin D –> cholecalciferol –> calcitriol)
  4. Secretion (sweat, sebum)
  5. Absorption (transdermal administration)
  6. Temperature regulation (vasoconstriction, vasodilation)
  7. Immune Function (epidermal dendritic cells)
  8. Sensory reception (tactile sensory receptors)
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2
Q

Name the tissue types that compose the epidermis, dermis, and hypodermis

A

stratified squamous epithelium, areolar & dense regular connective tissue, adipose connective tissue

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3
Q

List the four major types of cells that make up the epidermis and their functions

A

keratinocytes, melanocytes, tactile cells, dendritic cells

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4
Q

What are the five layers of the epidermis from deep to superficial?

A

Stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, stratum corneum

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5
Q

What are the characteristics of stratum basale?

A

basal layer, simple cuboidalor low columnar cells connected to basement membrane; keratinocytes, melanocytes, tactile cells

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6
Q

What are the characteristics of stratum spinosum?

A

spindly layer; daughter cells of underlying keratinocytes stem cells; keratinocytes differentiate here; contains dendritic cells; all cells connected by desmosomes

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7
Q

What are the characteristics of stratum granulosum?

A

3-5 layers, keratinization begins here; keratinization results in cell death

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8
Q

What are the characteristics of stratum lucidum?

A

only in thick skin, 2-3 cell layers; keratinized cells are filled with eleiden which is a byproduct of keratinizaiton

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9
Q

What are the characteristics of stratum corneum?

A

20-30 layers of dead anucleated, keratinized cells; 2 weeks to get keratinized cells, 2 weeks to shed keratinized cells; exocrine sweat glands secretions prevent microorganism growth

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10
Q

What are the two layers of the dermis from deep to superficial?

A

reticular layer & papillary layer

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11
Q

What are characteristics of the dermal papillary layer?

A

areolar connective tissue; has dermal papillae and epidermal ridges that interlock and increase the area of contact between epidermis and dermis; each papilla contains capillaries that supply nutrients to the cells of the epidermis; has sensory nerve cells

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12
Q

What are the characteristics of the dermal reticular layer?

A

dense irregular connective tissue; large bundles of collagen fibers that extend in all directions; surrounds hair follicles, sebaceous glands, sweat glands, nerves, and blood vessels

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13
Q

What structures are found in the dermis?

A

connective tissue proper and collagen fibers, dendritic cells, blood vessels, sweat glands, sebaceous glands, hair follicles, nail roots, sensory nerve endings, arrector pili

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14
Q

How are fingerprints formed?

A

friction ridges left behind due to sweat and oil glands releasing secretions; unique identifiers to individual

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15
Q

What factors normally contribute to skin color?

A

hemoglobin (red), melanin (tan, black, brown: melanocyte activity), carotene (yellow-orange from beta-carotene foods)

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16
Q

What are freckles?

A

high melanocyte production

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17
Q

What are nevi?

A

mole; overgrowth of melanocytes; can sometimes become malignant

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18
Q

Describe jaundice in terms of skin coloring

A

yellow; liver

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19
Q

Describe cyanosis in terms of skin coloring

A

blue; lack of oxygen

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20
Q

Describe erythema in terms of skin coloring

A

red; physical exertion or strong emotions

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21
Q

What is albinism?

A

inherited recessive condition where the enzyme needed to produce melanin is nonfunctional; white hair, pale skin, pink irises

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22
Q

What are striae?

A

stretch marks

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23
Q

What is the location and function of Merker cells?

A

tactile cells; touch sense

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24
Q

What is the location and function of Meissner’s corpuscle?

A

low pressure touch; superficial closer to epidermis

25
What is the location and function of Pacinian or Lamellated corpuscle?
high pressure touch; deep to dermis
26
What is the location and function of free nerve ending?
most common sensory cell; unencapsulated dendrite
27
What is the location and function of hair root plexus?
sensory cell for hair root
28
What is the hair papilla?
part of hair bulb that has blood vessels and nerves
29
What is the hair matrix?
generates keratinized cells of hair; in hair bulb
30
What is the hair bulb?
living epithelial cells; includes hair papilla and hair matrix
31
What is the hair root?
32
What is the hair shaft?
hair
33
What is the hair cortex?
covers surface of developing hair
34
What is the hair cuticle?
covers hair cortex and hair shaft
35
What is the hair follicle?
tube surrounding the hair root; outer connective tissue root sheath and inner epithelial tissue root
36
What is arrector pili?
goosebump muscles that are attached to hair
37
What is the nail matrix?
actively growing part of nail
38
What is the nail root?
where the grown part of the nail comes from
39
What is the nail plate?
nail root and nail body
40
What is the nail body?
the visible pink part of nail
41
What is a lanula?
semilunar whitish area; proximal end of nail body
42
What is the eponychium?
cuticle, proximal margin of nail
43
What is hyponychium?
thickened stratum under free edge of nail
44
What is the structure and locations of sweat glands?
simple, coiled tubular glands; merocrine: everywhere apocrine: axillae, pubic region, nipples, anal region
45
What is the structure and location of oil glands?
holocrine glands near hair follicles
46
What secretions come from merocrine sweat glands?
watery clear sweat, electrolytes
47
What secretions come from apocrine sweat glands?
viscous, cloudy sweat that comes out of hair follices
48
What secretions come from sebaceous glands?
sebum (oil)
49
What are the three major types of skin cancers?
basal cell sarcoma, squamous cell sarcoma, malignant melanoma
50
What is the ABCDE rule?
Asymmetry, Border, Color, Diameter, Evolving
51
What is the most common type of skin cancer? Does it metastasize?
Basal Cell Sarcoma; seldom metastasizes
52
What is the most deadly skin cancer? How is it characterized?
malignant melanoma; changed in pre-existing mole; aggressively metastasizes
53
What skin cancer arises from keratinocyte of the stratum spinosum?
squamous cell carcinoma;
54
What are characteristics of a first degree burn?
affects epidermis; healing 3-5 days; no scarring
55
What are characteristics of a second degree burn?
affects epidermis and part of dermis; healing 2-4 weeks; blisters and slight scarring
56
What are characteristics of a third degree burn?
destruction of epidermis and dermis and subcutaneous layer; hospitalization necessary; treated for dehydration; may need skin graft
57
What is the rule of nines and how is it used to asses burns?
used to estimate extent of burns on an adult, percentage adjusted for infants; very severe = >25% body with 2nd degree burns or >10% of body with 3rd degree burns, or 3rd degree burns are present on palms of hands, soles of feet, face or perineum
58
How is the severity of burns determined?
depth of tissue involvement, page of patient, size and location of burn