integumentary Flashcards
functions of skin
thermoreg, sensation, exocrine, protective barrier, chemical barriers, transportation, filtration,
layers:
simple-1 layer veins +caps, stratifies= many, pseudo strat= looks like 1 but is many, transitional: varries w stretch ( bladder)
shapes:
squamous: flat, cuboidal= cube, coloumnar= coloumns)
endocrine vs exocrine
endo- secretes hormones directly into blood
exo- mucous, sweat, saliva, GI enzymes ( ducts)
ct matrix is secreted by…
blast cells, made of fibrous proteins
loose ct
aerolar: collagen+ elastin (gel matrix)
adipose tissue: stores fats, small matrix conncts ct to basement, reticular: fine collagen fibers
dense ct
tendons, ligmments, fascia, blood
neuroglia:
astrocytes: BBB, ependymal-CSF, Microglial-immune, schwann cells- myelin sheath in PNS, oligodendrocytes- myelin sheath in CNS
epidermis is made up of ____ _____ cells
stratified squamous
dermis is made up of _____ ___ ct
dense irregular ct
subcutaneous layer is made up of
areolar & adipose tissue
layers of strata in order…..
basal, spinosum, granulosum, lucidium, corneum
wound healing stages
inflammation, proliferation, maturation
inflammation stage
BV constrict and seal themselves off & platletes clot, neutrophils clean, phagocytes breakdown bacterial, BV dilate
proliferation stage:
new granuation tissue made up of collagen, angiogenesis, damaged cells–> fibroblasts
maturation
non functional fibroblasts–> functional , cell activity decreases, BV recedes,
skin sensory receptors
free nerve endings: nocicreceptors(pain
merkel discs( light pessure)
root hair plexus: hair movement
touch pressure receptors: puncini corpususcles ( high freq vibration)
thermoreceptors
proprioreceptors: spindle fibers, golgi tendon, messiner corpuscle, ruffinin corpuscles (crude/persistent touch), Krause corpuscles,
5 cardinal signs
reddness, heat, pain, lost ROM, swelling
what are the causes for edema?
1) too much hydrostatic pressure inside capillaires–> more fluid leaves the interstitium & can not be reabsobed by the vein
2)gap junctions allow fluids to go back & forth, ++histamine release–> + permeability–> more fluid leaves–> edema ( anaphylaxis)
3) not enough protein ( albumin made in liver) to pull water back into the vein—> edema
burns are most common amongst….
young males ( 18-35yrs)
rhabdomyolysis
the breakdown of skeletal muscle–> arrhythmias, AKF, fluid shift, edmea, shock
burn classifications
Superficial burns: like a sunburn no blistering
Partial thickness: dermis + part of dermis (2 types)
Superficial partial: painful, epidermis and some dermis
Deep partial: superficial and dermis, follicles and glands are damaged, blisters, very painful
Full thickness: all dermis—> Sub Q: white-waxy, black, This area itself does not hurt, though surroundings are very painful, could have eschar: blackened burnt skin
Subdermal: burnt muscle and below structures
alkaline burns causes
liqufactive necrosis *worse kind of burns
acid burns cuases
coagulation necrosis causes eschar limits penetrating