Integumentary anatomy and physiology Flashcards

1
Q

Skin functions

A
  • protection and contain body contents: open area anywhere = portal of entry for illness
  • maintain hydration: overall fucntion
  • immunity: cellular components for recognizing infections/pathogens
  • insulation/thermoregulation: fatty tissue/vascular component for skin
  • sensation: nerve endings scar tissue can affect this
  • vitamin D synthesis
  • identity: any part of the body
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2
Q

Epidermis layers

A
  • stratum corneum: dead keratinized cells, continuously shedding
  • stratum lucidum: only in palm/soles for thickness
  • stratum granulosum
  • stratum spinosum: thickest layer
  • stratum germinativum: single layer of epithelial cells fixed to dermis through ridges, constantly producing epidermal cells from stem cells
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3
Q

Superficial wound

A
  • a superficial wound = wound to just epidermis
  • will not bleed
  • heals really well/quickly
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4
Q

Epidermal cells and their funcitons

A
  • keratinocytes (dead): provide mechanical strength
  • keratinocytes (living): synthesize keratin protein
  • melanocytes: produce melanin
  • langerhans cells: immune cells
  • lympocytes: produce cytokines
  • merkel cells: mechanoreceptors for touch
  • basal cells: produce epidermal cells
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5
Q

Epidermis protection/pH

A
  • normal pH of straum corneum is 4-6.5 (low/acidic)
  • protects from water and microorganisms
  • damage to epidermis, increases pH and susceptibility to bacterial skin infections and fungal infections
  • hydration and lubrication important
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6
Q

Epidermis and aging

A
  • thining and more transparent (more susceptible to mechanic stress)
  • appearance of redness
  • decrease in langerhans cells and melanocytes
  • keratinocyte senscence: chronic wounds (less cells to regrow)
  • atrophy of basement membrane and flattening of dermal epidermal junction (ridges gives epidermis/dermis strenght against mechanical stress = increase risk of skin tears)
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7
Q

Dermis functions

A
  • supports and nourishes the epidermis: blood vessels found here
  • houses epidermal appendages
  • assists with infection control
  • assists with thermoregulation (vasoconstriction/dilation)
  • provides sensation
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8
Q

Dermis layers

A
  • superficial papillary
  • deep reticular layer
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9
Q

Dermis layers

superficial papillary

functions/compentents

A
  • extracellular matrix: collagen, elastin, ground substances
  • fibroblasts: produce collagen and elastin and secretes hyaluronic acid
  • blood vessels: nourishment, regulating body temperature and skin color
  • lymphatic and small muscles
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10
Q

Dermis layers

reticular layer

A
  • larger blood vessels
  • connective tissue
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11
Q

Dermal cells

A
  • mast cells: produce histamine and heparin for bleeding, present in subacute/chronic inflammation
  • macrophages: phagocytosis produces enzymes and cytokines
  • leukocyes: phagocytosis
  • fibroblasts: produce dermal proteins: collagen major structural protein (primarily type 1) and elastin: provides skin with elastic recoil
  • sensory receptors: free nerve endings, corpuscles (meissner/pacinian ruffini)
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12
Q

Dermis and aging

A
  • damage to elastin and collagen fibers: loss of these proteins older adults should stretch longer
  • increasing skin stiffness, less recoil
  • impaired sympathetic nervous system
  • decrease capillary loops: decreased skin blood flow/ vasodilate and dispate heat, risk of hyperthermia
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13
Q

Dermal appendages

A
  • originate in the epidermis and mirgate into dermis
  • hair follicles
  • sebacous glands
  • sweat glands
  • finger and toe nails
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14
Q

Subcutaneous tissue/hypodermis

A
  • superficial fascia
  • deep fascia
  • adipose tissue/subcutaneous fat
  • skeletal muscle
  • tendon
  • ligaments
  • nerves
  • bone
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15
Q

Nutrients to maintain skin health

A
  • vitamin D: maintains bone structure; immune response
  • Vitamin C: promotes collage synthesis and wound healing
  • Vitamin E: antioxidant; protect from UVB radiation
  • Vitamin A: promotes collage deposition; protects from UV radiation
  • Vitamin F: essential fatty acids - forms cell walls; protects from radiation
  • micronutrients: selenium, zinc, copper, silicon, polyphenols
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16
Q

Definitions of skin loss: superficial erosion

A
  • loss of superficial epidermis only; redness w/ no bleeding
  • abrasions; superficial burns (1st degree); stage 1 pressure injury
17
Q

Definitions of skin loss: partial thickness

A
  • loss of epidermis and part of dermis; will bleed
  • superficial/deep partial thickness burns (2nd degree), stage 2 pressure injury, skin tears, deep abrasions
18
Q

Definitions of skin loss: full thickness

A
  • loss of epidermis and dermis, extending into subcutaneous tissue
  • full thickness burns (3rd degree), stage 3 and 4 pressure injuries, surgical incision