Integumentary system Flashcards

1
Q

What components are included in the integumentary system?

A

skin + accessory structures (sweat and oil glands, hair and nails)

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2
Q

What are the 3 layers of skin?

A
  • epidermis
  • dermis
  • hypodermis (superficial fascia)
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3
Q

What is the epidermis made of and explain keratinization?

A

superficial epithelial region: layered - thick keratinized stratified squamous epithelium
Keratinization: keratin in epithelium cells which died and provide a tough surface for protection

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4
Q

What is the dermis made of and what is the purpose of vascularization?

A

dense connective tissue
- blood vessels for blood regulation and nutrition

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5
Q

What is the hypodermis made of and what is its purpose?

A

adipose tissue and not considered a part of the skin, hence considered subcutaneous
- anchors skin

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6
Q

What are the 4 types of epidermal cells?

A
  • keratinocytes
  • melanocytes
  • dendritic (Langerhans) cells
  • tactile (Merkel) cells
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7
Q

What is the main function and lifespan of keratinocytes?

A
  • produces keratin (protein for strength, flexibility and waterproof)
  • 30 days
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8
Q

Where is the stem cell that produces keratinocytes and what is the growth factor?

A
  • in the basal layer
  • stimulate growth of keratinocytes and other skin cells
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9
Q

What is the function of melanocytes and where are they located?

A
  • produce melanin which is packed into melanosomes
  • deepest layer of epidermis which branches into adjacent cells
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10
Q

Why is melanin important and how does it contribute to different colour skins and tanning?

A

absorbs and disperses UV rays and protects cells from damage
- to produce melanin which gives colour

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11
Q

Where is the dendritic cells located and how does macrophages contribute to the body?

A

epidermal dendritic cells (star-shaped); migrates from bone marrow to epidermis
- contains macrophages that activate immune system (capture antigens for T cells)

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12
Q

Where are tactile (Merkel) cells located and what is their role?

A

the junction between the epidermis and dermis
- sensory nerve endings for touch sensation (texture and shape)

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13
Q

What is the different between thick and thin skin when it comes to layers of the epidermis?

A

Thick - all 5 layers
Thin - 4 layers

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14
Q

What are the 5 layers of the epidermis?

A
  1. Stratum corneum
  2. Stratum lucidum (only in thick skin)
  3. Stratum granulosum
  4. Stratum spinosum
  5. Stratum basale
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15
Q

What are the cells and fibers that are included in the dermis?

A
  • fibroblasts (production of CT)
  • macrophages (immune)
  • Mast cells
  • WBC
  • collagen, elastin, and reticular
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16
Q

What type of innervation and accessories are in the dermis?

A

nerves, blood vessels, and lymphatic vessels, epidermal hair follicles, oil glands, and sweat glands

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17
Q

What are the layers of the dermis?

A
  1. Papillary layers
    - dermal papillae
  2. Reticular layers
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18
Q

What makes up the papillary layer and the subcategory?

A

areolar CT fibers with blood vessels
- Dermal papillae: superficial region of dermis that indents the overlying epidermis

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19
Q

What makes up the dermal papillae?

A
  • capillary loops
  • free nerve endings
  • touch receptors (Meissner’s corpuscles - sensitivity to light touch)
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20
Q

What important functions do the dermis provides?

A
  • increased SA for O2, nutrition and waste product exchange
  • are finger prints
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21
Q

Where are friction ridges located and what are their functions?

A

on palms and fingers, soles of feet, dermal papillae lie on top of dermal ridges
- enhances gripping ability (friction)
- contributes to sense of touch (SA fir sensory nerves)
- sweat pores in ridges leave unique fingerprints

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22
Q

How are friction ridges unique?

A
  • developed fully before birth
  • permanent
  • unique pattern
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23
Q

What is the reticular layer of the dermis made of, what is it a source of and when functions does it provide?

A

thick dense irregular CT (thick collagen fibers in different directions)
- langer’s lines
- strength and resiliency and maintain skin hydration; elastic fibers provide stretch-recoil

24
Q

What is the hypodermis made of and what functions does it provide?

A

areolar CT + blood vessels (more supply than in the dermis) and adipose tissue
- anchors skin to underlying structure
- shock absorbers and insulation
- stores fat

25
Q

What are the 3 pigments that contribute to skin colour?

A
  1. melanin
  2. carotene
  3. hemoglobin
26
Q

What is melanin derived from and what what is the color range it provides?

A
  • tyrosine
  • reddish yellow to brownish black
27
Q

How does the sun damage the skin and how does melanin help?

A
  • damages the DNA in skin cells
  • creates more melanin
28
Q

What is the role of melanocytes?

A

to create melanin

29
Q

What is carotene?

A

yellow to orange pigment found in plant products (ex., carrots)
- deposits in keratinocytes and hypodermis

30
Q

What is hemoglobin when it comes to skin pigmentation and what is cyanosis?

A

found in capillary circulation and gives skin a pinkish hue
- bluish discoloration of skin signaling poor oxygenation of blood

31
Q

What is hair made of and where is it not found?

A

dead, keratinized cells
- palms, soles, lips, nipples, and parts of external genitalia

32
Q

What are the layers of the hair shaft made of and what are their functions?

A

Medulla: large cells separated by air spaces (not in fine hair)
Cortex: several layers of flattened keratinocytes (pigment here)
Cuticle: single layer of overlapping cells

33
Q

What causes split ends and hair to turn gray?

A
  • protective cuticle at ends is stripped away
  • melanocytes stop producing melanin
34
Q

What determines the shape of the hair shaft?

A

the shape of the hair follicle

35
Q

What is the follicle made of?

A

follicle wall
- peripheral CT sheath
- glassy membrane
- epithelial root shaft (external and internal)

36
Q

Hair structure - explain the function of the shaft, root and bulb?

A

S - part that projects from skin (3 parts)
R - part embedded in skin (contains hair follicle)
B - expanded deep end of follicle - has dermal papilla and root hair plexus

37
Q

Hair structure - explain the function of the follicle, arrector pili muscle and sebaceous gland.

A

F - outer CT root sheath and inner epithelial root sheath - extending into dermis
APM - 1/ follicle; contract to pull hair up and dimple skin
SG - holocrine gland that secrete sebum (oil)

38
Q

What is the hair papilla?

A

dermal tissue containing a knot of capillaries that supplies nutrients to growing hair

39
Q

What is the hair matrix and how does it move?

A

actively dividing area of bulb that produces hair cells
- new cells push old ones upwards
- this is where keratinization happens

40
Q

What is the arrector pili and what is it responsible for?

A

small band of smooth muscle attached to follicle
- goose bumps

41
Q

What is the difference between vellus hair and terminal hair?

A

VH - fine, short, light (peach fuzz)
TH - thick, long, pigmented (face, scalp, public region)

42
Q

What is hirsutism and what is it caused by?

A
  • unwanted male pattern hair growth in women
  • endocrine disfunction
43
Q

What is alopecia and what is it caused by?

A
  • a level of hair thinning with age in both males and females
  • disturbed autoimmune function
44
Q

What is male pattern baldness and what is it caused by?

A

altered response of hair follicle to androgen that shortens growth cycle
- genetically-determined, gender-influenced

45
Q

What are the 3 parts of the nails?

A

free edge, body (epidermis under keratinized nail plate), nail folds - 2 lateral and 1 proximal

46
Q

What are the 2 sections of the nail folds?

A

Eponychium: nail fold that projects onto surface of nail body AKA cuticle
Hyponychium: area under free edge of plate that accumulates dirt

47
Q

What is the nail matrix and what is the lunule?

A

thickened portion of bed responsible for nail growth - becomes the nail plate
- lunule: thicked nail matrix, appears white

48
Q

What are the 2 kinds of sweat glands?

A
  1. Eccrine (merocrine)
  2. Apocrine (merocrine)
49
Q

What is the eccrine (merocrine) made of and what is its function?

A

simple coiled tubular glands with pore at surface that release sweat
- thermoregulation and secrete sweat

50
Q

What is the composition of sweat?

A

99% water + salt, Vit C, antibodies, dermcidin, metabolic waste (urea, uric acid, ammonia)

51
Q

Where do apocrine glands secrete, what does its sweat contain that is different and what is its function?

A
  • into hair follicles
  • same as sweat + fatty substances and proteins (odorless until bacteria breaks it down)
  • sexual scent gland
52
Q

What are the 3 modified sweat glands and explain?

A
  1. sebaceous gland (holocrine)
    - secretes sebum (oil)
    - leads to pimples and blackheads
  2. ceruminous
    - secretes wax in external ear cannel (contains antibodies)
  3. mammary
    - secretes milk in females
    - pregnancy and postpartum
53
Q

What are the 6 functions of the skin and explain?

A
  1. protection
  2. thermoregulation - sweating
  3. cutaneous sensation - sensory information
  4. metabolic - Vit D synthesis
  5. excretion - NaCl and H20 loss via sweat
  6. blood reservoir - holds 5% of total blood volume
54
Q

What are the 3 types of protects?

A

Chemical - acidic skin secretion stops bacteria reproductions - protects against UV - contains antibacterial agents
Biological - Langerhans cells of epidermis and macrophages of dermis
Physical - barrier to trauma and bacterial invasion; also waterproof

55
Q

What layers to the different kinds of burns affect?

A

First: epidermis
Second: epidermis and upper dermis
Third: entire thickness of skin (epidermis and dermis)

56
Q

What are the medical concerns for burn victims?

A
  • depth of medical care
  • prevention of infection
  • fluid loss
  • hypothermia
  • scarring and loss of mobility
57
Q

What is the rule of 9?

A

estimates water loss in burn victims