Integumentary system: anatomy, physiology and function of skin Flashcards

1
Q

skin composed of 2 main layers

A
  1. epidermis

2. dermis

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2
Q

subcutaneous layer is found beneath dermis and is not considered part of skin. T/F?

A

True

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3
Q

Skin

A
  • largest organ in the body
  • approx. 16% of total body weight of adult
  • weighs twice as much as brain
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4
Q

epidermis

A
  • composed of stratified keratinized squamous epithelium
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5
Q

epidermis is made up of 4 main types of cells

A
  1. keratinocytes (90% of cells in this layer)
  2. melanocytes (8% of epidermal cells)
    • responsible for producing pigment (melanin)
  3. langerhans: involved in immune response
  4. merkel cells: function in sensation of touch
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6
Q

epidermis is avascular (without blood vessels) and is dependent on blood vessels of dermis for:

A
  • oxygenation
  • metabolite provision
  • removal of metabolic wast products
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7
Q

epidermis layers

A
  • stratum basale: deepest layer
  • stratum spinosum (prickle cell layer)
  • stratum granulosum (granular layer)
  • stratum lucidum (finger tips, palms and soles)
  • stratum corneum (top layer)
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8
Q

Stratum basale

A
  • made up of single row of columnar keratinocytes
  • melanocytes and Merkel cells found within this layer
  • only layer within epidermis that consists of cells capable of division
  • nearest layer to dermis and located under epidermis
  • dermis contains blood supply and provides nourishment to stratum basale
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9
Q

keratin

A
  • fibrous protein

- protects skin from heat, chemicals and microorganisms

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10
Q

melanocytes

A
  • produce melanin
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11
Q

melanin

A
  • pigment that protects skin from harmful effects of ultraviolet (UV) light
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12
Q

Merkel cells

A
  • make contact with flattened process of a sensory neuron called a Merkel disc.
  • merkel cells + discs detect sensation of touch
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13
Q

Stratum spinosum

A
  • daughter cells of keratinocytes lose their ability to divide in this layer
  • they become rounder and ‘spikier’ in shape
  • daughter cells join together via desmosomes
  • this arrangement contributes to tensile strength and flexibility of skin
  • langerhans cells found here
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14
Q

Langerhans cells

A
  • developed from specialized dendritic cells of immune system
  • also found in dermis, lymph nodes and thymus
  • produced in red bone marrow
  • migrate to stratum spinous and participate in immune responses against microorganisms
  • function: attracting and phagocytosis microbes and presenting their antigens to T lymphocytes (activating them to destroy microbes)
  • crucial in helping other cells of immune system to recognize invading microorganisms and destroy them
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15
Q

Stratum granulosum

A
  • cells become longer and flatten horizontally to form this layer
  • cells go through apoptosis here
  • cells lose their nucleus and become keratinized and comprised entirely of tough pliable protein – keratin
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16
Q

keratohyalin

A
  • present in stratum granulosum
  • consists of darkly staining proteins that convert monofilaments to keratin
  • Odland’s bodies may be seen
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17
Q

Odland’s bodies

A
  • membrane-coating, lamellar granules that produce lipid, which extrudes into the spaces btwn the cells and helps them stick together
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18
Q

Stratum lucidum

A
  • only found in areas where skin is thick (e.g. palm and soles)
  • contains clear, dead keratinocytes that are flattened + large amounts of keratin + thickened plasma membranes.
  • lies btwn stratum granulosum and stratum corneum
  • provides some degree of waterproofing to skin
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19
Q

Stratum corneum

A
  • uppermost layer
  • cells are arranged in orderly, vertical stacks
  • cells contain protein keratin
  • intracellular lipid from lamellar granules in stratum granulosum cements cells together and vital in preventing cells from drying out
  • as cells move through here, they lose their stickiness and are shed singly or in clumps (squamae)
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20
Q

callous

A
  • abnormal thickening of the stratum corneum
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21
Q

dermis

A
  • lies below epidermis and above subQ layer
  • responsible for providing nutrients and physical support to epidermis
  • contains lymph vessels, nerve endings, hair follicles, and glands
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22
Q

blister

A
  • when dermis and epidermis become separated as a result of shearing forces or friction, allowing fluid to collect
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23
Q

dermis composed of 2 layers:

A
  1. reticular layer

2. papillary layer

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24
Q

papillary layer

A
  • contains the nerve and capillaries that nourish epidermis
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25
reticular layer
- made up of strong connective tissue containing collagen and elastic fibers
26
collagen and elastin
- arranged in network of fibers that have significant tensile strength providing dermis with ability to stretch and contract
27
collagen
- protein that contributes to approx 70% of dry weight of dermis
28
collagen fibers
- when skin is stretched, these fibers prevent tearing as result of their high tensile strength
29
elastin fibers
- synthesized by fibroblasts | - finer than collagen and found woven among collagen bundles
30
elastin
- has elastic properties that allow skin to return to its normal position after stretching
31
with age:
- reduction in number of collagen fibers , which stiffen and break up - results in collagen fibers losing their shape and becoming tangled - elastin fibers lose some of their elasticity, thicken into bundles and fray
32
glands in dermis (sweat glands)
- 3-4 million sweat glands | - function: release sweat into hair follicles or on to skin surface through pores
33
2 types of sweat glands
1. eccrine glands 2. apocrine glands - based on their structure, location and type of secretion
34
Eccrine glands
- simple, coiled glands - specifically in skin of forehead, palms and soles of feet - produce sweat
35
sweat composed of:
- water - sodium and chlorine ions - urea - uric acid - ammonia - amino acids - glucose - lactic acid
36
sweat glands
- have important role in thermoregulation through evaporation
37
Apocrine glands
- not active during childhood - activated by sex hormones during puberty - simple coiled tubular glands - mainly found in axillae, groin, areolae of breasts, and bearded regions of face - unlike eccrine glands, sweat produced is slightly viscous with milky or yellowish appearance - this sweat has no smell when it leaves the gland - however when bacteria metabolize sweat components to produce musky odor (body odor)
38
Sebaceous glands
- simple branched acinar glands - most are connected to hair follicles - commonly found on face, neck and back - secrete sebum
39
acinar gland
- gland that has a sac-like secretory unit and an obvious lumen
40
sebum
- oily substance composed of a combination of triglycerides, cholesterol, proteins and organic salts - covers surface of hairs and protects them from drying and becoming brittle - inhibits excessive evaporation of water from skin so that skin remains soft and supple - lubricant - has anti fungal and antibacterial properties
41
blackheads
open comedones
42
whiteheads
closed comedones
43
Ceruminous glands
- found in external ear - modified sweat glands - these glands produce waxy lubricating secretion - this + secretions from sebaceous glands produce a yellowish substance called cerumen
44
cerumen
- yellowish substance formed by combo of secretions from ceruminous and sebaceous glands - function: provide sticky barrier to inhibit entrance of foreign bodies and insects into the ear - also prevents bacteria and fungi from entering cells because of its waterproofing ability
45
2 main networks of cutaneous arteries
1. deep plexus (network of blood vessels) found where dermis and subQ fat layer join 2. superficial plexus
46
deep plexus
- supplies dermis and subQ layers of tissue with blood
47
superficial plexus
- branches off and carrie blood vessels to epidermis and dermis boundary
48
hair
- made up of columns of dead, keratinized epidermal cells connected together with extracellular proteins
49
hair shaft
?
50
hair root
- surrounded by a hair follicle
51
hair follicle
- made up of an external and internal root sheath -> together make up the epithelial root sheath
52
epithelial root sheath
external + internal root sheath
53
dermal root sheath
- dermis that encircles hair follicle
54
hair bulb
- base of each hair follicle and surrounding dermal root sheath - has similar shape to an onion - contains layer of cells called hair matrix
55
hair matrix
- hair matrix cells arise from stratum basale (layer where cell division occurs) - hair matrix cells responsible for growth of existing hairs - also produce new hairs when old hairs are shed
56
3 stages of hair follicle growth cycle
1. growth 2. regression 3. resting
57
growth stage
- cells of hair matrix divide - new cells added at base of hair so that existing cells are pushed p through half and hair grows longer - during this process, hair becomes keratinized and dies
58
regression stage
- hair stops dividing - hair follicle atrophies - hair no longer grows
59
resting stage
...
60
arrestor pili muscle
- connected to follicle | - responsible for appearance of goosebumps
61
finger and toe nails
- made of sheets of keratin and are tough - function: protect ends of the digits and allow performance of intricate movements - grow from germinal cells called nail root
62
nail root
- germinal cells where nails grow from
63
hyponychium
- the tip of the finger, lying beneath distal end of the nail - area of thickened epidermis that allows for greater protection of the digit ends
64
functions of skin
- sensation - thermoregulation - protection and synthesis of vitamin D