Lecture 1 & 2 Flashcards

- Describe the layers of the skin - Describe the functions of the skin - Describe accessory structures of the skin and their function - Understand how skin anatomy relates to skin aging, pigmentation, tattoo and melanoma

1
Q

Skin (surface area)

A

Largest and most visible organ of the body, 16% of body weight, 1.5-2 m2 of surface area, bare makes us unique.

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2
Q

Functions of skin + accessory structures.

A
  • Detect touch, pain, pressure, temp stimuli and relay information to nervous system.
  • Excrete salts, water, organic waste by integumentary glands
  • Maintain normal core body temperature through insulation or evaporative cooling.
  • Protect underlying tissue or organs from impact, abrasions, fluid loss, and chemical attack
  • Produce melanin to protect underlying tissue from UV radiation
  • Produce Keratin to protect against abrasions and serve as a water repellent.
  • Synthesise Vitamin D3 (steroid converts to Calcitriol-hormone) important for normal calcium metabolism (homeostasis).
  • Store Lipids in Adipocytes (in Dermis) and Adipose tissue (in Subcutaneous layer).
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3
Q

3 Primary Layers in Skin are

A

Epidermis, Dermis, Hypodermis

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4
Q

Epidermis (what layer inside, outside, middle)

3 things

A

outside layer, stratified barrier (made of different layers), mostly keratinocytes (cells with high amount of keratin-protein eg nails & hair, provides skin strength), Avascular (no blood vessels no circulation).

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5
Q

Dermis (what layer inside, outside, middle)

4 things

A

Directly under epidermis and above hypodermis. Protein fibres for strength, provides structure, Vascular (blood supply) to nourish epidermis layers that are still alive.

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6
Q

Hypodermis

1 thing

A

Adipose tissue for insulation

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7
Q

Cutaneous layer

A

Epidermis and Dermis

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8
Q

Subcutaneous layer

A

Hypodermis

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9
Q

Epidermis layers are

A

Stratum Corneum, Stratum Lucidum (only in thick skin), Stratum granulosum, Stratum Spinosum, Stratum Basale.

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10
Q

Stratum Corneum

Type of cells

A

outside, horny layer, made of dead dried flat cells (no nuclei), can be completely removed

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11
Q

Stratum Lucidum

Type of cells

A

(only in thick skin) - clear layer, palms hands, soles feet

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12
Q

Stratum granulosum

Type of cells

A

Granular layer, granules within that dries out cell, provides crosslinking of keratin fibres, secretion of waxy material into intercellular spaces to waterproof cells

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13
Q

Stratum Spinosum

Type of cells

A

spiny layer, desmosomes (intercellular bridges) link cells together, begins process of cells flattening as they move upwards

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14
Q

Stratum Basale

Type of cells

A

Base, basal layer, Columnar (tall) regenerative cells which migrates upwards to replenish layer above

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15
Q

Epithelial cell types are

A

Squamous (scales), Cuboidal, Columnar

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16
Q

Epidermis epithelial cell type is

A

stratified (layered) squamous epithelium.

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17
Q

Dermis does Not

A

shed, Protein (collagen and elastic) fibres (cross links) provide strength, Vascular (nourishes epidermis), connective tissue.

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18
Q

why do people have Saggy skin

A

As you age you lose strength as the protein fibres are not that rigid.

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19
Q

Hypodermis contains

A

adipose tissue (made of adipocytes), Insulation, Subcutaneous.

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20
Q

Hair (incl location, consists of,)

A

All over body

Hair shaft, hair follicle, arrector pili muscle, sebaceous gland

21
Q

Where is the sebaceous gland and what does it produce

A

on skin where there is hair
Produces sebum a Natural moisturiser/water repellent
Lanolin = sheep sebum (skincare)

22
Q

Acne cause

A

Blockage of hair follicles + infection

23
Q

Sweat glands

A

Eccrine (everywhere, thermoregulation)

Apocrine (specialised)

24
Q

Nails function

A

Protect fingertips, enhance sensation

25
Accessory structures Receptors
Tactile lamellar Bulbous
26
Skin accesories
Hair, Acne, sweat glands, nails, receptors
27
Melanin pigment (What it does, Produced, Transported by)
absorb UV light and protects cells from UV damage Made in melanocytes Transferred by melanosomes
28
Melanosomes (incl what it can do) *
Vesicles containing melanin able to proliferate (move along basement membrane) shed with keratinocytes
29
Melanocytes location why it's found there
deep within epidermis to be protected from UV light as UV damages DNA and can cause cancer
30
Highly pigmented areas
Mole and Freckle
31
Mole
deep cluster of melanocytes within stratum basali. Overproliferation caused by sun exposure.
32
Freckle
melanocytes overproducing melanosomes. | Overproduction Caused by sun exposure
33
Melanocytes location
stratum basale only (mainly at the base). Not shed.
34
Melanosomes location
throughout the epidermis
35
Melanocytes density varies
through body not race
36
why is human skin pigmentation so variable?
Different rates of production of melanosomes, keratins, sun exposure, vascularisation
37
Skin pigmentation matches
UV exposure (in indigenous populations)
38
Pigmentations correlate with UV exposure. describe pigmentation, skin colour, and UV exposure at each location At equador Northern latitudes Southern latitudes
- high p, darker skin, high UV - low p, fairer skin, low UV exposure - high p, darker skin, high UV
39
Why is skin pigmentation important?
protection against UV by degrading chemicals (folate) which is important for evolution of pigmentation.
40
Vitamin D essential for (incl effects when deficient)
normal calcium metabolism and strong bones | deficiency affects mood, cause rickets
41
what is required for vitamin D synthesis?
UV exposure in skin
42
2 types of skin cancer
Basal cell Carcinoma, Malignant melanoma
43
Basal cell carcinoma
common benign Stratum basale Metastasis rare
44
Malignant melanoma
``` Rare Deadly Melanocytes (pigmented) Highly metastatic Mortality rate depends on tumour size ```
45
Metastasis
Tumour transplants into another site
46
Tattoo
``` Artificial pigmentation deposited deep in skin Dermal layer (not shed) Captured (not broken down) inside immune cells (forms scar tissue to preserve tattoo) ```
47
lena tattoo pigmentation of lymph nodes
broken down - faded | body has limited capacity to deal with pigmentation moves through lymphatic system to lymphnodes.
48
Tattoo types
Trauma, decorative cosmetic (eg brows) Polynesian - Ta moko (maori), Pe'a (samoan)
49
Skin age
thin epidermis and dermis (saggy-wrinkly - lose protein connective tissue lose rigidity) slower skin repair drier epidermis (sebaceous gland make less sebum) Impaired cooling (less sweat) Less pigmentation (pale skin, grey hair)