Quiz 2 Flashcards
Stratum Basale
Single layer, cuboidal or columnar cells
Only living and dividing layer
Stratum spinosum
Thick, cuboidal cells
Living but not dividing
Stratum granulosum
Apoptosis starts because of keratinization
Stratum lucidum
Only in thick skin
Palms of hands, soles of feet
Stratum corneum
Upper layers of skin
Carotene
Precursor of vitamin A which is used for pigments for vision
Stored in stratum corneum, fatty areas of dermis and subcutaneous layer when you eat too much
Melanin
Synthesized from tyrosine by melanosomes
High level of melanocytes in epidermis of penis, nipples and areolae, face and limbs, mucous membranes
Exposure to UV light > DNA damage > melanin production
What differs about melanin between people?
Number of melanocytes stays the same
Amount of pigment produced varies
Mole
Overgrowth of melanocytes
Papillary region
Made of areolar connective tissue
Upper 1/5 of dermis
Reticular region
Bottom 4/5 of dermis
Dense irregular connective tissue
Sebaceous glands
Around hair follicles
Produce sebum or oil
Sudoriferous apocrine glands
Come around puberty, pubic areas
Larger
Sudoriferous eccrine (merocrine) glands
Involved in thermal regulation
Smaller
Sweat glands
Vellus hair
Peach fuzz
Terminal hair
On head
Eyebrows, eyelashes, hair
Intermediate hair
Arms and legs
Arrector pili muscle
Stands hair follicle up
In papillary layer
Pacinian corpuscle
Layered
Deep pressure and vibration
Hypodermis
Meissner’s corpuscle
In papilla (bumps) Light touch
Ruffini corpuscle
Reticular layer
Stretching
Merkel cells
Stratum basale
Very fine touch
Cyanosis
Blood is not picking up adequate oxygen from lungs. Mucous membranes, nail beds and skin appears bluish. Increased quantity of methemoglobin
Jaundice
Build up of the bilirubin in the skin. Yellowish appearance to skin and sclerae of eyes. Indicate liver disease
Erythema
Redness of skin. Caused by engorgement of capillaries in the dermis. Due to skin injury, exposure to heat, infection, inflammation or allergic reactions.
Facial blushing
Erythema in the thin skin of the face
Pallor
Paleness of skin. Occurs in shock or anemia.
Lips Stratum corneum
Thin SC that blood vessels show through
Darker skin - examine nail beds and gums
Burns causes
Excessive heat, electricity, radioactivity or corrosive chemicals that denature proteins in the skin cells
First degree burns
Involves only epidermis
Characterized by mild pain and erythema but no blisters
Skin functions remain intact
Flush with cold water
Heal in 3-6 days, accompanied by flaking or peeling
Mild sunburn
Second degree burns
Destroys portion of epidermis and possibly parts of dermis
Some skin functions are lost
Redness, blister formation, edema and pain
Associated structures usually not injured
Heal in 3-4 weeks, scarring may result
Third degree burns
Most skin functions are lost
Destroys portion of epidermis, underlying dermis and associated structures
Marked edema and region is numb because sensory nerve endings are destroyed
Regeneration is slow, granulation tissue forms
Skin grafting (integra)
Partial thickness burns
First degree and second degree burns
Full thickness burns
Third degree burns
5 Systemic Impacts of Burns
- Large loss of water, plasma and plasma proteins (causes shock)
- Bacterial infection
- Reduced circulation
- Decreased production of urine
- Diminished immune responses
Rule of Nines
- 9% if both anterior and posterior surfaces of head and neck
- 9% for both anterior and posterior surfaces of each upper limb (18% for both)
- 4x9 or 36% for both anterior and posterior surfaces of the trunk, including buttocks
- 9% for anterior and 9% for posterior surfaces of each lower limb (36% for both)
- 1% for perineum
Skin graft
Covering wound with patch of healthy skin from donor sites
Protects against fluid loss and infection, promotes tissue healing, reduces scar formation, prevents loss of function and cosmetic reasons
Autograft or isograft (identical twin)
Autologous skin transplantation
Keratinocytes from self are cultured
Apligraft and transite
Grown in laboratory from foreskin of circumsized infants
Hemangiomas
Birthmark, local benign tumor of skin and subcutaneous layer that results from abnormal increase in number of blood vessels
Eczema
Inflammation of skin. Patches of red, blistering, dry, extremely itchy skin.
Prominent in skin creases
Begins in infancy, children may outgrow
Cause is unknown but linked to genetics and allergies
Psoriasis
Chronic skin disorder in which keratinocytes divide and move more quickly than normal from SB to SC. Surface cells never get a chance to cycle into the alter keratinizing stages and are shed prematurely
Dandruff
Psoriasis on scalp
Keloid
Elevated, irregular darkened area of excess scar tissue cause by collagen formation during healing. Extends beyond original tissue and is tender and frequently painful.
Affects dermis and underlying subcutaneous tissue
After trauma, surgery or severe acne
Erysipelas
Streptococcal infection of skin. May become systemic and involve lymphatic and cardiovascular systems. Characterized by sharp margin
Pressure/decubitis ulcers
Lesion through skin or mucous membranes caused by a constant deficiency of blood to tissues.
Often overlies bony projection exposed to prolonged pressure against an object
Hives/Urticara
Skin with reddened, elevated patches that are often itchy. Caused by infections, physical traumas, emotional stresses, food additives and allergies
Transdermal drug administration
Adhesive skin patch with drug that passes across epidermis into blood vessel of dermis
I.e.: nicotine, fentanyl
Acne
Inflammation of sebaceous glands at puberty when sebaceous glands are stimulated by androgens.
Occurs predominately in sebaceous follicles colonized by bacteria which thrive in lipid rich sebum
Cystic Acne
Causes cyst or sac of connective tissue cells to form which can destroy and displace epidermal cells
Vitiligo
Partial or complete loss of melanocytes from patches of skin produces irregular white spots
Maybe caused by immune response? Antibodies attacking melanocytes
Basal cell carcinomas
78% of skin cancers
tumors arise from stratum basale and rarely metastasize
Squamous cell carcinomas
20% of skin cancers
tumors arise from stratum spinosum and have a variable tendency to metastasize
Non-melanomas
Basal and squamous cell carcinomas
50% more common in males
Malignant melanomas
2%
Arise from from melanocytes
Risk is 1/75 due to depletion of ozone and more time in sun
Metastasize rapidly and kill within months of diagnosis
ABCD of Malignant Melanomas
Asymmetry
Border
Color
Diameter (>6 mm)
Areolar Connective Tissue
Functions 1. Strength 2. Elasticity 3. Support Location ("packing material") 1. Subcutaneous layer around organs 2. Lamina propria
Adipose Connective Tissue
Functions 1. Reduces heat loss through skin 2. Energy reserve Location (mainly with areolar) 1. Around heart and kidneys 2. Padding around joins
Reticular Connective Tissue
Functions 1. Binds together smooth muscle tissue in cells 2. Filters and removes RBCs in spleen Location 1. Bone marrow 2. Spleen and lymph nodes
Dense regular tissue
Functions 1. Provides strong attachment between structures 2. Withstands tension along axis Location 1. Tendons 2. Ligaments
Dense Irregular TIssue
Function: provides tensile strength in many directions
Location
1. Pericardium
2. Heart valves
Elastic Connective Tissue
Function: allows stretching of organs
Location (with transitional epithelium)
1. Lung wall
2. True vocal chords
Hyaline Cartilage
Function (weakest cartilage): smooth surface for movement at joints
Location
1. Nose
2. Trachea
Fibrocartilage
Function (strongest, rigid): support and join structures together
Location
1. Pubic symphysis
2. Menisci
Elastic Cartilage
Function 1. Provides strength and elasticity 2. Maintains shape of certain structures Location 1. Auricle 2. Auditory (eustachian) tubes
Fixed cells
Fibroblasts Fixed macrophages Adipocytes Mesenchymal cells Melanocytes
Wandering cells
Free macrophages
Mast cells
Lymphocytes
Microphages
Fibroblasts
Most abundant, large, star shaped
Produce fibers and components of extracellular matrix
Found in all general connective tissue
Fixed macrophages
White blood cells
irregularly shaped and utilized to engulf invaders and damaged cells by phagocytosis
Where are fixed macrophages found?
Aveolar- lungs
Splenic- spleen
Adipocytes
Fat cells, number varies between types of connective tissues
Found around organs and deep in skin
Mesenchymal cells
Stem cells, respond to local injury or infection by dividing to produce new cells
Melanocytes
Produce melanin (a dark brown pigment), common in epithelial tissue Also found in connective tissue
Free macrophages
Like fixed macrophages but are free to circulate throughout connective tissues
Blood - monocytes
Mast cells
Small, mobile cells found near blood vessels
Secrete histamine and heparin to stimulate local inflammation in response to injury/infection
Lymphocytes
Migrate throughout the body and increase in number where tissue damage occurs
Can develop into plasma cells which produce antibodies
Neutrophils
Gather at sites of infection
Respond to chemicals released by macrophages and mast cells
Phagocytic
Microphage
Eosinophil
Gather at sites of parasitic invasions and allergic responses
Respond to macrophages and mast cells
Phagocytic
Microphages
Collagen fibers
Relatively thick, thread-like and composed of collagen
Occur in long, parallel bundles
Withstand force when pulled along axis
Hard to see in light microscopy
Elastic fibers
Thinner and form complex networks - branched
Return to original length after stretching
Reticular fibers
Highly branched and delicate supporting networks
Able to resist forces applied from many directions
Simple squamous epithelium
Function
1. Sites of filtration, diffusion and secretion. Not found in areas of mechanical stress
Location
Lines cardiovascular and lymphatic system (endothelium)
Serous membranes such as peritoneum, pluera and pericardium (mesothelium)
Air sacs of lungs, Bowman’s capsule of kidneys, inner surface of tympanic membrane
Nonkeratinized Stratified squamous epithelium
Function
Protection against abrasion, water loss, UV radiation, and foreign invasion. First line of defense against microbes
Location
Line wet surfaces such as mouth, esophagus, part of epiglottis, part of pharynx, vagina and tongue
Simple cuboidal epithelium
Function
Secretion and absorption
Location
Surface of ovary, anterior surface of capsule of lens of eye, pigmented epithelium at posterior surface of retina, lines kidney tubules and smalls ducts, secretory portion of glands like thyroid and ducts like pancreas
Stratified cuboidal epithelium
Function
Protection and limited secretion and absorptions
Location
Ducts of adult sweat glands, esophageal glands and part of male urethra
Transition epithelium
Function
It allows the urinary organs to stretch to hold a variable amount of fluid without rupturing, while serving as a protective lining.
Location
Lines urinary bladder and portions of ureters and urethra
Ciliated simple columnar epithelium
Function
Cilia beat to move mucus and foreign particles
Location
Lines bronchioles, uterine (fallopian) tubes, uterus, paranasul sinuses, central canal of spinal cord and ventricles of brain
Pseudostratified ciliated columnar epithelium
Function
Secretes mucus that traps foreign particle, cilia sweep away. Absorption and protection
Location
Airways of upper respiratory tract
Stratified columnar epithelium
Function
Protection and secretion
Location
Lines part of urethra, large excretory ducts (esophageal glands), small areas in anal mucous membrane, and conjunctiva of eye
Keratonized stratified squamous epithelium
Function
Protection against abrasion, water loss, UV radiation, and foreign invasion. First line of defense against microbes
Location
Superficial layer of skin