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