Skin Flashcards
What is the structure of the epidermis?
Stratified squamous EPITHELIUM with insoluable protein KERATIN (cornified)
Avascular; No blood vessels, activities via diffusion
Stratum corneum
Uppermost layer of skin
Variations in this cause variations in thickness of skin
Stratum basale
Stratum= layer Basale= basal= rests on basement ️membrane
Keratinocytes
EPIDERMIS- stratum basale
Give rise to (keratin cells) NEWEST cells pushed outward in cell division
Melanocytes
EPIDERMIS- Stratum basale
-Produce pigment melanin
Melanin
Pigment
Passed from melanocytes to keratinocytes through phagocytosis
Merkel cells
EPIDERMIS- Stratum basale
-in conjunction with dermal nerve ending, form tactile receptor known as MERKEL disc!
Merkel disc
In dermis
Tactile receptor formed by MERKEL cells and dermal nerve endings in epidermis stratum basale
Stratum Spinosum
EPIDERMIS
- several layers of flat keratinocytes
- organelles degenerating
- spiny appearance as shrink; attached to each other by desmosomes
Where in epidermis are Macrophages found?
Stratum Spinosum and stratum granulosum
Stratum granulosum
EPIDERMIS
2-5 layers of cells with granules of keratohyalin
Stratum Lucidum
EPIDERMIS
Thin, translucent zone (a lot of matrix) seen only in THICK skin, such as soles of feet
Stratum Corneum
EPIDERMIS
Made up of 25-30 layers of dead keratinized cells
Waterproof, protective outer layer; thickest layer
Subcutaneous layer
Area (layer) below the skin
Ex: a subcutaneous injection from dr.
Exocrine gland
Any gland with a duct that reaches the surface
Ex: glandular epithelium
Intra-
Within
Inter-
Between/among
What kind of cells make up the stratum basale?
A single layer of low columnar cells, rests on basement membrane
What 3 cells can be found in the stratum basale in the epidermis?
Keratinocytes, melanocytes, and merkel cells
What happens to melanin when a white person gets tan?
You make the melanin spread out more
What happens to keratinocytes as they go from stratum basale to stratum Spinosum?
They flatten (in which organelles are degenerating) and make up several layers of the stratum spinosum
How are the flattened keratinocytes in the stratum spinosum connected to each other?
By desmosomes, giving them a spiny appearance as they shrink
What two cells are found in stratum
Spinosum if epidermis?
Keratinocytes and macrophages
Macrophages
(Aka Langerhans cells)
In every area of the body just different names
Named this in stratum Spinosum and stratum granulosum of epidermis
Whats keratohyalin
Will become keratin
Dermal papilla
Structures of epithelium sticking down from epithelium in epidermis into CT of dermis like FINGERS
More circuitry for diffusion from bottom-up
What is the GENERAL structure of the dermis?
CONNECTIVE TISSUE
Specifically, fibroconnective tissue w/ blood vessels, nerve endings, sweat glands, hair follicles, and nail roots
What is the papillary layer of the dermis?
A zone of areolar tissue (loose CT) closest to epidermis, projecting hoard as dermal papillae. BLOOD VESSELS extend close to epidermis within papillae.
Large # white blood cells (immune system)
What is the reticular layer in the dermis?
Contains dense irregular CT
Stretching this area is what causes stretch marks
Linea albicantes
Stretch marks caused by tears in reticular layer of dermis
Alb-
White
How thick is the dermis?
1.0-2.0 mm thick
How many cm are in 1 inch?
2.5cm
Sebaceous gland
Next to hair; produce oil in hair (exocrine glands)
Arrector pili muscle
Muscle that makes hair stand up
Dermal BV dilation
Skin becomes red; (bc hot)
Dermal BV constriction
BV constrict so we can keep warm when cold
What are two other pigments beside melanin?
Carotene (Orange)
Jaundice (yellow)
Hepatitis
Disease of the liver; causes jaundice (yellow skin)
Hematoma
Bruise
Erythema
Abnormal skin redness
Can cause pallor
Pallor
Pale/light skin
Cyanosis
“Cyan”= blue
Blue skin; low oxygen (constrict BV)
Hemiangiomas
Birthmarks
Nevus
Moles on
What makes skin a tough barrier?
Keratin and epidermal desmosomes (tight junctions that keep skin intact)
What makes skin unfavorable for microbial growth?
Dry habitat and acid mantle of sweat
Can water get through skin
No bc of keratin
What two chemicals are involved in the production of vitamin D?
Dehydrocholesterol
Cholecalciferol
Vitamin D synthesis
UV radiation penetrate dermis, reaches steroid: dehydrocholesterol (in blood). Converted to cholecalciferol. LIVER turns this into active vitamin D.
What does vitamin D do for the body? I
Helps us to absorb calcium for nerves & muscles; phosphorous levels in body
Do we receive oxygen through skin?
Small amount
1-2%
Insensible perspiration
Sweat constant w|o noticing
What are both hair (pili) and nails made of?
Hard KERATIN
Lanugo
Fine, downy, no pigment
Cover fetus
Vellus
Fine unpigmented hair that covers most of body
Terminal hair
Pubic hair/ men’s facial hair
Vibrissae
Short guard hairs in nose, ears …
Structure of hair in skin
Root, hair follicle, then shaft above skin
What causes hair color?
Abundance of melanin
Red hair contains ….
Trichosiderin
Where is hair follicle
Dermis; has 2 layers
Epithelial root sheath
Extension of epidermis
What causes hair to grow?
Mitosis in stratum basale of epidermal root sheath
Alopecia
Thinning of hair (age-related, other…)
Hypertrichosis
Abnormal hair growth
Two types of skin sweat glands
Merocrine
Apocrine
Merocrine sweat glands
Watery sweat to cool off
Ducts to skin surface
Apocrine sweat glands
Groin, breast.. Viscous, odorous, puberty, respond to stress
Ducts lead to hair follicles
Sebum
Produced by sebaceous glands (oil of cholesterol, fats, proteins, salts) to moisturize skin/hair
Associated w| hair= ducts in hair follicle
Not associated w| hair= ducts open on skin surface (lips, eyelids, labia minora)
Cercuminous glands
Only in ear canal to produce cerumen (ear wax)
Modified sweat gland
Cerumen
Ear wax
Why do women have more BV than men?
Skin thickens at puberty (blush easily ex)
Senescence
Collagen breaks down
What percentage of solid rumors are in epithelium?
70%
Most frequent skin cancer
Basal cell carcinoma
- seldom spreads
- raised bump
Squamous cell carcinoma
Skin cancer from stratum spinosum
-curable but can spread
Deadliest, least common skin cancer
Melanoma
Melanoma
Survival rate= less than 1%
Arises from melanocytes (preexisting mole)
What goes to area of skin when cut?
Fibroblasts
Go to cut from dermis to lay down white collagen (scar tissue)
Leading cause of accidental death
Burns
1st degree burns
Only epidermis
2nd degree burns
Upper dermis
3rd degree burns
Destroy skin & sometimes deeper tissue
Debridement
Cutting away dead tissue
essential in severe burns
Autograft
Skin graft taken from same person
Isograft
From identical twin
Homograft
Unrelated person
Heterograft/xenograft
Different animal