Skin Flashcards

1
Q

What are the divisions of the Epidermis in thick skin?

Name them in order, from the surface downward.

A
Stratum Corneum
Stratum Lucidum
Stratum Granulosum
Stratum Spinosum
Stratum Basale
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2
Q

What are the divisions of the epidermis in thin skin?

Name them in order, from the surface downward

A

Stratum Corneum
Stratum Granulosum
Stratum Spinosum
Stratum Basale

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3
Q

What are the two types of skin?

A

Thick, non-hairy skin

Thin, hairy skin

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4
Q

What are the 3 exceptions to: Thick, non-hairy skin, Thin, hairy skin?

A

Eyelid
External Genitalia
Back of the ear

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5
Q

Name and describe the 3 types of hair

A
Lanugo: 
   - Covers the fetus
Vellus: 
   - Replaces the Lanugo 
   - Thin and Soft
   - Not connected to a sebaceous gland
Terminal:
   - Rough and coarse
   - Thick
   - Axillia, head
   - Testosterone mediated
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6
Q

Name the different receptors found in skin and their function? (6)

A

Nociceptors: Pain
Tactile disk of Meissner: Touch and texture
Tactile disk of Merkel: Touch, texture and pressure
Ruffini’s corpuscle: Joint movement and tissue stretch
Pacinian Corpuscle: Vibration
Root hair plexus: Vibration of the hair shaft

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7
Q

What is a Arrector Pili, where is it found and what is its function?

A
What:
Smooth muscle fibres
Function:
Controlling pilorelaxation/erection
Sebum release during stress from associated sebaceous gland - lubrication
Location:
Origin - Papillary Dermis
Insertion - Hair bulb
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8
Q

Name the 3 specialised cells found in the epidermis, and state their function and structure

A
Melanocytes:
 - Synthesis of melanin
 - Long dendritic projections
 - Melanosomes synthesise melanin
Langerhans cells:
 - Antigen Presenting cells
 - Hard to see without immunofluroescence
Merkel cells:
 - Sensory cells on mechanoreceptors (touch, pressure and texture)
 - Hard to see
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9
Q

Name the functions of the skin (8):

A

Protection and repair:

  • Langerhans and mast cells, macrophages: disease
  • Keratinocytes : abrasion from surface
  • Melanocytes: UV damage
  • Myofibroblast: Wound repair (papillary Dermis)

Thermoregulation:
- Hairs and sweat glands

Lubrication:
- Sebaceous glands secrete sebum

Storage:
- White adipose tissue

Vitamin D Synthesis

Absorption

Aesthetic

Sensation

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10
Q

Describe the steps of development for a keratinocyte

A

Tonofibrils synthesised in the Stratum Basale
Lamellar bodies synthesised in the stratum Spinosum
Lamellar bodies combine Tonofibrils and keratohyaline in the stratum Granulosum to form keratin and apoptosis begins
(Stratum Lucidum contains intermediate Eladin)

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11
Q

What is the normal Transit time for a keratinocyte, name a disease which may affect this and describe its symptoms:

A

Normal: 28-40 days
Psoriasis: 2-3 days
- Silvery Scales (abundance of keratinocytes)
- Dry, red pathes of skin

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12
Q

Describe the nature and symptoms of Hyperkeratosis:

A

The increased production of keratin in keratinocytes
Thicker tougher skin
Often a result of pressure or irritation.
Symptoms:
- Calluses
- (Abnormally) Rough hard skin

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13
Q

Describe the characteristics and Function of Thick non-hairy skin

A
Characteristics:
- No Arrector pili, Hair follicles or sebaceous glands
- Thinner Dermis
- More Mechanoreceptors
- Thicker Stratum Corneum
- Stratum Lucidum Present
- Regular Dermal Papillae
- Pronounced ridges (fingerprints)
Function:
- Protection from abrasion
- Increased grip
- Increased Sensation
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14
Q

Describe the characteristics and Function of Thin hairy skin:

A
Characteristics:
- No stratum lucidum
- Irregular Dermal Papillae
- Less pronounced ridges
- Sebaceous gland, arrector pili and hair follicles present
Function:
- Thermoregulation
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15
Q

Name the 2 types of Malignant melanoma, state which is more common

A

More common: Nodular

Less Common: Lentigo

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16
Q

Describe the nature of Nodular Malignant Melanoma

A

Moles irregular in shape and colour (red-black)
Often oozing or bloodied
Spreads down into the skin
Result of sudden increase to exposure of UV radiation (e.g. going on holiday)

17
Q

Describe the nature of Lentigo Malignant Melanoma

A

Flat patch of discoloured skin
Initially shows lateral growth but can grow down into deeper layers of the skin forming nodules
More common in the elderly
Late onset due to the continuous exposure to UV radiation over time

18
Q

Name 4 risk factors for Malignant Melanoma

A

Having pale skin that burns easily
Having blonde or red hair
Having a family history of Malignant Melanoma
Having Freckles