Skin Anatomy and Physiology Flashcards

1
Q

The largest organ system = ?

A

The skin is the largest organ system;

  • recieves 1/3 resting cardiac output
  • weighs > 4-5 kg
  • ranges in thickness from 0.5-6.0 mm.
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2
Q

What are the primary functions of the skin?

A
  • thermoregulation - excretion of sweat
  • sensation
  • storage & synthesis - vitamin D synthesis, lipid and water storage
  • protection - from shear, water loss, and bacteria
  • body image, expression
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3
Q

What are the three main layers of the skin?

A
  • epidermis
  • dermis
  • subcutaneous/hypodermis
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4
Q

Epidermis…

  • Main function of the epidermis?
  • How often does the epidermis regenerate?
  • Thickness?
A
  • It serves as a protective layer, preventing water loss and providing pigmentation and sensation.
  • The epidermis repairs/regenerates every 28 days.
  • .05 - .6 mm thick
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5
Q

What is the dermis primarily responsible for?

A

It houses sensory organs, vasculature, and dermal appendages, providing nourishment and thermoregulation.

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6
Q

What is the subcutaneous layer also known as?

A

It is also known as the hypodermis or endodermal layer.

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7
Q

What structures are found in the dermis?

A

Sensory organs, vasculature, hair follicles, sweat glands, and sebaceous glands.

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8
Q

What is the primary function of the subcutaneous layer?

A

It acts as an insulator, energy reserve, and cushion, while also storing vitamins A, D, E, and K.

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9
Q

Cells of the Epidermis

What is the role of keratinocytes?

A

They accumulate keratin and migrate to resurface injured areas; they make up 90% of epidermal cells.

  • Hard keratin is found in hair and nails.
  • Soft is found in the stratum corneum.
  • Can’t bridge a gap
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10
Q

Cells of the Epidermis

What are corneocytes?

A

Corneocytes are keratinocytes in their final stage, forming a barrier to physical, chemical, and immunological threats.

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11
Q

Cells of the Epidermis

What is the function of Langerhans cells?

A

They are dendritic cells that signal T-cells for immune response, but can be necrosed by UV rays.

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12
Q

Cells of the Epidermis

What is the role of melanocytes?

A

Melanocytes synthesize melanin from tyrosine, contributing to pigmentation in the epidermis.

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13
Q

Cells of the Epidermis

What function do Merkel cells serve?

A

They are mechanoreceptors that detect light touch and transmit the signal via the Merkel disc in the dermis.

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14
Q

Layers of the epidermis

What is the stratum corneum?

A

It consists of 25-30 rows of flat, dead cells filled with keratin, acting as a barrier to heat, light, bacteria, and chemicals.

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15
Q

Where is the stratum lucidum found?

A

It is found in the palms and soles of the feet.

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16
Q

What is the function of the stratum granulosum?

A

It contains keratohyalin, a precursor to the waterproofing protein keratin.

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17
Q

What cells are found in the stratum spinosum?

A

Polyhedral keratinocytes and Langerhans cells.

  • More mature rows of keratinocytes appear “spiny” due to keratin filament formation
  • Attached together by desmosomes
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18
Q

Where are new epidermal cells produced?

A

In the stratum basale or germinativum layer.

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19
Q

What is the papillary region?

A
  • The upper 1/5 of the dermis
  • Containing dermal papillae and Meissner’s corpuscles for light touch.
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20
Q

What is the reticular region?

What senses?

A

Consists of dense irregular connective tissue with collagen, elastin, and mechanoreceptors.

21
Q

What are fibroblasts?

A

Cells in the dermis that produce collagen and elastin for structure and flexibility.

22
Q

What role do macrophages play in the dermis?

A

They scavenge debris and microorganisms, aiding in infection control.

23
Q

What are mast cells?

A

Dermal cells that produce histamine, which contributes to inflammatory responses.

24
Q

What is the role of hair follicles?

A

They help regulate temperature by trapping air and regenerate the epidermis after abrasions.

25
Q
  • Sebaceous glands, what do they produce = ?
  • Sudoriferous glands, where are they NOT located = ?
A
  • Sebaceous glands: They produce sebum, which lubricates the skin and hair and protects against bacteria.
  • Sudoriferous glands: They are found throughout the skin except on the lips and ears, secreting sweat for thermoregulation.
26
Q

Where do nails originate?

A

They originate from the basal layer of the epidermis, protecting the tips of digits.

27
Q

What is the composition of the subcutaneous layer?

A

It contains adipose tissue, deep blood vessels, and nerve endings.

28
Q

What is the primary function of adipose tissue in the subcutaneous layer?

A

It provides insulation, energy storage, and cushioning.

29
Q

How is the skin connected to muscle?

A

Through fibers that extend from the dermis into the subcutaneous layer, anchoring it.

30
Q

What is the function of tendons in relation to skin?

A

Tendons connect muscles to bones, facilitating movement and supporting skin structure.

31
Q

How does bone interact with the skin?

A

Bones provide structural support to which skin and other tissues attach.

32
Q

How are keratinocytes attracted to wound areas?

A

They are attracted by neutrophils, macrophages, and the current of injury, advancing in a sheet.

33
Q

What is the role of the acid mantle in skin?

A

It creates a barrier against bacteria, supporting skin protection.

34
Q

What is the role of the cornified envelope in corneocytes?

A

It provides a physical, chemical, and immunological barrier.

35
Q

What is eledin, found in the stratum lucidum?

A

Eledin is a substance that transforms into keratin in the stratum lucidum.

36
Q

How does the stratum granulosum contribute to skin waterproofing?

A

It contains keratohyalin, a precursor to keratin, which waterproofs the skin.

37
Q

What happens in the stratum basale?

A

New cell production occurs, and it contains Merkel cells and melanocytes.

38
Q

How does the stratum spinosum maintain skin integrity?

A

Cells in this layer are connected by desmosomes, providing structural support.

39
Q

What are Meissner’s corpuscles?

A

Meissner’s Corpuscles:

  • They are light touch mechanoreceptors located in the papillary region of the dermis.
40
Q

What are…

  • Bulbous/Ruffini corpuscles = ?
  • Pacinian corpuscles = ?
A

Bulbous / Ruffini corpuscles: Mechanoreceptors that sense sustained pressure and warmth in the skin.

Pacinian corpuscles: Mechanoreceptors in the reticular region that detect vibration and pressure.

41
Q

What is the function of sebum?

A

Sebum lubricates skin and hair, preventing bacterial growth.

42
Q

What layer do hair follicles originate from?

A

They originate from the dermal layer, assisting in temperature regulation.

43
Q

How does the subcutaneous layer aid in vitamin storage?

A

It stores vitamins A, D, E, and K, serving as a reserve.

44
Q

What is the appearance of healthy subcutaneous tissue?

A

It is typically white or pale yellow, indicating healthy fat tissue.

45
Q

What is the role of the basement membrane?

A

It attaches the epidermis to the dermis and acts as a scaffold for the epidermis.

45
Q

What is the significance of the rete ridges?

A

Rete Ridges: They increase the surface area for nutrient exchange between the dermis and epidermis.

46
Q

How does the dermis contribute to skin turgor?

A

The dermis contains collagen and elastin, which provide structure and flexibility.

47
Q

What is the ground substance in the dermis?

A

It is an extracellular matrix that supports dermal cells and structures.

48
Q

Dermis cell types…

  • Fibroblasts produce = ?
  • Macrophages = ?
  • Dendritic cells activate = ?
  • Mast cells produce = ?
A

- Fibroblasts produce collagen and elastin.

- Macrophages scavenge debris and Microorganisms.

- Dendritic cells present antigens, activate T-cells for immune response.

- Mast cells produce histamines.

  • Histamine causes vasodilation and increases permeability during inflammation