Skin, hair and nails Flashcards
1
Q
The skin
A
- The skin is the largest organ
- Covers the whole body
- Water resistant
- Protects and shapes the body
- Three layers
- Epidermis
- Dermis
- Hypodermis
2
Q
Epidermis
A
- The visible layer of skin
- Varies in thickness depending on the part of the body
- Thickest on the soles of the feet and palms of the hand
- Thinnest on eyelids and nipples
- The cells on the surface are constantly shed
- Desquamation
- They are constantly replaced from below
- Cells in the basal layer multiply and are pushed up to the surface
- The basal layer of the epidermis receives its blood supply, nutrients and fluids from the dermis
3
Q
Structure of the Epidermis 5 layers of epithelial cells
A
- Stratum corneum
- Stratum lucidum
- Stratum granulosum
- Stratum spinosum
- Stratum germinativum
4
Q
Stratum corneum
A
- Most superficial layer of the epidermis
- Layer exposed to the outside environment
- Usually 15 to 30 layers of cells
- Prevent the penetration of microbes and the
dehydration of underlying tissues - The entire layer is replaced during a period of
about 4 weeks - Cells are hardened and flattened (highly keratinized- cornification )
- Cells are shed periodically (desquamation) and replaced by cells pushed up from the stratum granulosum
5
Q
Stratum lucidum
A
- A smooth clear layer
- Cells contain the clear protein eleiden giving cells a transparent (lucid) appearance
- Eleiden provides barrier to water
- Cells dead and flattened
- Cells are denucleated but not completely hard
- Cell membranes becoming less visible
- Found only in the thick skin of the palms, soles and digits
6
Q
Stratum granulosum
A
- Cells have a distinct nucleus but cell membranes are dying
- Contains granules of keratohyalin which are visible in healing tissue after trauma
- Cells generate large amounts of keratin
7
Q
Stratum spinosum
A
- Spiny in appearance
- Composed of 8-10 layers of cells
- Cells are living
- Cell membranes are intact
- Cells have protruding processes where they join to other cells
- Capable of mitosis under friction or pressure e.g. soles of the feet and palms of hands
- Langerhans cells also found in this layer
- Macrophages that engulf bacteria, foreign particles and damaged cells
8
Q
Stratum germinativum/basale
A
- The basal layer
- Primary site of cell division
- Cells are living
- Cuboidal shaped cells
- Cells take 28-30 days to move from here through the 5 layers of the epidermis before being shed
- Contains melanin pigment
- Melanin produced by melanocytes
- Merkel cells act as receptors (tactile)
9
Q
Dermis
A
- Known as the true skin
- Connected to the blood, lymph supply and nerves
- Contains sweat and sebaceous glands
- Made of connective tissue (areolar) that is tough and elastic
- Contains white collagen fibres and yellow elastic tissue (elastin)
- Collagen plumps the skin
- Elastin keeps skin supple and elastic
- Collagen and elastin diminish with age
10
Q
Dermis 8 main types of structures present
A
- Specialised cells
- Sweat glands
- Nerve endings
- Sebaceous glands
- Hair follicles
- Blood supply
- Lymphatic capillary
- Papilla
11
Q
Specialised cells
A
Fibroblasts
Mast cells
Histiocytes
Leukocytes
12
Q
Fibroblasts
A
- Responsible for the production of areolar tissue, collagen and elastin
- Responsible for generating connective tissue and allowing the skin to recover from injury
- Can be damaged by UV light
13
Q
Histiocytes
A
- Produce histamine
- Phagocytic cells
- Develop into Langerhans cells
14
Q
Mast cells
A
- Produce histamine as an allergic response
- Produce the anticoagulant heparin
15
Q
Leukocytes
A
- White blood cells
- Help fight infection and disease
16
Q
Nerve endings
A
17
Q
Sweat glands
A
- Stretch from deep in the dermis to the outer layer of the epidermis
- Sweat contains mainly water, urea and salts. Produced by 2 glands
- Eccrine glands
- Excrete watery sweat
- Control body temperature
- Found all over the body
- Apocrine glands
- Found in the groin and armpits
- Excrete a milky fluid
- Fluid mixes with bacteria on the skin surface = body odour
18
Q
Hair follicle
A
- Travel through the epidermis and dermis
- Erector pili muscles are attached to each hair – goose pimples
19
Q
Sebaceous gland
A
- Connected with hair follicles
- Produce sebum
- Fatty acid which keeps the skin moist
- Lubricates the hair shaft
- Found in hairy areas but not on the palms of the hands and soles of
the feet - Sweat and sebum combine on the skin surface
- Form the acid mantle
- Control bacterial levels
- Acts as a natural moisturiser
- Skin pH = 4.5-5.6
20
Q
Blood supply
A
- A system of blood vessels including microscopic capillaries
Plexus = network of vessels
21
Q
Lymphatic capillary
A
- Works in conjunction with
the blood supply - Carries waste products away
from the area
22
Q
Papilla
A
- Small conical projections at the base of the hair
- Contain blood vessels and nerves which supply
the hair with nutrient