skin physiololgy Flashcards

1
Q

skin functions

A

waterproof barrier
physical barrier
UV Barrier
immune organ

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2
Q

3 layers of skin

A

epidermis
Dermis
Hypodermis

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3
Q

how does skin form a waterproof barrier

A

tight junctions between cells in stratum granulosum , epidermal lipids form an outside in and inside out barrier

prevents transepidermal water loss

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4
Q

function of the epidermis

A

water proofing
physical barrier
immune function
UV

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5
Q

Dermis function

A

thermoregulation
vitamin d synthesis
sensory organ

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6
Q

function of subcutis/ hypodermis layer

A

thermoregulation
energy reserve
vit d storage
endocrine organ

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7
Q

why does skin wrinkle when wet

A

mediated by sympathetic nervous system

due to vasoconstriction in dermis

improves grip

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8
Q

how does skin act as a physical barrier

A

to resist trauma

stratified epithelium helps resist abrasive forces

fat in subcutis acts as a shock absorber

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9
Q

how is the skin an endocrine organ

A

androgens act on follicles and sebaceous glands

thyroid hormones act on skin

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10
Q

how can UV a and UV b damage skin

A

burns
photo- aging
supress action of langerhans cells
DNA damage

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11
Q

what does skin colour depend on

A

melanin
carotenoids
oxy/ deoxyhaeomoglobin

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12
Q

where is melanin synthesised

A

melanosomes within melanocytes from tyrosine
From stratum granulosa
transported via dendrites

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13
Q

response to immediate pigment darkening process

A

photooxidation of existing melanin

redistribution of melanosomes

occurs within minutes and lasts hours-days.

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14
Q

how does skin acts as a barrier to infection

A

large sa to environment

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15
Q

skin as an immune organ

A

Epidermis:
Langerhans cells- antigen presenting cells

Dermis
Regulatory T cells
Natural killer cells
Dendritic cells
Macrophages
Mast cells
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16
Q

epidermis as a immune factor

A

Epidermis
Keratinocytes secrete cytokines and chemokines that maintain populations of leucocytes in skin

Langerhans cells are antigen-presenting cells and secrete cytokines

17
Q

what does the skin do when challenged

A

LC migrate to dermis and lymph nodes and activate a T-cell response
Keratinocytes proliferate & secrete cytokines
Leucocytes enter skin from blood

18
Q

how does skin help to regulate blood flow

A

insulation- subcutaneous fat

heat loss

eccrine sweating

19
Q

what is produced from the breakdown of filagrin

A

NMF- natural moisturising factor which is acidic

20
Q

how does skin shed

A

breakdown of corneodesmosomes that link the skin together

21
Q

what switches off proteases

22
Q

5 layers of the epidermis?

A
Stratum corneum 
Stratum lucidum
Stratum granulosum
Stratum spinulosum
Stratum basale
23
Q

what does the corneum contain

A

dead keratanised cells

24
Q

what does the lucidum contain

A

dead cells containing keratohyalin

25
what constitutes the healthy skin barrier
filaggrin produces NMF corneocytes fill with NMF NMF also contains acidic environments desquamation- mature corneocytes shed from surface of striatum corneum
26
how does the brick wall model work?
lipid lamellae- keeps water inside the cells irritants bounce off the cells stratum corneum- prevents water loss vit d - anti- microbial peptides for defending skin
27
3 signs of skin inflammation
red skin itchy skin dry skin
28
why does inflamed skin go red
lymphocyte activity causes dilation of blood vessels
29
why does inflamed skin go itchy
stimulation of nerves
30
why does inflammed skin go dry
skin cells leaking, no h20
31
normal skin ph
5.5
32
consequences of skin ph being too high
lack of nmf breakdown of skin barrier increase risk of infection
33
steps that cause acne
hypercornification of stratum corneum increase sebum produced sebum trapped in follices gets trapped no o2 perfect for bacterial growth bacteria breaks down trigylcerides , causes irritation, forms pus