Skin Structure Flashcards

1
Q

What is the integumentary system

A

Aka skin
Largest organ of the human body
An Epithelial membrane - cutaneous

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2
Q

What are the three layers of the skin

A
  1. Superficial = epidermis
  2. Middle = dermis
  3. Subcutaneous / adipose
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3
Q

What is the epidermis layer of the skin

A

Formed of tightly packed epithelial tissue cells which is keratinised epithelium (protective & waterproof)

Interstitial fluid (situated in between cells) provides oxygen & nutrients to cells, slow diffusion from dermis

Epidermis is drained by lymph

No blood vessels (avascular) & no nerve endings

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4
Q

What is found in the dermis layer of the skin

A

Formed of connective tissue, matrix of collagen (strength) & elastic fibres (stretch & recoil)
Thickest layer in skin

contains accessory structures such as sweat glands, hairs, arrector pili muscles & sebaceous glands
Arterioles & capillaries (thermoregulation)
Lymph vessels & sensory nerve endeings
Fibroblasts & immune cells - macrophages & mast cells

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5
Q

What is the subcutaneous layer of skin

A

An insulating & protective layer of fatty tissue that connects the dermis to deeper lying muscle & bone

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6
Q

How does the keratinised epithelium of the epidermis form

A

Watery round cells produced at the bottom of the epidermis rise to the surface, gradually flattening
Accumulating keratin for waterproofing, this suffocates the cells causing our outer epidermis layers to be made entirely of dead cells

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7
Q

What are the types of cells found in the epidermis

A

90% keratinocytes - tough fibrous protein that protects from heat, microbes & chemicals

8% melanocytes - pigment that contributes to skin colour & absorbs UV light. Melanin granules surround the nuclei of keratinocytes on skin surface side

2% langerhan’s cells - immune cells involved in antigen presentation

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8
Q

What is eumelanin

A

Type of melanin that contributes to brown/black colour

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9
Q

What is pheomelanin

A

Melanin that contributes to red/yellow colour

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10
Q

What is the structure of fingerprints

A

Ridges that form in 3rd month of foetal development

Increase surface area & enhances grip by creating friction

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11
Q

What are the meissner’s corpuscle sensory nerves

A

Nerves in the dermis that are Sensitive to light pressure

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12
Q

What are the pacinian corpuscle sensory nerves

A

Found in the dermis and are sensitive to deep pressure

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13
Q

What are the free nerve endings in the dermis

A

Sensitive to pain & temperature

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14
Q

What are the structure of the hairs of the dermis

A

Concentric columns of dead keratinised cells bonded together by proteins

Contains melanin pigments which contributes to colour

A microscopic band of smooth muscle called ARRECTOR PILI connect the hair follicle to the dermis

When the hair is erect, it traps a layer of air next to the skin which contributes to thermoregulation

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15
Q

What are sebaceous glands

A

Glands in the dermis that secrete sebum which keeps hairs soft, provides water-proofing & is anti-microbial

Activity increases with puberty & decreases with age
Fatty acids in sebum inhibit bacterial growth

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16
Q

What are the main functions of the skin

A
Protection
Thermoregulation
Vitamin D production
Sensation
Absorption
Excretion
17
Q

What is desquamation

A

The shedding of skin cells helps remove microbes

18
Q

What simulates sweat glands & blood vessels in the skin

A

The autonomic nervous system via the hypothalamus & medulla oblongata (brain stem)

19
Q

How does our skin form vitamin D

A

UV light activates a vitamin D precursor in the skin from cholesterol
The kidneys convert the precursor to calcitrol
Calcitrol acts as a hormone to increase uptake of calcium & phosphorus from food into blood, thus ultimately supporting bone density
Vitamin D is stored in the liver

20
Q

What is the process of superficial wound healing

A

Eg abrasions/burns

Basal cells move across the gap until contact inhibition occurs
Epidermal growth factor causes multiplication of the basal cells until space is filled

21
Q

What is contact inhibition

A

Cessation of cell division in cells once they are touching eachother

22
Q

What is the process of deep wound healing

A

When affecting dermis &or subcutaneous

  1. Inflammatory phase - migration of leukocytes, blood clot forms & scabs, epithelial cells migrate to repair membrane
  2. Proliferative phase - granulation tissue is formed with the laying of collagen & blood vessels, extensive growth & repair of epithelial cells
  3. Remodelling phase - 3 weeks-6 months, scab naturally falls off & scar tissue remains
23
Q

What is a hypertrophic scar

A

Stays within the boundary of the wound

Contains less hairs, glands, nerve endings & blood vessels hence paler appearance

24
Q

What is a keloid scar

A

Takes up a larger space than the wound (normally raised)

Also contains less cells

25
What substances does the skin excrete
Water, sodium, urea & ammonium
26
What are the four mechanisms of heat loss
1. Radiation - when exposed parts radiate heat away from body 2. Evaporation - body is cooled as converts water in sweat to water vapour 3. Conduction - when clothes & other objects in direct contact take up heat 4. Convection - air passing over exposed parts of body is heated & rises & cool air replaces it, cools body when clothes worn except windprrof
27
What causes changes of body temp during fever
Caused by release of chemicals called pyrogens Eg interleukin 1 act on hypothalamus which release prostaglandins that reset the hypothalamic thermostat to higher temp Body responds by activating heat promoting mechanisms eg shivering & vasoconstriction until new higher temp achieved When thermostat reset to normal, heat-loss mechanisms are activated eg sweating & vasodilation until temp falls again