Structure and Function of Skin Flashcards

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1
Q

Layers of skin

A

-epidermis
-dermis
-subcutaneous tissue

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2
Q

epidermis

A

-protects underlying tissue from infection, dehydration, chemicals, and mechanical stress
-relatively waterproof
-prevents most bacteria, viruses, other foreign substances from entering the body
-produces pigment melanin that gives human skin, hair, eyes their color

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3
Q

dermis

A

-contains tough connective tissue as well as different types of cells and glands
-nerve endings- sense pain, touch, pressure, temperature
-sweat glands- produce sweat in response to heat and stress
-sebaceous glands- secrete sebum into hair follicles (sebum is oil that keeps skin moist and soft)

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4
Q

subcutaneous tissue

A

-made up of fat and connective tissue
-plays many important roles in body
-helps insulate body from heat and cold
-provides protective passing and serves as energy storage area

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5
Q

layers of epidermis

A

-stratum lucidum
-stratum corneum
-stratum basale

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6
Q

stratum lucidum

A

-formed from dead cells of deeper strata
-occurs only in thick, hairless skin of the palms and hands and soles of feets
-2nd layer of epidermis

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7
Q

stratum corneum**

A

-outermost layer of epidermis
-shingle like dead cells are filled with keratin (protective protein prevents water loss from skin)
-all cells here are dead
-25-30 layers of flat dead cells filled with keratin and surrounded by lipids
-continuously shed
-BARRIER to light, heat, water, chemicals, and bacteria
-friction stimulates callus formation
-first thing infilatrated

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8
Q

stratum basale

A

-lower layer of epidermis
-mitosis takes place here

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9
Q

epidermal function of layers

A

-barrier protection against the environment -> infection, heat loss, UV damage, foreign matter
-epidermal layer replaced every 28 days moving from basal layer to stratum corneum****
-14 days to reach stratum corneum

-another 14 days to desquamate (peel, sheds off)*
-epithelial cells are the first line of defense to the environment
-vitamin D
-sensation through 3 types of nerve fibers
-temperature regulation- heat loss and heat conservation through sweat glands and capillaries
-blood flow through skin is approx 5% of CO (normally) -> can drop to 0 in cold temps
-extreme heat can cause CO to rise to 60%

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10
Q

melanocytes

A

-10% of cells found in basal cell layer
-produce melanin
-protection from UV light
-exposure to UV light stimualtes production of melanin and then is packaged into melanosomes
-melanosomes move to surface to protect cells from UV light

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11
Q

dermis

A

-1-4 mm thickness
-cushion of protection
-where you find collagen- makes up 75% of dermis
-hair follicles originate here
-oil glands, eccrine glands
-nerve fibers run through it

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12
Q

skin microbiome

A

-diverse symbionts- microbes that populate skin
-bacteria, fungi, viruses
-changes in this microbiome can cause pathology
-acne- cutibacterium acnes
-atopic dermatitis- staph aureus and s. epidermis
-diabetic ulcers- staphylococal species and fungi
-skin can be window to all organs as well as general age and overall health

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13
Q

papule

A

-<1cm
-solid
-raised
-proliferation of cells in epidermis or superficial dermis
-ex. allergic eczema

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14
Q

macule

A

-<1cm
-flat
-only epidermis
-color change
-ex. freckle

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15
Q

plaque

A

-larger papule
-raised (cast shadow with side lighting)
->1cm
-proliferation of cells in epidermis or superficial dermis
-skin or mucous membrane
-ex. thrush

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16
Q

nodule

A

-small knot
-raised
-solid
-proliferation of cells in mid/deep dermis (deeper than papule)
-sebaceous pathology

17
Q

vesicle

A

-fluid filled papule
-blister
-raised
-<1cm
-filled with fluid
-ex. herpesvirus infection
-atopic dermatitis

18
Q

bulla

A

-larger vesicle
-blister
-raised
->1cm
-filled with fluid
-ex. burn

19
Q

pustule

A

-raised
-vesicle filled with pus (leukocytes and thin fluid)
-ex. acne, rosacea

20
Q

erosion

A

-more superifical
-depressed
-loss of part/all of epidermis
-may occur after vesicle forms/top peels off or secondaryly to trauma
-weep and b/m crusted
-usually heal w/o scarring

21
Q

ulcer

A

-sore
-deeper
-depressed
-complete loss of epidermis and part of dermis
-often heal with scarring
-ex. decubitus (pressure sore)

22
Q

morphology

A

-must describe lesion very precisely
-want to include palpability, color, shape, texture, size lesion, location
-if lesion is present in dermis, will push up and cause lesion to be raised (palpable)
-deeper- more raised
-distribution- location on body
-configuration how lesions are arranged/relate to one another

23
Q

tumor

A

-solid mass
-larger than 1 cm
-ex. squamous cell carcinoma

24
Q

wheal

A

-type of plaque
-results in transient edema in dermis
-ex. intradermal skin test

25
Q

scales

A

-flakes of cornified skin layer
-ex. psoriasis, fungal, pre-skin cancer

26
Q

crust

A

-dried exudate on skin
-ex. impetigo

27
Q

fissure

A

-cracks in skin
-ex. athletes foot

28
Q

scar

A

-excess collagen production after injury
-ex. surgical healing

29
Q

atrophy

A

-loss of some portion of skin
-ex. paralysis

29
Q

skin physical exam

A

-size
-color- hypo, hyperpigmented
-character
-shape- round, oval, annular, arcuate (arches), targetoid (lyme)
-arrangement and distribution- group, discrete, isolated, linear, reticular, serpiginous, symmetrical and disseminated
-border- smooth, irregular, fading (important for skin cancer)
-what part of body (very specific)

30
Q

central puncta

A

-central part of a black head

31
Q

cyst

A

-freely movable

32
Q

purpura

A

-blood vessels leak under skin
-larger than pectinate

33
Q

lichenification

A

-demarcated
-looks like an elbow

34
Q

friable

A

-bloody, delicate
-looks like it can be wiped off

35
Q

icepick scarring

A

-acne scars
-looks like holes

36
Q

comedone

A

-open comedone - black head
-closed comedone- bump in the skin with pus inside (pustule basically) -> no outlet