The Integumentary System Flashcards

1
Q

What is the integument?

A
  • The body’s largest organ (skin)
  • Functions include:
    1. Protection:
    – Provides physical barrier protecting against trauma
    – Protection from solar radiation
    – Some chemical absorption (selective permeability)
    2. Prevention of water loss and gain:
    – Skin is water resistant
    – Skin is not waterproof: transepidermal water loss
    3. Temp regulation:
    – Dilation of vessels, increased sweating in warmth
    – Constriction of vessels in cold
    4. Metabolic regulation:
    – Vitamin D is produced by some skin cells
    5. Immune defense:
    – Epidermal dendritic cells help initiate immune responses
    6. Sensory reception:
    – Many skin receptors help detect changes in temperature and touch
    7. Secretion:
    – Sweating, lubrication of hair and skin with sebum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the epidermis?

A
  • Epithelium of the skin
  • Avascular
  • Keratinized stratified squamous epithelium
  • Composed of several layers (strata)
  • Epidermal strata: from deep to superficial…
    – Stratum basale
    – Stratum spinosum
    – Stratum granulosum
    – Stratum lucidum (found only in thick skin)
    – Stratum corneum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Thick vs. thin skin

A
  1. Thick skin contains five layers in epidermis (includes stratum lucidum):
    – Found in palms of hands and soles of feet
    – Epidermis is 0.4-0.6 mm thick
    – No hair follicles or sebaceous glands
  2. Thin skin lacks stratum lucidum – has four layers in epidermis:
    – Covers most of body
    – Epidermis is 0.075-0.150 mm thick
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How is skin colour determined?

A
  • Determined by 3 pigments:
    1. Hemoglobin: blood pigment; red in color
    2. Melanin: Pigment produced by melanocytes
  • Increases with exposure to ultraviolet radiation
  • Relative amounts of 2 types of melanin give people different complexions (all people have about same number of melanocytes)
    3. Carotene: Yellow-orange pigment from foods such as carrots; it builds up in the skin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the types of skin markings?

A
  1. Nevus: Also called a mole; localized overgrowth of melanocytes
  2. Freckles: Yellow or brown spots of high melanocyte activity
  3. Hemangioma: Proliferation of blood vessels that form a benign tumor
  4. Friction ridges: Folds of epidermis and dermis on fingers, palms, soles, and toes; increase friction for grasping
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the dermis?

A
  • Lies deep to epidermis
  • Composed of areolar and dense irregular connective tissues
  • Has 2 layers:
    1. Papillary layer: Superficial; adjacent to epidermis
    2. Reticular layer: Deeper and thicker layer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are stretch marks, wrinkles and lines of cleavage?

A
  • Majority of collagen and elastic fibers are oriented in
    parallel bundles at specific body locations
  • Lines of cleavage identify the orientation of these
    fiber bundles (Incisions across these lines heal slower than those along these lines)
  • When skin is overstretched, collagen fibers may tear
    to form striae (stretch marks)
  • Ultraviolet light exposure and aging reduce flexibility
    and thickness of the dermis, resulting in wrinkles
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Innervation and blood supply in dermis do what?

A
  1. Nerve fibers function to:
    – Tactile (touch) receptors
    – Control blood flow
    – Control glandular secretion
  2. Blood vessels function to:
    – Supply nutrients to avascular epidermis
    – Important in controlling body temperature:
    - Vasoconstriction: Narrowing blood vessel diameter;
    used to shunt blood away from periphery
    - Vasodilation: Widening blood vessel diameter; used
    to move blood toward periphery for releasing heat
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the subcutaneous layer?

A
• Deep to the integument
– Not actually part of the integument
– Composed of areolar and adipose connective tissues
• Functions:
– Protects underlying structures
– Stores energy
– Thermal insulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are some epidermal derivatives?

A
  • Nails
  • Hair
  • Exocrine glands of the skin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are nails?

A
  • Scalelike modifications of the stratum corneum
  • The nail plate has a whitish free edge, a pinkish nail body, and a nail root that is covered by the skin
  • The nail body covers a layer of epidermis called the nail bed
  • Nail matrix: Thickened growing part of the nail bed
  • Lunula: White semilunar proximal area of nail body caused by thickened underlying stratum basale obscuring capillaries in dermis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is hair?

A
  • Functions of hair:
    1. Protection
    2. Heat retention
    3. Sensory reception
    4. Visual identification
    5. Chemical signal dispersal
  • Pilus consists of keratinocytes growing from follicles deep in dermis (often projecting to subcutaneous layer)
  • Three hair types include lanugo, vellus, and terminal hair
  • Zones that make up a hair:
    1. Hair bulb: Deep swelling of epithelial cells where hair originates
    2. Hair root: Portion that is deep to skin surface
    3. Hair shaft: Portion that extends beyond skin surface
  • Hair production occurs at hair matrix
  • Hair has 3 layers:
    1. Medulla: core of loose cells, air spaces
    2. Cortex: several layers of hardened, flattened cells
    3. Cuticle: outer coating
  • A hair follicle surrounds each hair
  • Arrector pili muscles attach to hair shaft: Respond to emotions and cold temperatures by contracting,
    standing the hair up, therefore producing “goose bumps”
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is hair growth?

A
  • 3 stages of the hair growth cycle:
    1. Anagen phase: active growth at hair bulb
    2. Catagen phase: brief regression period (cell division ceases, follicle shrinks)
    3. Telogen phase: resting phase; usual phase when hair is shed
  • Alopecia is hair thinning
  • Male pattern baldness caused by genetic and hormonal
    factors
  • Hirsutism (airiness) is commonly caused by excess androgens
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the exocrine glands of the skin?

A
  • Main types:
    1. Sweat glands: merocrine and apocrine types (produce watery solutions)
    2. Sebaceous glands: produce oily secretions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are merocrine sweat glands?

A
  • Simple coiled tubular glands that release secretions
    into a duct with a pore on skin’s surface
  • Secretion is 99% water, clear, and controlled by nervous
    system
  • Numerous on palms of hands, soles of feet, and forehead
  • Functions:
    – Thermoregulation
    – Secretion
    – Protection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are apocrine sweat glands?

A
  • Simple coiled tubular glands that secrete into hair
    follicles at the armpits (axillae), nipples (areola), groin
    (pubic region), and anus (anal region)
  • Secretion is thick, cloudy, and composed of proteins and lipids
  • Bacterial growth causes distinct odor in these regions
17
Q

What are sebaceous glands?

A
  • Secrete oily sebum into hair follicles or directly onto skin surface
  • Lubricates and is for prevention of dry hair and skin
  • Relatively inactive during childhood; sex hormones at puberty cause secretions to increase significantly
18
Q

What does aging do to integument?

A
– Skin repair takes longer
– Collagen content decreases; elasticity declines
– Immune responsiveness diminishes
– Skin becomes drier
– Number of melanocytes decreases; certain sun-exposed areas show
dark spots
– Hair follicle output declines
– Vitamin D synthesis decreases
– UV radiation damages skin cell DNA
19
Q

What is skin cancer?

A
  • Skin cancer is the most common form of cancer
  • Chronic sun exposure is predominant skin cancer risk factor
  • Three main types of skin cancer:
    1. Basal cell carcinoma: most common, least dangerous (starts in stratum basale)
    2. Squamous cell carcinoma: may metastasize (starts in stratum spinosum)
    3. Malignant melanoma: most deadly (starts from melanocytes- usually in a mole)