The Integumentary System Flashcards

1
Q

What is the integumentary system?

A

*Skin is the largest organ in the body
*Makes up ~10-15% of body weight

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2
Q

What is the function of skin?

A
  • Barrier
  • Immunologic
  • Temperature regulation
  • Protection from Radiation
  • Nerve sensation
  • Injury repair
  • Appearance & Quality of Life
  • Excretion & Vitamin D synthesis
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3
Q

what is the function of the skin barrier?

A

*Physical barrier
* Regulates water loss
(desiccation)
*Dysfunction

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4
Q

functions of the Immunologic

A
  • Senses and responds to pathogens
  • Dysfunction
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5
Q

what is hyperthermia?

A

overheating

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6
Q

what is hypothermia?

A

very cold temp

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7
Q

what is Raynaud phenomenon?

A

it’s the episodes of reduced blood flow, particularly to the fingers and toes.

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8
Q

Excretion?

A

small amounts of waste produced from the body via sweat

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9
Q

what is vitamin D required for?

A

for the small intestine to absorb calcium ions, which are important for
* Nerve function
* Muscle contraction
* Building and maintaining bone, etc

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10
Q

what are the phases of the wound repair?

A
  • Coagulation
    – Inflammatory
    – Proliferation-migratory
    – remodeling
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11
Q

what are the clinical importance of skin colour?

A

yellow = jaundice
blue-gray = cyanosis (CV/Respiratory)
pale (pallor) = anemia
-ex: shock (low blood pressure), and emotional stress
red (erythema) = fever
- ex: Infection, rash, Allergies, hypertension, embarrassment
Bruises (black and blue marks) = blood escapes circulation and
coagulates under the skin.

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12
Q

3 layer of the skin?

A
  • Epidermis
    – outer layer composed
    of stratified squamous
    epithelium.
  • Dermis
    – layer primarily
    composed of dense
    and loose irregular
    connective tissue
  • Hypodermis
    – AKA subcutis,
    subcutaneous tissue,
    superficial fascia
    – Loose connective
    tissue/adipose tissue
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13
Q

Epiderms is contained of

A

keratinized stratified squamous epithelium AKA: keratinocytes

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14
Q

what are the layer of the skin?

A

– stratum basale
– stratum spinosum
– stratum granulosum
– stratum lucidum**
– stratum corneum

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15
Q

what are the cells found in the epidermis

A

–Keratinocytes
– Dendritic (Langerhans) cells
– Tactile epithelial (Merkel) cells
– Melanocytes

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16
Q

the stratum basale?

A

Stem cells divide and give rise to keratinocytes that migrate toward skin surface to replace lost cells.
Also contains a few melanocytes and tactile cells deepest epidermal layer
Synthesis in melanocyte
(inside melanosome)

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17
Q

The stratum spinosum

A

L: spinous; spine, thorn
* polyhedral cells (called
prickle cells)
Several layers of keratinocytes joined together by desmosomes and tight junctions
Named for appearance of cells after histological preparation (spiny)
Also contains some dendritic cells

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18
Q

what do the small neurons in dermis do

A

– Detect light touch and discriminate
shapes and textures
– Large numbers in regions specialized
for touch  fingertips, lips, and at
base of hairs

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19
Q

Stratum Granulosum

A

L. granulum; grain
Cells of the stratum
granulosum begin to fill
with keratin (keratinization)
* Cells flatten, nuclei and
other organelles begin to
disintegrate and two types
of granules accumulate
– Keratohyaline granules
(keratin)
– Lamellar granules
(lipids)
* Cells begin to die

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20
Q

Stratum Lucidum

A
  • L. lucidum; clear
  • Thin, translucent layer
  • Cells appear pale,
    indistinct boundaries
  • Found only in thick skin
21
Q

stratum corneum

A
  • Cells are dead
  • 15-30 cells thick
22
Q

Keratinocyte life cycle

A

New keratinocytes push older ones toward the surface
Over time, keratinocytes flatten, produce more keratin and membrane-coating vesicles that release lipids that waterproofs the cell.
take about 40-50 days

23
Q

The function of dermis

A

Provides blood supply for epidermis
* Contains sensory receptors
* Anchors epidermis in place
* Composed of two distinct layers:
– Stratum papillarosum (papillary layer)
– Stratum reticularosum (reticular layer)

24
Q

Describe the papillary layer of the dermis?

A

Most superficial layer of the dermis
Thin zone of areolar tissue in and near the dermal papilla
Anchors epidermis to dermis
Rich in small blood vessels
Contains Tactile (Meissner) corpuscles (touch) and free nerve endings (pain and temperature)

25
Describe the reticular layer of the dermis
The deeper and thicker layer of dermis Consists of dense, irregular connective tissue Packed with oil glands, sweat glands, hair follicles, etc. Collagen prevent traumatic injuries from damaging deeper tissues
26
what is Striae Distensae
stretch mark, breakage of collagen and elastin fibers in the dermis
27
Hypodermis
Largely comprised of loose connective tissue * Adipocytes * Variable in thickness
28
Decubitus ulcers
* L. decubitus; laying down * L. ulcer; sore
29
What are the types of burns
Superficial (formerly 1°) Partial-thickness Full-thickness Extension to deep tissues
30
What is the Rule of Nines
Method for estimating how much of body has been affected by burn (total percentage of body surface area – TBSA) in adults. arms 4.5% head 4.5% legs 9% breast and stomach 18% (front & back)
31
Vitiligo
* L. Vitiligo; skin eruption * Autoimmune disease * melanocytes (white patches on skin)
32
Psoriasis
*L. Psoriasis; to itch * Scaly, red, itchy patches of skin
33
Basal Cell Carcinoma
- Most common type; seldom metastasizes – Originates in str. basale; face; surgical removal
34
Squamous Cell Carcinoma
- arises from str. Spinosum (keratinocytes) – Scalp, ears, lower lip, back of hand
35
Malignant Melanoma
Arises from melanocytes; most deadly.
36
ABCD’s stand for
* Asymmetry: half of mole birthmark doesn’t match * Border: notched, irregular, blurred, ragged * Colour: not uniform, differing shades * Diameter: affected area is larger than 6 mm or is growing
37
callus & corns
*thickened regions str. corneum * Hard; inflamed * not usually painful
38
epidermal derivatives
hair, nails, and glands
39
The parts of the hair
* Shaft (completed keratinization) * Root (ongoing keratinization) * Bulb * Sebaceous gland * Arrector pili m. * Pilosebaceous unit
40
Types of hair
Lanugo (L. wool/down) Vellus (L. fleece) Terminal
41
what is lanugo hair
fetus hair. usually replaced by vellus or terminal hair.
42
vellus hair
very soft and short
43
Terminal Hair
* longer, coarser, thicker, and darker * sebaceous glands
44
Nails
* Body * Free edge * Root * Nail fold * Nail bed * Eponychium (cuticle) * Matrix/lunule
45
3 types of gland
– Sebaceous – Sudoriferous – Ceruminous
46
sebaceous
it makes and secretes sebum. Everywhere on body except palms and soles; greatest number on face and scalp.
47
Sudoriferous Glands
Sweat glands * L. sudor – * L. fero - * 4 types of “sweat” glands * Eccrine – most common, * Secretes water, waste products and electrolytes * Apocrine – specific locations, active after puberty * Ceruminous (modified apocrine) – ear wax * Mammary - highly specialized to produce milk
48
Ceruminous glands
ear wax cerumen