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
Q

Describe the reticular layer of the dermis

A

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
Q

what is Striae Distensae

A

stretch mark, breakage of collagen and elastin fibers in the dermis

27
Q

Hypodermis

A

Largely
comprised of
loose
connective
tissue
* Adipocytes
* Variable in
thickness

28
Q

Decubitus ulcers

A
  • L. decubitus; laying
    down
  • L. ulcer; sore
29
Q

What are the types of burns

A

Superficial (formerly 1°)
Partial-thickness
Full-thickness
Extension to deep tissues

30
Q

What is the Rule of Nines

A

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
Q

Vitiligo

A
  • L. Vitiligo; skin eruption
  • Autoimmune disease
  • melanocytes
    (white patches on skin)
32
Q

Psoriasis

A

*L. Psoriasis; to itch
* Scaly, red, itchy patches
of skin

33
Q

Basal Cell Carcinoma

A
  • Most common type;
    seldom metastasizes
    – Originates in str. basale;
    face; surgical removal
34
Q

Squamous Cell
Carcinoma

A
  • arises from str.
    Spinosum
    (keratinocytes)
    – Scalp, ears, lower lip,
    back of hand
35
Q

Malignant Melanoma

A

Arises from melanocytes; most deadly.

36
Q

ABCD’s stand for

A
  • 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
Q

callus & corns

A

*thickened regions str.
corneum
* Hard; inflamed
* not usually painful

38
Q

epidermal derivatives

A

hair, nails, and glands

39
Q

The parts of the hair

A
  • Shaft (completed
    keratinization)
  • Root (ongoing
    keratinization)
  • Bulb
  • Sebaceous gland
  • Arrector pili m.
  • Pilosebaceous unit
40
Q

Types of hair

A

Lanugo (L. wool/down)
Vellus (L. fleece)
Terminal

41
Q

what is lanugo hair

A

fetus hair. usually replaced by vellus or terminal hair.

42
Q

vellus hair

A

very soft and short

43
Q

Terminal Hair

A
  • longer, coarser,
    thicker, and darker
  • sebaceous glands
44
Q

Nails

A
  • Body
  • Free edge
  • Root
  • Nail fold
  • Nail bed
  • Eponychium (cuticle)
  • Matrix/lunule
45
Q

3 types of gland

A

– Sebaceous
– Sudoriferous
– Ceruminous

46
Q

sebaceous

A

it makes and secretes sebum. Everywhere on body except palms
and soles; greatest number on face
and scalp.

47
Q

Sudoriferous Glands

A

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
Q

Ceruminous glands

A

ear wax
cerumen