Tissue Repair - Integumentary System Flashcards
occurs during wound healing, which is the process by which the skin or any injured organ restores itself after an injury.
tissue repair
The main objectives of wound healing are to prevent further damage, clean and seal the wound to prevent infection, and restore tissue strength and function if possible.
tissue repair
The damaged tissue is replaced by the same type of cells. The new tissue completely restores the damaged area to its normal state.
Regeneration
two mechanisms of tissue repair
regeneration and fibrosis
The damaged tissue is replaced with dense fibrous connective tissue or scar tissue. This can interfere with or inhibit the normal function and architecture of the underlying organ or tissue. Examples include fibrosis in the lungs, liver, brain, and heart.
Fibrosis
Epithelial Tissues, fibrous tissues, bone tissues, blood vessels, and some muscle tissues.
Regenerative tissue
Cardiac tissues and nervous tissues in the brain and spinal cord
Non-regenerative tissue
two types of severity of injury
Shallow wounds, deep wounds
Affect only the epidermis; dermis remains intact.
Shallow wound
Damage the dermis. Clean cuts heal more successfully than ragged tears.
Deep wounds
prevent further injury
inflammation
■ Damaged cells release inflammatory chemicals, increasing capillary permeability
■ White blood cells (WBCs) and clotting proteins seep into the injured area.
■ Platelets migrate to form a fibrin clot, which seals the wound and prevent blood loss
■ Immune cells (neutrophils and macrophages) accumulate to remove debris and bacteria
■ Symptoms include swelling,redness, pain, and heat
Inflammation
Supply cells and nutrients for remodeling.
Granulation tissue forms
Events of tissue repair
inflammation, granulation tissue forms, surface epithelium regeneration
■ New blood vessels form around the wound, creating ___________—delicate pink tissue with new capillaries.
■ Connective tissue cells (fibroblasts) produce collagen fibers and extracellular matrix.
■ __________- facilitates wound closure as fibroblasts synthesize collagen.
■ Myofibroblasts pull the wound edges together.
Granulation tissue
Regenerate surface epithelium and finalize wound closure.
Surface epithelium regenerates
■ ___________, thickens, and makes its way between granulation tissue and the scab.
■ The scab eventually detaches, leaving behind a scar.
■ The fibrous tissue matures to form a scar, which may be visible or invisible depending on the severity of the wound.
■ During remodeling, the new tissue matures to more closely resemble the surrounding mature tissue.
Surface epithelium regenerates
What is the regenerative capacity? Skin epidermis, mucous membranes, fibrous connective tissues, blood tissues, bones.
High
What is the regenerative capacity? Smooth muscles, tendons, ligaments
moderate
What is the regenerative capacity? Skeletal muscles, cartilage.
Weak
Repair of superficial wounds or clean surgical incisions approximated by surgical supports. Involves inflammation, granulation, and maturation stages.
Primary union (first intention)
What is the regenerative capacity? Cardiac muscles, nervous tissues in the brain and spinal cord.
Virtually no
Repair of large wounds, abscesses, ulcerations, or necrosis. Involves both regeneration and scarring, with more intense inflammation, abundant granulation tissue, extracellular matrix accumulation, and large scar formation.
Secondary union (second intention)
→ Cause: Fungal infection
→ Symptoms: Itchy, red peeling skin
between the toes
Athlete’s foot
→ Cause: Inflammation of hair follicles
→ Symptoms: Painful, swollen bumps
Boils (furuncles)
→ Cause: Herpes Simplex Virus 1
→ Symptoms: Fluid-filled blisters
around lips and mouth, itching, and stinging
Cold sores (fever blisters)
→ Cause: Clusters of boils, often due to
Staphylococcus aureus
→ Symptoms:Multipleinterconnected boils
Carbuncles
→ Cause: Staphylococcus or
Streptococcus bacteria
→ Symptoms: Pink fluid-filled lesions
with yellow crusts, primarily around mouth and nose.
Impetigo
→ Cause: Exposure to chemicals (e.g., poison ivy)
→ Symptoms: Itching, redness, swelling, possibly blistering
Contact dermatitis
→ Autoimmune disorder
→ Rapid skin cell production,
resulting in red lesions covered with dry, silvery scales; triggered by trauma, infection, hormonal changes, or stress
Psoriasis
Tissue damage and cell death caused by heat, electricity, UV radiation, or chemicals
Burns
Result in loss of body fluids and infection from the invasion of bacteria
Burn
→ Only epidermis is damaged
→ Skin is red and swollen
→ Heals in 2-3 days
First-degree burn (superficial burn)
→ Epidermis and superficial part of dermis are damage
→ Skin is red, painful, and blistered
→ May result in scarring
→ Regrowth of the epithelium can occur
→ Caused by hot water, flames, chemicals, or electricity.
Second-degree burn (partial-thickness burn)
→ Destroys epidermis and dermis; burned area is painless
→ Requires skin grafts, as regeneration is not possible
→ Burned area is blanched (gray-white) or black
Third-degree burn (full-thickness burn)
→ Extends into deeper tissues (bone, muscle, tendons)
→ Appears dry and leathery
→ Requires surgery and grafting
→ May require amputation
Fourth-degree burn (full-thickness burn)
Most common types of skin cancer
○ Basal cell carcinoma
○ Squamous cell carcinoma
○ Malignant melanoma
→ Least malignant and most common type of skin cancer
→ Arises from cells in stratum basale that are altered so that they can no
longer make keratin
→ Lesions appear as shiny, dome-shaped nodules that develop a central ulcer
Basal cell carcinoma
→ Believed to be induced by UV Exposure
→ Arises from cells of stratum spinosum
→ Lesions appear as scaly, reddened papules that gradually form shallow ulcers
→ Early removal allows a good chance of cure
→ Metastasizes to lymph nodes if not removed
Squamous cell carcinoma
The ABCDE of malignant melanoma
○ A: Asymmetry
○ B: Border irregularity
○ C: Color variation
○ D: Diameter > 6mm
○ E: Evolution or change in characteristics
Most deadly of skin cancers, but accounts for only 5 percent of skin cancers
→ Arises from melanocytes
→ Metastasizes rapidly to lymph and blood vessels
→ Detection uses ABCDE rule for recognizing melanoma
Malignant melanoma
Downy hair covering body by 5th or 6th month, disappears by birth
Lanugo
Oily substance protecting skin at birth
Vernix Caseosa
Small white spots on nose and forehead, are at common at birth and disappear by 3rd week
Milia
Due to activated sebaceous glands
Acne