Unit 4: Ch 6 (Integumentary System) Flashcards
Accessory structures
- Only found in thin skin
- Hair & nails
- Cutaneous glands
Alopecia
- Thinning of hair/baldness
- Worsened by disease, poor nutrition, fever, emotional stress, radiation, chemotherapy
Anatomical differences between dermis and epidermis
-
Epidermis
- avascular
- keratin
-
Dermis
- vascular
- contains blood vessels, glands, and nerve endings
- contains hair follicles & nail roots
Blister
- Damaged dermal blood vessel (ie burn, friction)
- Results in serous fluid seeping out of vessel and accumulating
- Separates the epidermis from the dermis until the fluid is either reabsorbed or expelled by rupture
Colors of diagnostic value
-
Cyanosis (blue)
- Blueness of skin resulting from a deficiency of oxygen in the circulating blood
- Examples: Lung disease, cardiac arrest, slow blood flow, airway obstruction
-
Erythema (red)
- Redness of the skin caused by increased blood flow in dilated cutaneous blood vessels or by dermal pooling of red blood cells
- Examples: exercise, hot weather, sunburn, anger
-
Albinism (white)
- Lack of pigmentation that alters the integumentary system
- Effected people have inherited a recessive, nonfunctional tyrosinase allele from both parents
-
Jaundice (yellow)
- Yellowing of the skin and whites of the eyes resulting from high levels of bilirubin in the blood
-
Hematoma/bruise (multiple)
- A mass of clotted blood showing through the skin
- Can be a variety of colors depending on how much healing has occurred
Cutaneous glands
-
Sudoriferous (sweat) glands
- Merocrine (eccrine): at birth
- Myoepithelial cells
- Sensible (see/feel sweat) v. insensible (unable to see/feel sweat)
- Apocrine: post-puberty
- Bromhidrosis: body odor
- Pheromones
- Merocrine (eccrine): at birth
- Sebaceous: oil gland next to hair follicle
- Ceruminous: ear wax
- Mammary: produces milk
Cutaneous membrane
- The skin
- 2 regions
-
Epidermis
- Keratinized stratified squamous epithelium
- Surface consists of dead cells packed with keratin
- Avascular; dependent on diffusion
- Arises from the ectoderm
-
Dermis
- Fibrous connective tissue: collagen, elastic, & reticular fibers, fibroblasts
- Vascular
- Arises from the mesoderm
-
Epidermis
- The hypodermis is NOT a part of the cutaneous membrane


Dendritic/Langerhans cells
- Found in stratum spinosum & stratum granulosum
- Provide immunity
Dermal papilla
- Provides the hair with its sole source of nutrition
Dermis layers
-
Papillary layer (superficial)
- Areolar connective tissue
- Rich in small blood vessels
- Allows for the mobility of leukocytes and other defenses
- Superficial 1/5 of dermis
- Often extends upward as dermal papillae
-
Reticular layer (deep)
- Dense irregular connective tissue
- Collagen fibers in all planes. Stretching of skin can tear the collagen fibers and produce striae (stretch marks)
- Deeper 4/5 of the dermis
Epidermis stratification
- Cell classification
- Layers
- Cells present
- Keratinized stratified squamous epithelium
- Layers
- Stratum corneum
- Stratum lucidum (only in thick skin)
- Stratum granulosum
- Stratum spinosum
- Stratum basale
- Cells
- Stem cells
- Keratinocytes
- Melanocytes
- Tactile/Merkel cells
- Dendritic/Langerhans cells


Flexion lines (flexion creases)
- Lines on the flexor surfaces of the digits, palms, wrists, elbows, etc
- The skin is tightly bound to deeper connective tissues along these lines
Fontalis muscles
Muscles for eyebrow expressiveness
Friction ridges
- Produce fingerprints
- Enhance fingertip sensitivity to texture by vibrating and stimulating sense organs called lamellar corpuscles
- Form during fetal development and remain unchanged for life
- Patterns result from a combination of heredity and the surfaces that the fetus randomly touches with its fingertips before birth


Hair cycle
-
Anagen
- growth stage
- 6-8 years
-
Catagen
- mitosis ceases
- the follicle shrinks and the hair dies and loses its anchorage
- Hair becomes a club hair (easily pulled out while brushing)
- 2-3 weeks
-
Telogen
- hair follicle rests
- 1-3 months
Hair follicle structure
- Hair follicle contains the hair root
- 2 layers
-
Epithelial root sheath
- Extension of the epidermis
- Stratified squamous epithelium
- Widens to form a bulge, a source of stem cells for follicle growth
-
Connective tissue root sheath
- Derived from the dermis
- Collagenous connective tissue
- Surrounds the epithelial sheath
-
Epithelial root sheath
Hair functions
- Barrier (Antimicrobial properties & water retention)
- Hair receptors (feel sensations)
- UV protection (pigmentation)
- Thermoregulation (arrector pili)
- Mate attraction (apocrine glands)
Hair matrix
- The hair’s growth center
- Contains stem cells that undergo mitosis to create daughter cells
Hair root plexus
Responsible for identifying different sensations
Hair types
-
Downy
- Fine, unpigmented hair that appears on the fetus
-
Terminal
- Longer, coarser, and usually more heavily pigmented
- Forms eyelashes, eyebrows and covers the scalp
- After puberty, it forms pubic hair, facial hair, and some of the hair on the trunk and limbs
-
Vellus
- 2/3 of the hair of women
- 1/10 of the hair of men
- All the hair of children except for the eyebrows, eyelashes, and hair of the scalp
Hair zones
- 3 zones along the length of a hair follicle
- Shaft: Hair above the skin
- Root: Hair beneath the surface
- Bulb: Deepest hair
Hemangiomas
- Patches of skin discolored by benign tumors of the blood capillaries
- Types
-
Capillary hemangiomas
- strawberry birthmarks
- 90% disappear by 6 YOA
-
Cavernous hemangiomas
- flatter and duller in color
- 90% disappear by 9 YOA
-
Port-wine stain
- flat and pink-to-purple in color
- remains for life
-
Capillary hemangiomas
Hirsutism
- Excessive or undesirable hairiness in areas that are not usually hairy, especially in women and children
- Usually results from either masculinizing ovarian tumors or hypersecretion of testosterone by the adrenal cortex
- Often associated with menopause
Hypodermis/Subcutaneous Tissue
- Areolar or adipose tissue between skin and muscle
- Binds skin to underlying tissues
- Subcutaneous fat
- Notes
- Drugs are injected into the hypodermis due to large blood supply, resulting in drugs entering the circulatory system and traveling throughout the body
- Not a part of the cutaneous membrane
Keratinocyte life history
- Most immature keratinocytes found in deepest layers
- Avg life span = 30 to 40 days
- Stratum granulosum
- Keratinocytes die
- Epidermal water barrier
- Consists of
- lipids secreted by keratinocytes
- tight junctions between keratinocytes
- Dead cells exfoliate as dander
- Dandruff: exfoliation included with secretions from nearby hair
- Dander: exfoliation process
Keratinocytes
- Majority of epidermal cells
- Synthesize keratin
Lunule
- Aids in capillary refill assessment (nail structure)
Melanin
- Important for preventing the disruption of UV radiation
- Only found in melanocytes in the stratum basale
- 2 types
- Eumelanin: darker colors
- Pheomelanin: lighter colors


Nails
- Derivative of the stratum corneum
- Flat nails are one of the distinguishing characteristics of humans and primates. Serve as keratinized tools for grooming, picking apart food, and other manipulations
Pattern baldness
- Condition in which hair is lost unevenly across the scalp rather than thinning uniformly
- Results from a combination of genetic and hormonal influences
Piloerector muscles (aka arrector)
- Thermal regulation
- Respond to cold, fear, touch, or other stimuli
- Smooth muscle and involuntary contractions
- Straight hair releases heat
- Layered hair retains heat
- Example: goosebumps
Pilus / Pili
- Hair roots which grow from a hair follicle
- Terminology
- Pilus = hair (singular)
- Pili = hair (plural)
Skin categories
-
Thin skin
- 4 functional layers (does not incl stratum lucidum)
- Found with accessories (ie hair follicles & subcutaneous glands)
-
Thick skin
- 5 functional layers
- No accessories
- Can absorb more pressure than thin skin
- Skin that can manipulate the environment (ie palms & soles of feet)
Skin color factors
- Melanin: most significant factor
- UV rays: geographic and ethnic variation
- Hemoglobin: red pigment of blood
- Carotene: yellow pigment acquired from egg yolks and yellow/orange vegetables
Skin functions
- Barrier functions (physical barrier & waterproofing)
- Nonverbal communication
- Resistance to trauma and infection
- Sensation
- Thermoregulation
- Vitamin D synthesis
Skin markings
- Friction ridges: markings on the fingertips that leave fingerprints
- Flexion lines: marks sites where the skin folds during flexion of the joints (ie lines on digits, palms, wrists, elbows)
- Freckles: flat patches that vary by heredity and sun exposure
- Moles: an elevated patch of melanized skin
- Hemangiomas: patches of skin discolored by benign tumors of the blood capillaries
Skin sensory receptors
- Free nerve ending: not encapsulated, sense hot/cold
- Lameliated/Pacinian: pressure
- Corpuscle/Meissner: low frequency vibration
- Tactile/Merkel: light touch
- Nociceptor: identify pain


Stem Cells
- Undifferentiated cells that divide and give rise to keratinocytes
- Once differentiated they can only make new epidermal cells
- Found only in the stratum basale
Stratum basale
- Single-layer
- Stem cells, keratinocytes, melanocytes, tactile cells
- Site of most mitosis
Stratum corneum
- Most superficial layer; contact with external environment
- Up to 30 layers of dead, scaly, keratinized cells
- Resistant to abrasion, penetration, and water loss
Stratum granulosum
- 2-5 layers of cells with dark-staining keratohyalin granules
- Begins to form the waterproof layer of skin
- Cells die in this layer
Stratum lucidum
- Thin zone superficial to the stratum granulosum
- Only in thick skin
- Cells have no nucleus or organelles. Featureless appearance with indistinct cell boundaries
- Keratinocytes are packed with a clear protein named eleidin
Stratum spinosum
- Several layers; primarily on palms and soles
- Dendritic cells, keratin filaments
- Attached to desmosomes and bound by tight junctions
Subcutaneous fat
- Functions
- Energy reservoir
- Thermal insulation
- Found in the hypodermis layer
- Adipocytes
- Notes
- Thicker in women
- Not uniformly distributed
Tactile/Merkel Cells
- Sensory receptors for light touch