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You gotta have skin; All you really need is skin. Skin's the thing, that if you've got it outside, It helps keep your insides in.    Alan Sherman (1924-1973) Ch 4:  Integumentary System
Cutaneous Membrane Epidermis Dermis Hypodermis Accessory Structures  Excretory glands (?) Hair Nails
 
 
Type of Epithelium Avascular Different layers  (=strata) 4 layers in  thin skin 5 layers in  thick skin
Cell types: Stem cells (basal cells) Melanocytes Merkel cells (touch receptors in hairless skin only) Stratum  germinativum = stratum basale Innermost, single layer
Stem cell daughter cells (some can still divide) Establishment of Desmosomes The desmosomes create the “spines” as artifact pulls the cells apart Several cells thick  Stratum  spinosum
Cells displaced from stratum spinosum   Keratinocytes Production of keratohyalin and keratin fibers Cells start to die. Dehydration leaves interlocked layers of keratin and keratohyalin Stratum  granulosum Small granules of keratin
In “thick skin”, i.e., palms of hands and soles of feet  Cells do not stain well    clear (lucid) looking Stratum  lucidum Mostly keratin
Many layers of flattened, dead cells, filled with keratin Continually sloughed Water-resistant but not water proof (   insensible perspiration) Relatively dry - advantage? Keratinization occurs everywhere except for anterior surface of eye Stratum  corneum 15-30  layers (much thicker in thick skin)
Up to 6 x thicker Where?? Average 0.08 mm Most of body Refers to epidermis
c c
Hemoglobin (dermal blood supply) Reddish tones Pale, due to? Bluish (=?), due to? Melanin  Produced by melanocytes of stratum basale Carotene Obtained from plant foods Depends on 3 pigments:
Number of melanocytes same in all people,  production levels differ ! Function ? UV protection?
Albinism Vitiligo
1.  Papillary layer  Areolar (loose) c.t. 2.  Reticular layer  dense irregular  c.t.
Review of Connective Tissue This is similar to Table 4.2 Loose (areolar) Reticular Adipose Hyaline Elastic Fibrocartilage Irregular Regular Elastic Compact Spongy
Dermal papillae project between epidermal ridges. Consist of Loose c.t. Capillaries Tactile receptors M 
Consist of  Dense irregular c.t. Accessory Structures Hair Glands Nerves Blood Supply
2 other names Subcutaneous Layer (subcutis) Superficial fascia  Indistinct boundary (c.t. fibers interwoven) Loose c.t. Function Stabilization of skin while allowing for independent movement
Wrinkles Stretch marks  (lineae albicantes) Decubitus Transdermal medication Advantage and disadvantage? Examples? Hypodermic needles
Hair follicles and hair Glands 1. Sebaceous Glands 2.  Apocrine glands 3.  Eccrine sweat glands Nails
5 million hairs/human body. (98% not on top of head) Three hair types  (vellus – intermediate – terminal) Function ? Hair color Growth cycle
Skin Glands
Sebum  discharged mostly into hair follicles (lubrication & bactericidal) Sebaceous follicles , = Large sebaceous glands, discharge directly to epidermis Folliculitis; furuncle (boil); acne
Empty into hair follicle Location: armpits, groin, nipples Viscous, cloudy secretion    good nutrient source for bacteria (odor !!) Secretion may contain Pheromones Secretion begins at puberty  and is stimulated during emotional distress  (cold sweat)
 
Merocrine secretion Empty directly onto skin surface Location: most all over body (esp. abundant on palms & soles:  ~ 500/cm 2 ) Clear, watery secretion (99% H 2 O; rest NaCl + some waste products) Sensible perspiration;  Function: ?
 
Other integumentary Glands: Mammary glands : Modified apocrine sweat glands Ceruminous glands : Modified sweat glands in ears
 
Basal Cell Carcinoma (Epithelioma) Most common, not malignant Squamous Cell CA Stratum spinosum Melanoma BCC SCC Iris Melanoma Dermal Melanoma
Skin and Aging Process
 

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Chapter5 integumentarymarieb

  • 1. You gotta have skin; All you really need is skin. Skin's the thing, that if you've got it outside, It helps keep your insides in. Alan Sherman (1924-1973) Ch 4: Integumentary System
  • 2. Cutaneous Membrane Epidermis Dermis Hypodermis Accessory Structures Excretory glands (?) Hair Nails
  • 3.  
  • 4.  
  • 5. Type of Epithelium Avascular Different layers (=strata) 4 layers in thin skin 5 layers in thick skin
  • 6. Cell types: Stem cells (basal cells) Melanocytes Merkel cells (touch receptors in hairless skin only) Stratum germinativum = stratum basale Innermost, single layer
  • 7. Stem cell daughter cells (some can still divide) Establishment of Desmosomes The desmosomes create the “spines” as artifact pulls the cells apart Several cells thick Stratum spinosum
  • 8. Cells displaced from stratum spinosum  Keratinocytes Production of keratohyalin and keratin fibers Cells start to die. Dehydration leaves interlocked layers of keratin and keratohyalin Stratum granulosum Small granules of keratin
  • 9. In “thick skin”, i.e., palms of hands and soles of feet Cells do not stain well  clear (lucid) looking Stratum lucidum Mostly keratin
  • 10. Many layers of flattened, dead cells, filled with keratin Continually sloughed Water-resistant but not water proof (  insensible perspiration) Relatively dry - advantage? Keratinization occurs everywhere except for anterior surface of eye Stratum corneum 15-30 layers (much thicker in thick skin)
  • 11. Up to 6 x thicker Where?? Average 0.08 mm Most of body Refers to epidermis
  • 12. c c
  • 13. Hemoglobin (dermal blood supply) Reddish tones Pale, due to? Bluish (=?), due to? Melanin Produced by melanocytes of stratum basale Carotene Obtained from plant foods Depends on 3 pigments:
  • 14. Number of melanocytes same in all people, production levels differ ! Function ? UV protection?
  • 16. 1. Papillary layer Areolar (loose) c.t. 2. Reticular layer dense irregular c.t.
  • 17. Review of Connective Tissue This is similar to Table 4.2 Loose (areolar) Reticular Adipose Hyaline Elastic Fibrocartilage Irregular Regular Elastic Compact Spongy
  • 18. Dermal papillae project between epidermal ridges. Consist of Loose c.t. Capillaries Tactile receptors M 
  • 19. Consist of Dense irregular c.t. Accessory Structures Hair Glands Nerves Blood Supply
  • 20. 2 other names Subcutaneous Layer (subcutis) Superficial fascia Indistinct boundary (c.t. fibers interwoven) Loose c.t. Function Stabilization of skin while allowing for independent movement
  • 21. Wrinkles Stretch marks (lineae albicantes) Decubitus Transdermal medication Advantage and disadvantage? Examples? Hypodermic needles
  • 22. Hair follicles and hair Glands 1. Sebaceous Glands 2. Apocrine glands 3. Eccrine sweat glands Nails
  • 23. 5 million hairs/human body. (98% not on top of head) Three hair types (vellus – intermediate – terminal) Function ? Hair color Growth cycle
  • 25. Sebum discharged mostly into hair follicles (lubrication & bactericidal) Sebaceous follicles , = Large sebaceous glands, discharge directly to epidermis Folliculitis; furuncle (boil); acne
  • 26. Empty into hair follicle Location: armpits, groin, nipples Viscous, cloudy secretion  good nutrient source for bacteria (odor !!) Secretion may contain Pheromones Secretion begins at puberty and is stimulated during emotional distress (cold sweat)
  • 27.  
  • 28. Merocrine secretion Empty directly onto skin surface Location: most all over body (esp. abundant on palms & soles: ~ 500/cm 2 ) Clear, watery secretion (99% H 2 O; rest NaCl + some waste products) Sensible perspiration; Function: ?
  • 29.  
  • 30. Other integumentary Glands: Mammary glands : Modified apocrine sweat glands Ceruminous glands : Modified sweat glands in ears
  • 31.  
  • 32. Basal Cell Carcinoma (Epithelioma) Most common, not malignant Squamous Cell CA Stratum spinosum Melanoma BCC SCC Iris Melanoma Dermal Melanoma
  • 33. Skin and Aging Process
  • 34.  

Editor's Notes

  • #10: Lucid = translucent
  • #11: Insensible perspiration about 500 ml / day
  • #21: Subcutaneous layer or superficial fascia