Integumentary System Overview

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Questions and Answers

What is the primary function of the stratum germinativum layer?

  • Waterproofing the skin
  • Attachment of the epidermis to basal lamina (correct)
  • Flattening of keratinocytes
  • Production of keratin

Which layer of the epidermis contains 8-10 layers of keratinocytes and initiates keratin synthesis?

  • Stratum corneum
  • Stratum spinosum (correct)
  • Stratum granulosum
  • Stratum lucidum

What is a distinctive feature of the stratum lucidum?

  • Only present in palms, soles, and digits (correct)
  • Consists of living keratinocytes
  • Found throughout the entire body
  • Contains actively dividing cells

Which cells are primarily involved in the immune response within the stratum spinosum?

<p>Langerhans cells (B)</p> Signup and view all the answers

What contributes significantly to the waterproof nature of the skin?

<p>Keratin synthesis in the stratum granulosum (B)</p> Signup and view all the answers

Which layer of the skin is primarily composed of keratinocytes?

<p>Epidermis (C)</p> Signup and view all the answers

What is one of the main functions of the integumentary system?

<p>Body temperature regulation (D)</p> Signup and view all the answers

The dermis is primarily made up of which type of tissue?

<p>Dense irregular connective tissue (C)</p> Signup and view all the answers

How many layers does thick skin contain?

<p>5 (A)</p> Signup and view all the answers

What is the primary role of melanin in the skin?

<p>Protection from UV radiation (C)</p> Signup and view all the answers

Which accessory structure is not part of the integumentary system?

<p>Teeth (B)</p> Signup and view all the answers

What type of connective tissue primarily makes up the hypodermis?

<p>Loose areolar and adipose tissue (B)</p> Signup and view all the answers

What is a major characteristic of the epidermis?

<p>Avascular (B)</p> Signup and view all the answers

What function does sebum primarily serve?

<p>Waterproofing of the skin (D)</p> Signup and view all the answers

What is the primary component of nails?

<p>Dead keratinocytes (D)</p> Signup and view all the answers

What happens to sweat glands with age?

<p>They become less active (D)</p> Signup and view all the answers

What is the significance of lines of cleavage in skin incisions?

<p>They indicate potential for scarring (D)</p> Signup and view all the answers

What characterizes vitiligo?

<p>Localized absence of melanin in certain skin areas (D)</p> Signup and view all the answers

Which of the following is true regarding albinism?

<p>Can lead to light sensitivity (B)</p> Signup and view all the answers

What happens to melanin production in hair follicles with age?

<p>Stops entirely (A)</p> Signup and view all the answers

What is the result of decreased blood flow in the skin with aging?

<p>Impaired thermoregulation (D)</p> Signup and view all the answers

What is the most common form of skin cancer?

<p>Basal cell carcinoma (B)</p> Signup and view all the answers

Which type of burn only damages the epidermis?

<p>First degree burn (B)</p> Signup and view all the answers

What does the 'C' in the ABCDE acronym for mole assessment stand for?

<p>Color (C)</p> Signup and view all the answers

What is the primary function of melanin in the skin?

<p>To protect DNA from UV damage (D)</p> Signup and view all the answers

Which stage of burn requires medical intervention?

<p>Third degree burn (B)</p> Signup and view all the answers

How does the skin color vary in relation to blood circulation?

<p>Deoxygenated blood appears bluish through the skin (A)</p> Signup and view all the answers

What type of skin wound allows for healing from the bottom up?

<p>Secondary intention healing (B)</p> Signup and view all the answers

Which layer of the dermis contains loose areolar connective tissue and sensory neurons?

<p>Papillary layer (A)</p> Signup and view all the answers

Which factor does not influence the survival rate of melanoma?

<p>Nutritional intake prior to diagnosis (D)</p> Signup and view all the answers

What is typically the first step in treating an advanced case of melanoma?

<p>Excision of affected tissue (A)</p> Signup and view all the answers

What component of hair is found in the hair bulb?

<p>Hair matrix (B)</p> Signup and view all the answers

Which stage of a skin wound signifies that the skin surface remains intact?

<p>Closed wounds (A)</p> Signup and view all the answers

What happens to melanosomes in individuals with darker skin compared to those with lighter skin?

<p>They are larger and travel farther up the epithelial layers. (C)</p> Signup and view all the answers

During cold environments, what physiological response occurs in the skin?

<p>Vasoconstriction to reduce blood flow (C)</p> Signup and view all the answers

Which statements are true regarding carotene?

<p>It can be converted to vitamin A. (D)</p> Signup and view all the answers

What characterizes deep frostbite?

<p>Deep tissue damage (A)</p> Signup and view all the answers

What is the main function of eccrine sweat glands?

<p>Thermoregulation through evaporation (B)</p> Signup and view all the answers

During which phase of hair growth does the follicle experience active growth and rapid cell division?

<p>Anagen (A)</p> Signup and view all the answers

Which type of sweat gland secretes a thicker, cloudier fluid and is influenced by hormonal changes?

<p>Apocrine glands (B)</p> Signup and view all the answers

What best describes the secretion of sebaceous glands?

<p>Thick and oily (C)</p> Signup and view all the answers

What occurs during the telogen phase of hair growth?

<p>No new hair growth occurs (C)</p> Signup and view all the answers

Which component is predominantly found in eccrine sweat suggesting its role in protection?

<p>Dermicidin (A)</p> Signup and view all the answers

How does the apocrine gland secretion differ from eccrine glands?

<p>It is nutrient-rich and tends to be odorous (D)</p> Signup and view all the answers

What phase immediately follows the catagen phase in hair growth?

<p>Telogen (A)</p> Signup and view all the answers

Flashcards

Skin

The largest organ in the human body, composed of the epidermis and dermis.

Epidermis

The outermost layer of the skin, composed of stratified squamous epithelial cells.

Dermis

The inner layer of the skin, containing dense irregular connective tissue and areolar tissue.

Hypodermis

The supportive layer beneath the skin, composed of loose areolar and adipose tissue, responsible for connecting the skin to the underlying fascia.

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Sloughing off

The process by which dead cells from the epidermis are shed.

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Keratin

A tough protein found in skin, hair, and nails, providing protection and water resistance.

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Melanin production

The process of the skin producing melanin, a pigment that contributes to skin color and protects from UV radiation.

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Body temperature regulation

The process by which the body regulates temperature using mechanisms like sweating and blood vessel constriction/dilation.

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Stratum Germinativum (Stratum Basale)

The deepest layer of the epidermis, containing stem cells that produce keratinocytes, as well as Merkel cells and melanocytes.

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Stratum Spinosum (Spiny Layer)

The layer of the epidermis where keratin synthesis begins. It's characterized by spiny-shaped cells.

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Stratum Granulosum (Granular Layer)

The layer of the epidermis containing cells that produce keratin and keratohyalin. Cells flatten and die in this layer.

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Stratum Lucidum (Clear Layer)

A translucent layer of the epidermis found only in the palms, soles, and digits. It contains flattened, dead cells packed with eleidin.

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Stratum Corneum (Horny Layer)

The outermost layer of the epidermis, consisting of flattened, dead cells packed with keratin. It's the main barrier against microbes and water loss.

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Hair growth

The process by which the hair shaft grows from the root of the follicle outwards.

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Anagen phase

The active growth phase of hair during which cells at the hair root divide quickly.

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Catagen phase

The transition phase between the anagen and telogen phases where the hair follicle regresses.

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Telogen phase

The resting phase of hair growth when the follicle is inactive and no new growth occurs.

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Eccrine gland

A gland located in the dermis that secretes sweat via exocytosis into a duct that exits the skin via a sweat pore.

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Apocrine gland

A gland located in the dermis that secretes a cloudy, sticky, and odorous secretion into a hair follicle.

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Sebaceous glands

A gland located in the dermis that secretes sebum (oil) into a hair follicle.

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Merocrine secretion

A type of exocytosis that releases a product from a cell without loss of cellular membrane.

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Melanosome Distribution in Darker Skin

The process by which melanosomes travel further up the epithelial layers in darker skin, resulting in increased pigmentation.

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Carotene

An orange-yellow pigment found in skin, especially in the stratum corneum. It can be converted into vitamin A.

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Papillary Layer

The superficial layer of the dermis, composed of loose areolar connective tissue. It forms dermal papillae and contains various cells and structures.

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Reticular Layer

The deeper layer of the dermis, composed of dense irregular connective tissue. It houses hair follicles, glands, vessels, and nerve fibers.

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Sebum

A waxy substance produced by the sebaceous glands, which lubricates the skin, prevents water loss, and has antibacterial properties.

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Nails

The protective layer of the skin, composed of dead keratinocytes, forms at the tips of fingers and toes.

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Lunula

The area at the base of the nail that's slightly off-white and where new nail growth begins.

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Cuticle (eponychium)

The area of the skin that extends over the nail body, preventing bacteria from entering.

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Lines of Cleavage

Lines on the skin that indicate the direction of underlying collagen and elastin fibers.

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Albinism

A genetic condition characterized by a lack of melanin production, leading to pale skin, hair, and eyes.

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Vitiligo

A condition characterized by patches of lost pigmentation in the skin, appearing as white or light areas.

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Basal Cell Carcinoma

The most common type of skin cancer, arising from mutations in the stratum germinativum (base layer of the epidermis). It usually occurs in areas exposed to UV radiation and rarely spreads.

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Squamous Cell Carcinoma

The second most common type of skin cancer, originating from mutations in the stratum spinosum (spiny layer of the epidermis). It's not typically life-threatening, but requires treatment to prevent spreading.

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Melanoma

The least common but most aggressive form of skin cancer. It develops from cancerous melanocytes, the cells that produce melanin. It can spread rapidly through the lymph system, requiring early detection and treatment.

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Closed Wound

A skin wound where the surface remains intact but underlying tissues are damaged. Examples include bruises and stage 1 pressure ulcers.

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Open Wound

A skin wound where the surface is broken and underlying tissues are exposed. Examples include cuts, stab wounds, and scrapes.

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Primary Intention Healing

The process of wound healing where wound edges are brought together for faster closure and scar formation. This is often used for clean surgical wounds.

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Secondary Intention Healing

The process of wound healing where wound edges cannot be brought together, requiring healing from the bottom up. This leads to more scarring and takes longer.

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Tertiary Intention Healing

The process of wound healing that combines aspects of both primary and secondary intention. It involves initial cleaning, then delayed closure after infection risk is reduced.

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Study Notes

Integumentary System Overview

  • The integumentary system comprises the skin and its accessory structures.
  • The cutaneous membrane is the largest organ in the body.
  • It includes the epidermis and dermis layers.

Accessory Structures

  • Hair: Made of keratinized cells, originates in hair follicles.
  • Nails: Densely packed keratinocytes, form at tips of fingers and toes.
  • Exocrine glands (sweat and oil glands): Produce secretions crucial for functions like thermoregulation.

Functions of the Integumentary System

  • Protection: From trauma, chemicals, pathogens, and fluid loss. Melanin and keratin contribute.
  • Excretion: Removal of waste products through sweat.
  • Lubrication: Sebum (oil gland secretion) lubricates skin, maintaining flexibility.
  • Body Temperature Regulation: Vasodilation and vasoconstriction regulate heat loss or retention. Sweating is important.
  • Vitamin D Synthesis: Exposure to UV light facilitates vitamin D production.
  • Lipid Storage: The hypodermis stores energy reserves.
  • Sensation: Touch and pressure receptors for sensory input.

Skin Anatomy

  • Epidermis: Outermost layer, composed of stratified squamous epithelial cells.
  • Dermis: Inner layer, consists of dense irregular connective tissue, containing nerves, blood, lymph vessels, glands etc.
  • Hypodermis (Subcutaneous Layer): Lies Below dermis, is loose areolar connective tissue and adipose tissue. Connects skin to underlying fascia.

Epidermis Layers (deep to superficial)

  • Stratum Germinativum (Basale): Single layer of basal cells, precursor cells for keratinocytes, Merkel cells, and melanocytes.
  • Stratum Spinosum: Several layers of keratinocytes, keratin synthesis begins here
  • Stratum Granulosum: 3-5 layers of keratinocytes, producing keratin and keratohyalin, cells flatten and die.
  • Stratum Lucidum: Present only in thick skin, translucent layer of flattened, dead keratinocytes.
  • Stratum Corneum: Outermost layer, many layers of flattened, dead keratinocytes, filled with keratin.

Skin Pigmentation

  • Melanin: Produced by melanocytes, packaged into melanosomes, and transferred to keratinocytes. Protects against UV damage.
  • Carotene: Orange/yellow pigment, can be converted to vitamin A.
  • Hemoglobin: Affects skin color due to blood oxygenation levels.

Skin Cancer Types

  • Basal Cell Carcinoma: Most common, rarely metastasizes.
  • Squamous Cell Carcinoma: Second most common, potentially metastasizes.
  • Melanoma: Least common, most dangerous, metastasizes readily.

Skin Wounds & Burns

  • Closed Wounds: Skin surface remains intact but underlying tissues are damaged (e.g., bruises).
  • Open Wounds: Skin is split, and deeper tissues are exposed (e.g., cuts). Wound healing follows one of three pathways; primary, secondary or tertiary intention.
  • Burns: Tissue damage caused by intense heat, electricity, chemicals, or radiation. First, second, and third degree describe the depth and extent of damage.

Lines of Cleavage

  • Topographical lines in the skin that reflect the orientation of underlying collagen and elastin fibers. Incisions parallel to cleavage lines tend to heal better.

Aging Changes

  • The integumentary system shows changes with age, including fewer melanocytes, thinner dermis, and reduced activity of sweat glands.

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