Summary

This document appears to be a chapter summary of the integumentary system, including the functions of the skin, temperature regulation, and sensation.

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‭Chapter 5 - Integument‬ ‭Pirmary Functions of the Skin‬ ‭-‬ ‭1) Protection‬ ‭-‬ ‭A) Chemical‬ ‭-‬ ‭Sweat & oily secretions kill bacteria‬ ‭-‬ ‭Sweat is acidic so it can kill organisms...

‭Chapter 5 - Integument‬ ‭Pirmary Functions of the Skin‬ ‭-‬ ‭1) Protection‬ ‭-‬ ‭A) Chemical‬ ‭-‬ ‭Sweat & oily secretions kill bacteria‬ ‭-‬ ‭Sweat is acidic so it can kill organisms on the skin‬ ‭-‬ ‭Melanin prevents damage caused by UV light‬ ‭-‬ ‭B) Physical‬ ‭-‬ ‭Skin prevents entrance of bacteria‬ ‭-‬ ‭C) Biological‬ ‭-‬ ‭Dendritic cells‬‭patrol dermis to stop anything that‬‭passes through‬ ‭epidermis‬ ‭-‬ ‭Macrophages‬‭destroy large-sized “invaders”‬ ‭-‬ ‭Specialize in‬‭phagocytosis‬‭(digesting large pathogens/debris)‬ ‭-‬ ‭Clear out debris so it can be replaced‬ ‭-‬ ‭2) Temperature regulation‬ ‭-‬ ‭Insensible perspiration:‬‭unnoticeable‬‭sweat loss during‬‭the day‬ ‭-‬ ‭Important for temperature regulation (smaller changes) negative feedback‬ ‭mechanism‬ ‭-‬ ‭Sensible perspiration:‬‭noticeable‬‭sweat loss that‬‭occurs when excess heat‬ ‭needs to be lost by body‬ ‭-‬ ‭On warmer day, physical activity when you need to make larger changes‬ ‭to regulate temperature‬ ‭-‬ ‭When environmental temperature is cold, blood vessels in skin contrict‬ ‭→ pulls‬ ‭blood away from the skin‬ ‭-‬ ‭Blood is mostly water and water absorbs heat‬ ‭-‬ ‭If external temp is low, blood will go to deep body tissues, and‬ ‭keep visceral organs warm (heart, liver, kidneys)‬ ‭-‬ ‭Process will help preserve internal body heat and keep visceral‬ ‭organs working‬ ‭-‬ ‭3) Sensation‬ ‭-‬ ‭Exteroceptors:‬‭cutaneous sensory receptors‬ ‭-‬ ‭Respond to stimuli arising‬‭outside‬‭the body‬ ‭-‬ ‭Mechanoreceptors:‬ ‭respond to mechanical stress: touch,‬‭pressure etc.‬ ‭-‬ ‭Thermoreceptors:‬‭tells you when it’s warm or cold‬ ‭-‬ ‭Nociceptors:‬‭gives you a response of pain‬ ‭-‬ ‭4) Metabolic functions‬ ‭-‬ ‭Involved in‬‭vitamin D‬‭production‬ ‭-‬ ‭Have to be exposed to sunlight to produce vitamin D‬ ‭-‬ ‭Important for calcium absorption‬ ‭-‬ ‭Helps with neurotransmitter release‬ ‭-‬ ‭Important for health of skeleton‬ ‭-‬ ‭5) Blood Reservoir‬ ‭-‬ ‭~5% of total blood volume can be found in integument‬ ‭-‬ ‭Can be “moved” by central nervous system‬ ‭-‬ ‭Contrict or dilation of blood vessels so body temp is regulated‬ ‭-‬ ‭6) Excretion/waste elimination‬ ‭-‬ ‭Sweat allows for some elimination of certain nitrogenous wastes (urea, ammonia,‬ ‭uric acid)‬ ‭Integument (Skin)‬ ‭-‬ ‭Two layers present in skin:‬ ‭-‬ ‭1) Epidermis‬ ‭-‬ ‭Unvascularized, outermost portion‬ ‭-‬ ‭Made up of stratified squamous epithelia, 40-50 layers‬ ‭-‬ ‭2) Dermis‬‭(thicker layer)‬ ‭-‬ ‭Vascularized‬ ‭-‬ ‭Makes up most of integument by mass‬ ‭-‬ ‭Hypodermis:‬‭made mostly of fat cells (adipose tissue)‬ ‭-‬ ‭Subcutaneous‬ ‭-‬ ‭Lies deep to the the dermis, but‬‭→ not a true structure‬‭of the‬ ‭integument‬ ‭-‬ ‭Composed mostly of adipose tissue‬ ‭-‬ ‭Important functions:‬ ‭-‬ ‭1) Storage:‬‭easy-to-access energy source for the body‬ ‭-‬ ‭Short on glucose can pull from adipose to make‬ ‭ATP‬ ‭-‬ ‭2) Protection/shock absorption:‬‭prevents physical‬ ‭trauma to internal organs‬ ‭-‬ ‭3) Insulation‬‭: prevents excessive heat loss‬ ‭-‬ ‭Serves thermal regulation function‬ ‭-‬ ‭4) Anchor:‬‭holds skin to underlying muscle tissue‬ ‭-‬ ‭Is still flexible!!‬ ‭-‬ ‭Epidermis‬ ‭-‬ ‭Cell types found in the epidermis‬ ‭-‬ ‭1) Keratinocytes:‬‭produce keratin protein‬ ‭-‬ ‭Keratin is a dry protein - why our skin is dry‬ ‭-‬ ‭Keratin is a tough protein - why our skin is tough‬ ‭-‬ ‭Linked by desmosomes (with some tight junctions)‬ ‭-‬ ‭Helps with preventing water loss‬ ‭-‬ ‭Reproduce mitotically in response to‬‭epidermal growth‬‭factor‬ ‭-‬ ‭Keep some of the‬‭keratinocytes active‬ ‭-‬ ‭Reproduce from the bottom up‬ ‭-‬ ‭Millions of cells lost/day‬‭→ we “grow” new epidermis‬‭every‬ ‭25-45 days‬ ‭-‬ ‭Persistent friction in certain areas of body =‬‭callus‬‭formation‬ ‭-‬ ‭Function:‬‭gives epidermis its protective qualities‬‭(tough & dry)‬ ‭-‬ ‭2) Melanocytes‬ ‭-‬ ‭Contain‬‭melanosomes‬ ‭-‬ ‭Produce‬‭melanin‬‭pigment, which is‬‭transferred to‬ ‭keratinocytes‬ ‭-‬ ‭Melanin migrates to the “sunny side” of keratinocytes‬ ‭-‬ ‭Which protects nucleus from sunlight‬ ‭-‬ ‭Melanocytes don’t keep the melanin they produce,‬ ‭they ship it off to keratinocytes‬ ‭-‬ ‭3) Dendritic cells (Langerhans cells)‬ ‭-‬ ‭Immune system cells‬ ‭-‬ ‭Move to epidermis from bone marrow‬ ‭-‬ ‭“Presenting” cells‬‭→ patrols the integument‬ ‭-‬ ‭If it comes in contact with some type of pathogen, it‬ ‭will bund to it and show it to other immune cells and‬ ‭tell them to kill off this pathogen if they see it‬ ‭-‬ ‭4) Tactile cells (Merkel cells)‬ ‭-‬ ‭Present in epidermal - dermal junction‬ ‭-‬ ‭Tactile - in reference to touch‬ ‭-‬ ‭Associated with nerve endings‬‭→ sensory receptor function‬ ‭-‬ ‭**can perceive light touch and vibration‬ ‭-‬ ‭Layers of the Epidermis‬ ‭-‬ ‭1) Statum Basale‬‭(base layer): innermost layer‬ ‭-‬ ‭Simple layer of stem cells attached to dermis (single layer)‬ ‭-‬ ‭Rapid division of cells seen here‬ ‭-‬ ‭Regenerates from the bottom up, helps maintain the‬ ‭thickness of skin‬ ‭-‬ ‭Composed‬‭mostly of keratinocytes‬ ‭-‬ ‭10-25%‬‭of cells are‬‭melanocytes‬ ‭-‬ ‭2) Stratum Spinosum‬‭(spiny layer)‬ ‭-‬ ‭Stratified layer‬ ‭-‬ ‭Cells look spiny‬ ‭-‬ ‭Cells contain‬‭pre-keratin‬‭protein‬‭→ thick bundles‬‭of filaments that‬ ‭resist tension‬ ‭-‬ ‭Pre-keratin not as strong as keratin‬ ‭-‬ ‭Dendritic cells are most abundant here‬ ‭-‬ ‭Desmonses here provide stong intercellular adhesion to have resist‬ ‭mechanical stress‬ ‭-‬ ‭3) Stratum granulosum (granular layer)‬ ‭-‬ ‭Keratinization begins at this layer‬ ‭-‬ ‭Accumulation of two granule types in cells of this layer‬ ‭-‬ ‭Kertohyaline:‬‭helps with the formation of keratin‬‭in the upper‬ ‭layers of epidermis‬ ‭-‬ ‭responsible for binding keratin together to make tissue‬ ‭stronger‬ ‭-‬ ‭Lamellar granules:‬‭contains water- resistant glycolipid‬ ‭-‬ ‭ lycolipids help prevent water loss from the skin (prevents‬ G ‭dehydration)‬ ‭-‬ ‭Cells here are especially tough, and water resistant‬ ‭-‬ ‭4) Stratum lucidum‬‭(cell layer)‬ ‭-‬ ‭Cells at this layer are‬‭not living‬ ‭-‬ ‭Avascular, rely on diffusion from underlying tissues to keep them‬ ‭alive‬ ‭-‬ ‭Dead but still joined together, preventing them from falling apart‬ ‭-‬ ‭Not found in thin skin‬ ‭-‬ ‭Skin on fingertips‬ ‭-‬ ‭5) Stratum corneum‬‭(horny layer): outermost layer‬‭(30-40 layers)‬ ‭-‬ ‭Cells here are not living‬ ‭-‬ ‭Makes up most of the epidermal thickness‬ ‭-‬ ‭Heavily keratinized (super tough)‬ ‭-‬ ‭Glycolipids between cells help to waterproof this layer‬ ‭-‬ ‭Keratin inside cells protects from friction/abrasion‬ ‭-‬ ‭Melanin only deposited in the first‬‭3 layers‬ ‭-‬ ‭Cells are dead and melanin only needs to protect the outside‬ ‭Dermis‬ ‭-‬ ‭The “hide” of the body‬ ‭-‬ ‭Made up of strong & flexible connective tissue‬ ‭-‬ ‭Fibroblasts & macrophages dominate here‬ ‭-‬ ‭Semifluid matrix‬ ‭-‬ ‭Makes dermis mobile‬ ‭-‬ ‭Fibers are abundant here‬ ‭-‬ ‭2 layers make up the dermis:‬ ‭-‬ ‭1) Papillary dermis‬ ‭-‬ ‭Thin areolar connective tissue‬ ‭-‬ ‭Fibers are thine so defensive cells can wander freely here‬ ‭-‬ ‭The papillary dermis forms peaks and valleys‬ ‭-‬ ‭Has projections called‬‭dermal papillae‬ ‭-‬ ‭Can have pain receptors or tactile corpuscles (sensory receptors)‬ ‭-‬ ‭Projections indent the overlaying epidermis‬‭→ forms‬‭friction‬ ‭ridges‬ ‭-‬ ‭Genetically determined feature‬‭→ fingerprint‬ ‭-‬ ‭2) Reticular dermis‬ ‭-‬ ‭Lies deep to papillary dermis‬ ‭-‬ ‭Composed of dense irregular connective tissue‬ ‭-‬ ‭Lots of fibers‬ ‭-‬ ‭Forms‬‭cleavage lines‬‭in skin‬ ‭-‬ ‭Not visible externally‬ ‭-‬ ‭Lines formed by alternating dense & less dense regions of fibers‬ ‭-‬ ‭Surgeons will cut parallel to the cleavage lines‬ ‭-‬ ‭Forms‬‭flexure lines‬‭at/near joints‬ ‭-‬ ‭Also called skin folds‬ ‭-‬ ‭Dermis is tightly anchored at the flexure line - and does not‬ ‭move as easily‬ ‭-‬ ‭Dermis is forced to fold, forming creases that are v‬‭isible‬ ‭externally‬ ‭-‬ ‭Ex:‬‭palms of hands‬ ‭Skin Color‬ ‭-‬ ‭3 pigments will determine skin color:‬‭melanin, carotene,‬‭& hemogloblin‬ ‭-‬ ‭1) Melanin:‬‭polymer that comes in two forms (‬‭reddish‬‭yellow, brownish black)‬ ‭-‬ ‭Synthesized by protein called‬‭tyrosinase‬ ‭-‬ ‭Skin pigment is‬‭dependent on amount of melanin produced‬‭by melanocytes‬ ‭-‬ ‭Everyone has the same amount of melanocytes‬ ‭-‬ ‭Skin gets darker with exposure to sunlight‬ ‭-‬ ‭Keratinocytes release chemical to activate melanocytes‬ ‭-‬ ‭Tells melanocytes that they are damaged causing more melanin to‬ ‭be produced‬ ‭-‬ ‭2) Carotene:‬‭yellow-orange pigment‬ ‭-‬ ‭accumulation of stratum cornem & adipose tissue‬ ‭-‬ ‭Can be used by body to produce vitamin A‬‭→ used for‬‭vision, epidermal health‬ ‭-‬ ‭3) Hemoglobin:‬‭pink/red pigment‬ ‭-‬ ‭Oxygenated pigment‬‭→ color comes from blood supply‬‭to the dermis‬ ‭-‬ ‭Not a true skin pigment‬ ‭-‬ ‭Substance in blood that carries oxygen to your tissues‬ ‭-‬ ‭Melanin and carotene is darker in color so it can overpower the reddish-pink tint‬ ‭of hemoglobin‬ ‭-‬ ‭Homeostatic Imbalances of Skin Color‬ ‭-‬ ‭Skin color can be affected by genetics, diet, drugs, illness, etc.‬ ‭-‬ ‭Illness:‬‭Jaundice‬‭(liver failure)‬ ‭-‬ ‭Genetic: Albanism/melanism‬ ‭-‬ ‭Albinism eyes tend to be red because you can only see blood‬ ‭supply‬ ‭-‬ ‭Drugs:‬‭Argyria (silver‬‭)‬‭→ consumption of silver turns‬‭you blue‬ ‭Skin Appendages‬ ‭-‬ ‭Are structures that are associated with skin (without actually being the skin itself)‬ ‭-‬ ‭1) Hair (pili)‬ ‭-‬ ‭Grow from‬‭follicles‬ ‭-‬ ‭Two regions of a hair:‬ ‭-‬ ‭1)‬‭Root:‬‭part of hair embedded in skin‬ ‭-‬ ‭prevent s hair from being shed or lost‬ ‭-‬ ‭2) Shaft:‬‭part of hair projecting out of skin‬ ‭-‬ ‭Functions:‬ ‭-‬ ‭1) Sensory structures:‬‭nerves associated with hair‬‭follicles‬ ‭-‬ ‭If something brushes against you‬ ‭-‬ ‭2) Protection:‬‭scalp, eye, nose (filters bugs, dirt,‬‭etc.)‬ -‭ ‬ ‭Protects scalp from sun damage‬ ‭-‬ ‭Consist of dead, hard-keratinized cells‬ ‭-‬ ‭Keratin makes hair tougher‬ ‭-‬ ‭Hair has 3 layers:‬ ‭-‬ ‭A)‬‭Medulla:‬‭central core composed of large cells and‬‭air space‬ ‭-‬ ‭Absent in thin hair‬ ‭-‬ ‭Innermost region‬ ‭-‬ ‭B)‬‭Cortex:‬‭several layers of flatten cells‬ ‭-‬ ‭Individuals unable to stick to each other well, prevents hair‬ ‭from getting too thick‬ ‭-‬ ‭C) Cuticle:‬‭outermost layer that is most heavily keratinized‬ ‭-‬ ‭Cells in layer are stacked like roof shingles‬ ‭-‬ ‭Structures associated with hair:‬ ‭-‬ ‭A)‬‭Hair Follicle:‬‭Results from fold extending from‬‭epidermal surface into‬ ‭dermis‬ ‭-‬ ‭Each follicle is composed of 3 layers‬ ‭-‬ ‭1)‬‭Peripheral sheath:‬‭outermost later composed of‬‭dermis‬ ‭-‬ ‭Gives hair it’s shape‬ ‭-‬ ‭2) Glassy membrane:‬‭“basement membrane” joining the‬ ‭peripheral sheath to the root sheath‬ ‭-‬ ‭Root sheath could potentially turn outwards without‬ ‭a glassy membrane‬ ‭-‬ ‭3) Root Sheath:‬‭innermost later derived from epidermis‬ ‭-‬ ‭B)‬‭Root hair plexus (refers to nervous system)‬‭found‬‭at base of hair‬ ‭follicle (hair bulb)‬ ‭-‬ ‭Contains nerve ending‬ ‭-‬ ‭Gives hair sensation, allows us to know what’s happening in the‬ ‭external environment‬ ‭-‬ ‭C)‬‭Dermal papilla:‬‭provides capillaries to hair follicle‬ ‭-‬ ‭You need blood supply in order to have hair growth‬ ‭-‬ ‭D)‬‭Arrector pili:‬‭smooth muscle cells attached to‬‭hair follicle‬ ‭-‬ ‭Contraction pulls hair follicles upright‬ ‭-‬ ‭Is what gives you goosebumps‬‭→ no function in humans‬ ‭-‬ ‭Shape and color of hair‬ ‭-‬ ‭Shape of hair is dependent on hair follicle shape at skin surface:‬ ‭-‬ ‭Round = straight hair‬ ‭-‬ ‭Oval = wavy/slighty curly‬ ‭-‬ ‭Flattened = very curly/coiled‬ ‭-‬ ‭Color dependent on melanin deposition to cortex (outermost layer) of hair‬ ‭-‬ ‭Heavy deposition = darker hair‬ ‭-‬ ‭Exceptions:‬ ‭-‬ ‭Red hair results from‬‭pheomelanin‬ ‭-‬ ‭Gray/white hair: melanin production decreases with age,‬ ‭cortex fills with air bubbles instead‬ ‭-‬ ‭Hair growth‬ ‭-‬ ‭Hair matrix:‬‭composed of rapidly dividing cells from‬‭hair bulb of the hair‬ ‭follicle‬ ‭-‬ ‭New cells push oil cells up and out‬ ‭-‬ ‭Most growth is cyclical‬‭→ our hair goes through phases‬ ‭-‬ ‭Growth phase: hair making new cells and new cells pushes the old‬ ‭cells up‬ ‭-‬ ‭Resting phase: hair matrix is not active, hair is just sitting in follicle‬ ‭-‬ ‭Shedding phase: hair root physically detaches‬ ‭-‬ ‭Then will go back to growth phase‬ ‭-‬ ‭**all hair is not at the same phase‬‭→ or we’d be bald‬ ‭-‬ ‭Types of Hair:‬ ‭-‬ ‭1) Vellus hair:‬‭thin/fine hairs‬ ‭-‬ ‭Amount dependent on age and sex‬ ‭-‬ ‭Infants and children tend to have more vellus‬ ‭-‬ ‭Tend to only find vellus hair in females‬ ‭-‬ ‭2) Terminal hair:‬‭thick/coarse hairs‬ ‭-‬ ‭Typically darker in color than fine hairs‬ ‭-‬ ‭More common on adults, particularly males (beard hair)‬ ‭-‬ ‭Hair loss/balding‬ ‭-‬ ‭Hair thinning‬‭is experienced by most people at older‬‭ages‬‭→ hair loss‬ ‭exceeds hair replacement‬ ‭-‬ ‭True baldness‬‭is usually influenced by the sex chromosomes‬‭and‬ ‭genetically determined (“male-pattern baldness”)‬ ‭-‬ ‭Hair follicles respond to androgen hormones differently with time‬ ‭→ hair become vellus‬‭(thinner) may shed before emerging‬‭from‬ ‭the follicle‬ ‭-‬ ‭**Males are more likely to be bald because they only have one X‬ ‭chromosome, so they have nothing to buffer it‬ ‭-‬ ‭2) Nails‬ ‭-‬ ‭Found on distal portions of fingers and toes‬‭→ made‬‭up of dead cells‬ ‭-‬ ‭Contain‬‭hard keratin →‬‭what makes them so tough‬ ‭-‬ ‭Composed of‬‭root, nail plate, free edge‬ ‭-‬ ‭Nail matrix responsible for nail growth‬ ‭-‬ ‭Function:‬‭protective covering for distal portions‬‭of fingers and toes, contributes‬ ‭to dexterity‬ ‭Skin Glands‬ ‭-‬ ‭1) Sweat Glands‬ ‭-‬ ‭Cells in sweat glands are‬‭myoepithelial cells‬ ‭-‬ ‭Myo - muscle → able to contract‬ ‭-‬ ‭Specialized cells that will contract when stimulated‬ ‭-‬ ‭Squeezing sweat to the surface‬ ‭-‬ ‭Secretory cells pull materials needed to produce sweat from blood‬ ‭-‬ ‭Mostly water, but also contains salts, metabolic wastes, etc.‬ ‭-‬ ‭ wo types: (both merocrine in the mode of secretion)‬‭→ release sweat via‬ T ‭exocytosis‬ ‭-‬ ‭A) Eccrine Glands:‬‭especially abundant on palms, soles‬‭of feet,‬ ‭forehead‬ ‭-‬ ‭More common, mostly found on your forehead‬ ‭-‬ ‭Simple tubular glands that open directly to skin surface at a pore‬ ‭-‬ ‭Simple coiled tubes‬ ‭-‬ ‭Sweat is mostly water‬ ‭-‬ ‭Function‬‭: body temperature regulation, when sweat‬‭evaporates it‬ ‭takes heat with it‬ ‭-‬ ‭B) Apocrine Glands:‬‭located in axillary (armpit) and‬‭anogenital area‬ ‭-‬ ‭Empty into hair follicles, then released to the skin‬ ‭-‬ ‭Eccrine empties straight to skin, apocrine has to be‬ ‭released via hair‬ ‭-‬ ‭Same components as sweat from eccrine glands‬ ‭-‬ ‭Some also have some fatty substances (lipids) & proteins‬ ‭-‬ ‭Function: ??? is unknown‬ ‭-‬ ‭Based on other animals its a sexual sex gland‬ ‭-‬ ‭Modified versions of this gland include‬‭ceruminous‬‭glands and‬ ‭mammary glands‬ ‭-‬ ‭Ceruminous glands found in ear canals (ear wax)‬ ‭-‬ ‭Prevents insects from crawling into ear‬ ‭-‬ ‭Mammary glands only active and present in females during‬ ‭pregnancy and shortly after birth‬ ‭-‬ ‭Fun fact: where you begin to sweat depends on the circumstance!‬ ‭-‬ ‭2) Sebaceous glands (oil glands)‬ ‭-‬ ‭Secretes‬‭sebum‬‭(oily substance)‬ ‭-‬ ‭Sebum is largely lipid-based with some cell components and is released‬ ‭to the skin’s surface‬ ‭-‬ ‭Function:‬ ‭-‬ ‭Lubricant for skin/hair‬ ‭-‬ ‭Prevents skin and hair from drying out‬ ‭-‬ ‭Slows water loss from the epidermal surface‬ ‭-‬ ‭Kills bacteria ​‬‭→ prevents infection‬ -‭ ‬ ‭Homeostatic Imbalance of Skin:‬ ‭-‬ ‭Skin Cancer‬ ‭-‬ ‭Skin exposed to excess amounts of UV light overtime may have some cells‬ ‭become cancerous‬ ‭-‬ ‭This is *the* most common type of cancer‬ ‭-‬ ‭In US‬‭→ 9,500 diagnosed with cancer **per day**‬ ‭-‬ ‭3 major forms of skin cancer‬ ‭-‬ ‭1) Basal cell carcinoma‬ ‭-‬ ‭Most common form, but‬‭least malignant‬ ‭-‬ ‭Slow-growing, metastasis rarely occurs‬ -‭ ‬ ‭Cells in stratum basale proliferate‬ ‭-‬ ‭Found mostly on face, often colorless with “rolled” edges‬ ‭-‬ ‭2) Squamous cell carcinoma‬ ‭-‬ ‭Second most common‬ ‭-‬ ‭Fast growing‬ ‭-‬ ‭Will usually metastasize if left untreated‬ ‭-‬ ‭Cancer of keratinocytes of stratum spinosum‬ ‭-‬ ‭Appears as flat, a scaly, red lesion on skin‬ ‭-‬ ‭Looks like wound that never heals‬ ‭-‬ ‭Found mostly on head (not facial area) and hands‬ ‭-‬ ‭Behind ears, scalp‬ ‭-‬ ‭3) Melanoma‬ ‭-‬ ‭Lowest amount of overall skin cancer cases, but causes the most‬ ‭skin-cancer related deaths‬ ‭-‬ ‭Metastasizes quickly & can be chemo-resistant‬ ‭-‬ ‭Early detection is key‬ ‭-‬ ‭Use the ABCD(E) rule‬ ‭-‬ ‭A - asymmetry - difference in color‬ ‭-‬ ‭B - border - any jagged borders‬ ‭-‬ ‭C - color - cancerous moles are brown, black, blue, red,‬ ‭etc.‬ ‭-‬ ‭D - diameter - any spot that is greater than 6mm thats‬ ‭cancer!‬ ‭-‬ ‭E - evolving - rapid change in short period of time, if it‬ ‭changes color/size = abnormal growth‬ -‭ ‬ ‭ urns‬ B ‭-‬ ‭Types of burns:‬‭Refers to exposure caused by heat‬‭or chemicals‬ ‭-‬ ‭1) 1st degree burns‬‭: painful, reddened skin, inflammation‬ ‭-‬ ‭No scarring/fibrosis involved in health‬ ‭-‬ ‭Skin not actually broken‬ ‭-‬ ‭Ex‬‭: sunburn‬‭→‬‭peeling is from the burned skin but‬‭there is new epidermis‬ ‭under it‬ ‭-‬ ‭2) 2nd degree burns:‬‭pain, redness, fluid pouches‬‭(blisters)‬ ‭-‬ ‭Fluid separates the epidermis and underlying dermis‬ ‭-‬ ‭Blister allows a new layer of episdermis to be laid down‬ ‭-‬ ‭Unroofing =‬‭peeling blister before it’s ready‬ ‭-‬ ‭Takes longer to heal compared to 1st degree burn‬ ‭-‬ ‭No scarring/fibrosis‬‭→ if not picked at‬ ‭-‬ ‭3) 3rd degree burn:‬‭full thickness burns‬ ‭-‬ ‭Haven burnt away epidermis as well as dermis‬ ‭-‬ ‭Lose their glands and sensory fibers in that area so they can’t feel‬ ‭pain there‬ ‭-‬ ‭Treatment usually requires IV fluids, skin grafts, heavy antibiotic use‬ ‭-‬ ‭Fibrosis occurs during healing of burns‬‭→ has to occur‬ -‭ ‬ ‭ ny burn more than 10% is considered critical condition‬ A ‭-‬ ‭Skin graft (epidermis and dermis) doctors don’t want to mismatch thin and‬ ‭thick skin‬ ‭-‬ ‭Ex:‬‭extreme heat, severe chemical/radiation exposure‬ ‭-‬ ‭**number one cause of death is dehydaration‬‭→ lose‬‭fluid in‬ ‭body‬ ‭Chapter 6 - Bones and Skelatal Tissuey‬ -‭ ‬ ‭Chondr- “cartilage”‬ ‭-‬ ‭Osteo- “bone”‬ ‭Functions of Bones‬ ‭-‬ ‭1) Support‬ ‭-‬ ‭Holds up the body‬ ‭-‬ ‭Cradles organs‬‭→ ex:‬‭hip bone‬ ‭-‬ ‭2) Protection‬ ‭-‬ ‭Central nervous system‬ ‭-‬ ‭The skull protects the brain‬ ‭-‬ ‭Vertebrae wraps around spinal cord‬ ‭-‬ ‭Visceral organs‬ ‭-‬ ‭Rib cage wraps around organs in thorax & upper abdominal cavity‬ ‭-‬ ‭Protects heart and lungs‬ ‭-‬ ‭3) Attachment point‬ ‭-‬ ‭Skelatal muscles attaches to bone via‬‭tendons‬ ‭-‬ ‭Tendons are dense regular tissue‬ ‭-‬ ‭Each time muscle contracts its going to pull a bone which is going‬ ‭to allow movement‬ ‭-‬ ‭4) Storage‬ ‭-‬ ‭Minerals - calcium and phosphate‬ ‭-‬ ‭Calcium gives bone that hard texture‬ ‭-‬ ‭Fat (adipose tissue)‬ ‭-‬ ‭Yellow marrow‬‭in bones of adults‬ ‭-‬ ‭Called yellow because adipose tissue has yellow in it‬ ‭-‬ ‭5) Blood cell formation‬ ‭-‬ ‭Hematopoiesis →‬‭formation of blood cells in red bone‬‭marrow‬ ‭-‬ ‭Includes red and white blood cells as well as platelets‬ ‭-‬ ‭6) Hormone production‬ ‭-‬ ‭Osteocalcin →‬‭regulates insulin release, glucose homeostasis‬‭& energy‬ ‭expenditure‬ ‭-‬ ‭End result: increased insulin secretion from the pancreas, improved‬ ‭glucose regulation, enhanced energy expenditure‬ ‭Types of Cartilage‬ ‭-‬ ‭All 3 types of cartilage have 2 basic components‬ ‭-‬ ‭Chief cell type is‬‭chondrocyte‬ ‭-‬ ‭Types of cartilage‬ ‭-‬ ‭1)‬‭Hyaline:‬‭most abundant type‬ ‭-‬ ‭Chondrocytes are spherical‬ ‭-‬ ‭Contain collagen fibers‬ ‭-‬ ‭Ex:‬‭Articular (ends of long bone like knees, hips,‬‭elbows), costal (ribs to‬ ‭sternum), respiratory (larynx, trachea, brochi), nasal (nose)‬ ‭-‬ ‭2)‬‭Elastic‬ ‭-‬ ‭Similar to hyaline, but contains more elastic fibers‬ ‭-‬ ‭Ex:‬‭external ear, epiglottis‬ ‭-‬ ‭3)‬‭Fibrocartilage‬ ‭-‬ ‭Contain rows of chondrocytes alternating with thick collagen brands‬ ‭-‬ ‭Most compressible, great tensile strength‬ ‭-‬ ‭Ex:‬‭vertebral discs, knee, pubic symphysis‬ ‭-‬ ‭Types of Growth‬ ‭-‬ ‭1)‬‭Appositional:‬‭laying down new cartilage on old‬‭cartilage‬ ‭-‬ ‭Cells just under perichondrium deposit new matrix on top of “old” cartilage‬ ‭-‬ ‭Occurs at‬‭surface‬‭of cartilage tissue‬ ‭-‬ ‭2)‬‭Interstitial: “‬‭growth from within”‬ ‭-‬ ‭Cells divide and secrete matrix in pre-exisiting cartilage‬ ‭-‬ ‭Occurs throughout cartilage tissue‬ ‭-‬ ‭Bone Tissue‬ ‭-‬ ‭Bone can be classified by location and by shape‬ ‭-‬ ‭1) Location of bone:‬ ‭-‬ ‭Axial skeleton:‬‭makes up long axis of body‬ ‭-‬ ‭Sull, vertebral column, & ribs‬ ‭-‬ ‭Appendicular skeleton:‬‭males up limbs (aka appendages)‬‭of‬ ‭body & the girdles‬ ‭-‬ ‭Pectoral & pelvic girdles, arms & legs‬ ‭-‬ ‭2) Shape of bone:‬ ‭-‬ ‭A) Long bones:‬‭longer than they are wide‬ ‭-‬ ‭Ex: all limb bones‬ ‭-‬ ‭B) Short bones:‬‭cubed shaped‬ ‭-‬ ‭Ex: bones in wrists & ankles‬ ‭-‬ ‭Sesamoid bones:‬‭bones that forms in a tendon‬ ‭-‬ ‭C) Flat bones: thin, flat, curved‬ ‭-‬ ‭Ex: sternum, scapula, ribs, most cranial bones‬ ‭-‬ ‭D) Irregular bones:‬‭anything that does not fit in‬‭an above‬ ‭category‬ ‭-‬ ‭Ex: vertebrae, os coxa (hip bones)‬ ‭-‬ ‭Gross Anatomy of Bone‬ ‭-‬ ‭All bones contain an outer layer of compact bone and inner layer of spongy bone‬ ‭-‬ ‭Compact bone →‬‭looks smooth and solid‬ ‭-‬ ‭ pongy (trabecular) bone →‬‭has open spaces wtih needle-like pieces‬ S ‭of bone called‬‭trabeculae‬ -‭ ‬ ‭Open space is filled with red marrow or yellow marrow‬ ‭-‬ ‭Trabeculae found in greatest concentration along lines of stress‬ ‭-‬ ‭Structure of flat, irregular, & short bone‬ ‭-‬ ‭Thin plate of spongy bone covered by compact bone‬ ‭-‬ ‭No well-defined large cavities for bone marrow‬ ‭-‬ ‭All bone marrow found around trabeculae of spongy bone‬ ‭-‬ ‭Covered externally by bone membrane called‬‭periosteum‬ ‭-‬ ‭Structure of Long Bones‬ ‭-‬ ‭All long bone share 4 similar features‬ ‭-‬ ‭1) Diaphysis:‬‭bone shaft‬ ‭-‬ ‭Composed of compact bone “collar” with internal‬‭medullary‬ ‭cavity‬ ‭-‬ ‭Medullary cavity filled with yellow marrow in adults‬ ‭-‬ ‭2) Epiphysis:‬‭bone ends‬ ‭-‬ ‭Composed of compact bone externally, spongy bone internally‬ ‭-‬ ‭Forms joint surfaces‬‭→ ends are covered with hyaline‬‭cartilage‬ ‭-‬ ‭3) Membranes:‬‭periosteum & endosteum‬ ‭-‬ ‭Periosteum‬‭covers external bone surface, except at‬‭joints‬ ‭-‬ ‭Double-layered‬‭→ outermost is fibrous, inner layer‬ ‭composed of osteoprogenitor cells‬ ‭-‬ ‭Very well vascularized and innervated‬ ‭-‬ ‭Articular cartilage covers bones at joints‬ ‭-‬ ‭Endosteum‬‭covers internal bone surfaces‬‭→ trabeculae‬‭in‬ ‭spongy bone, cavities in compact bone‬ ‭-‬ ‭Also contain osteoprogenitor cells‬ ‭-‬ ‭4) Vascularization & innervation‬ ‭-‬ ‭Nutrient artery‬‭and‬‭nutrient vein‬‭serve diaphysis‬ ‭-‬ ‭Epiphyseal artery‬‭and‬‭epiphyseal vein‬‭serve epiphyses‬ ‭-‬ ‭Nerves travel with blood vessles‬ ‭-‬ ‭Microscopic Anatomy of Compact Bone‬‭(Lamellar Bone)‬ ‭-‬ ‭Osteon:‬‭structural unit of compact bone‬ ‭-‬ ‭Function:‬‭helps bone withstand pressue/stress‬ ‭-‬ ‭ single osteon is composed of several layers (called‬‭lamella)‬‭packed‬ A ‭closely together‬ ‭-‬ ‭Collagen fibers run in one direction for a single lamella and opposite‬ ‭direction in adjacent lammella‬ ‭-‬ ‭Bone salts found on and in between fibers‬‭→ contribute‬‭to hardness‬ ‭and strength‬ ‭-‬ ‭Central Canals:‬‭run through center of each osteon‬ ‭-‬ ‭Contain nerve and blood vessels‬ ‭-‬ ‭Perorating canals‬‭connect nerve/blood supply of marrow‬‭cavity to‬ ‭central canal‬ ‭-‬ ‭Interstital lamellae:‬‭incomplete lamellae found in‬‭between complete osteons‬ ‭-‬ ‭Function:‬‭fill gaps between osteons‬ ‭-‬ ‭Circumferential lamellae:‬‭found just deep of periosteum‬ ‭-‬ ‭Extend completely around diaphysis circumference‬ ‭-‬ ‭Function:‬‭prevents twisting of bone‬ ‭-‬ ‭Hematopoietic Tissue: Blood-forming Tissue‬ ‭-‬ ‭Found in both long bones and flat/irregular bones‬ ‭-‬ ‭flat /regular - marrow found between trabeculae‬ ‭-‬ ‭long bones - marrow found in marrow cavity of diaphysis‬ ‭-‬ ‭Red bone marrow‬‭(hematopoietic tissue)‬ ‭-‬ ‭In infants‬‭→ found in all spongy bone & marrow cavities‬‭of all‬ ‭diaphyses‬ ‭-‬ ‭In adults‬‭→ found around trabeculae of bones of skull,‬‭ribs, hips,‬ ‭sternum, clavicles, scapula, vertebrae, heads of femur and humerus‬ ‭-‬ ‭Yellow marrow‬ ‭-‬ ‭In adults‬‭→ found in diaphysis of long bones‬ ‭-‬ ‭Contain more fat & less blood supply than red marrow‬ ‭-‬ ‭Can be converted back to red marrow when there is a demand for‬ ‭blood cells‬ ‭Cellular Composition of Bone‬ ‭-‬ ‭1) Osteoprogenitor (osteogenic) cells →‬‭stem cells‬ ‭-‬ ‭Mitotically active‬‭→ can maintain osteogenic cells‬‭or differentiate to form‬ ‭osteocytes‬ ‭-‬ ‭Important for maintaining skeletal integrity‬ ‭-‬ ‭2) Osteoblasts:‬‭bone-forming cells‬‭→ matrix synthesizing‬‭cell responsible for bone‬ ‭growth‬ ‭-‬ ‭Secrete unmineralized matrix‬‭(osteoid)‬‭that forms‬‭bone tissue‬ ‭-‬ ‭Lacks calcium phosphate‬ ‭-‬ ‭Cube-shaped cells‬‭→ secrete matrix‬ ‭-‬ ‭Flattened / squamous cells‬‭→ inactive‬ ‭-‬ ‭Only secrete matrix until surrounded and will transform into osteocyte‬ ‭-‬ ‭3) Osteocytes:‬‭mature bone cell‬ ‭-‬ ‭Monitor and maintain bone matrix‬ ‭-‬ ‭Respond to mechanical stress on bone and chemical signals (calcium levels)‬ ‭-‬ ‭ ften have several projections‬‭→ allow for communication & nutrient‬ O ‭exchange‬ -‭ ‬ ‭-‬ ‭4) Osteoclast:‬‭bone degrading cells‬ ‭-‬ ‭Portion of cells contacts bone directly‬ ‭-‬ ‭Produce degrading enzyme:‬‭collagenase → breaks down‬‭bone‬ ‭-‬ ‭Functions:‬‭maintains, repairs, and remodels bone‬ ‭-‬ ‭Important function in blood calcium homeostasis‬ ‭Chemical Composition of Bone‬ ‭-‬ ‭Organic:‬‭cells and osteoid‬ ‭-‬ ‭Sacrifical bonds‬‭in or between collagen molecules‬‭stretch & break easily‬ ‭-‬ ‭Inorganic‬ ‭-‬ ‭Mineral salts‬‭→ mostly calcium phosphate‬‭packed around collagen fibers‬ ‭Homeostic Imbalcne of Chemical Composition of Bone‬ ‭-‬ ‭Osteomalacia‬‭(adults) &‬‭Ricket’s‬‭(children)‬‭→ bowing‬‭knees‬ ‭-‬ ‭Less mineral salts deposited in bone‬‭→ bone is weak‬‭and soft‬ ‭-‬ ‭Caused by: deficiency of calcium and vitamin D‬ ‭Bone Formation:‬‭Ossification‬ ‭-‬ ‭2 types of ossification‬ ‭-‬ ‭Intramembranous ossification‬‭→ within membrane‬ ‭-‬ ‭Endochondral ossification‬‭→ within cartilage‬ ‭-‬ ‭Occurs in most bones below the skull‬ ‭-‬ ‭Hyaline cartilage is used as a “blueprint” to form ossified bone‬ ‭-‬ ‭Mesenchymal ‘skelaton’ → cartilage model → bone‬ ‭Bone Growth: Length & Width‬ ‭-‬ ‭Growth in Length:‬‭accomplished by‬‭interstitial growth‬ ‭-‬ ‭Increasing volume allows bone to lengthen‬ ‭-‬ ‭Occurs at‬‭epipyseal plate:‬‭hylaline cartilage found‬‭between the epiphysis and‬ ‭diaphysis of a bone‬ ‭-‬ ‭Growth in Width:‬‭accomplished by‬‭appositional growth‬ ‭-‬ ‭Occurs at same time as bone lengthening‬ ‭Bone Growth & Hormones‬ ‭-‬ ‭Growth Hormone →‬‭controls activity at the epiphyseal‬‭plate‬ ‭-‬ ‭Released by‬‭anterior pituitary gland in brain‬ ‭-‬ ‭Hypersecretion →‬‭gigantism‬ ‭-‬ ‭Hyposecretion →‬‭dwarfism‬ ‭-‬ ‭Sex hormones‬ ‭-‬ ‭Estrogen‬ ‭-‬ ‭Effects shape and growth of bone‬ ‭-‬ ‭Shape of pelvic girdle >90 degrees for birth‬ -‭ ‬ ‭High levels of estrogen can‬‭→ induce epiphyseal plate closure‬ ‭-‬ ‭Causes growth spurt at puberty‬ ‭-‬ ‭Will close plate earlier in females at age ~18‬ ‭-‬ ‭Testosterone:‬‭more influencing the shape of bone‬ ‭-‬ ‭Hips are more narrow and more square jaw causing mandible to be‬ ‭thicker‬ ‭-‬ ‭Males generally stop growing at age ~21‬ ‭-‬ ‭Bone Remodeling‬ ‭-‬ ‭Bone deposition‬‭(laying down new bone)‬ ‭-‬ ‭Bone resorption‬‭(osteoblast activity, break down tissues and recycle parts)‬ ‭-‬ ‭Remodeling helps bone be the strongest‬ ‭-‬ ‭Blood calcium makes bone strong‬ ‭-‬ ‭Importance of bone remodeling‬ ‭-‬ ‭1) Maintenance of Ca2+ homeostasis‬ ‭-‬ ‭Ca2+ is essential for excitabilty of body cells‬ ‭-‬ ‭without Ca2+ neurons do not fire & muscles do not‬ ‭contract‬ ‭-‬ ‭Skeleton is used to maintain normal calcium levels‬ ‭-‬ ‭2) Bone Health‬ ‭-‬ ‭mechanical/gravitional forces acting on bone tissue drive bone‬ ‭remodeling‬‭→ strengthens bone exactly where it’s needed‬ ‭-‬ ‭Control of Deposition and Resorption: 2 factors involved‬ ‭-‬ ‭1) Parathyroid hormone (PTH)‬‭released in response to decreased Ca2+‬ ‭levels‬ ‭-‬ ‭Increased PTH will result in more osteoclasts, more bone broken‬ ‭down = more reabsorption‬ ‭-‬ ‭Too high levels of PTH will cause the skeleton to become weak‬ ‭and break‬ ‭-‬ ‭2) Mechanical stress‬ ‭-‬ ‭Wolff’s Law:‬‭bones are strongest where they are under alot of‬ ‭pressure/stress‬‭→ due to gravity pulling you down‬ ‭-‬ ‭More trabeculae and thicker compact bone‬ ‭-‬ ‭Weightlifter = thicker bone‬ ‭-‬ ‭Astronauts = very weak bones‬‭→ no stress/gravity for months‬

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