Chapter 5  Integumentary System

 

Objectives:

·        Describe the layers of skin

·        Know the various determinants for skin color

·        Know the structures associated with the sweat glands, sebaceous glands, hair and nails an their function

·        List the functions of the skin

·        Understand some of the disorders of the integumentary system

·        Discuss burns

·        Discuss the developmental aspects of skin

 

I.  Skin consists of major regions  pg 152

 

            A.  Epidermis

 

            B.  Dermis

           

            C.  Hypodermis  (Not really a layer of skin)

 

 

II.  Epidermis  pg 152

 

            A.  Composed of-

 

 

            B.  Cells types-

 

 

            C.  Outer portion of the skin is exposed to-

 

 

III. Cells of the Epidermis  pg 152

 

            A.  Keratinocytes-

 

 

            B.  Melanocytes-

 

 

            C.  Merkel Cells-

 

 

            D.  Langerhan’s Cells-

 

 

IV.  Layers of the Epidermis  pg 153-155

 

            A.  Stratum basale

           

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            B.  Stratum spinosum

 

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C.  Stratum granulosum

 

 

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            D.  Stratum lucidum

 

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E.  Stratum corneum

 

 

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·        Functions include:

 

 

 

 

 

 

 

 

 

V.  Dermis  pg 155

 

            A. Second major skin region contains-

 

 

 

            B.  Cell types-

 

 

 

            C.  Composed of Two Layers-

 

 

 

VI.  Layers of the Dermis pg 155- 156

 

            A.  Papillary Layer

 

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            B.  Reticular Layer

 

                       

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VII.  Hypodermis

 

 

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VIII.  Skin color- three pigments contribute to skin color   pg 156-157

 

 

            A.  Melanin

 

 

 

                        Freckles and pigmented moles-

 

            B.  Carotene

 

 

 

            C.  Hemoglobin

 

 

 

 

 

 

VIII.   Sweat (sudoriferous) glands  pg 157- 158

 

 

            A.  Eccrine-

 

 

 

            B.  Apocrine

 

 

 

            C.  Ceruminous glands

 

 

 

IX.  Sebaceous glands  pg 158

 

 

            A.  Simple alveolar glands-

 

 

            B.  Soften skin when-

 

 

 

            C.  Secrete oily secretion called-

 

 

 

            D.  Acne-

 

 

 

            E.  Seborrhea

 

 

 

X.  Nails   pg 158

 

 

            A.  Made of-

 

 

            B.  Nail matrix-

 

 

XI.  Hair  pg 159

 

            A.  Filamentous strands made of dead keratinized cells produced by

 

 

 

            B.  Contains hard keratin

 

 

 

            C.  Made up of the shaft projecting-

                  And the root embedded-

 

 

            D.  Consists of a core-

 

 

 

            E.  Pigmented by melanocytes

 

 

XII.  Hair Follicle  pg 160

 

 

            A.  Root sheath

 

 

            B.  Deep end is expanded and forms a

 

 

            C.  A knot of sensory nerve endings-

 

 

            D.  Bending the hair

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

XIII.  Types of Hair – pg 160

 

            A.  Vellus

 

 

            B.  Terminal

 

 

            C.  Shape of hair shaft

 

 

·        Kinky hair

 

·        Wavy hair

           

·        Straight hair

 

 

XIV.  Functions of the Skin pg 160-166

 

            A.  Protection-

 

                        Chemical

 

 

                        Physical

 

 

                        Biological

 

 

            B.  Body Temperature Regulation

 

 

 

 

 

            C.  Cutaneous sensation

 

 

 

 

            D.  Metabolic Functions

 

 

 

 

            E.  Blood Reservoir

 

 

 

            F.  Excretion

 

 

 

 

XV.  Skin Cancer pg 166

 

 

            A.  Most skin tumors are-

 

 

            B.  A crucial risk factor for non-melanoma cancer is

 

 

 

 

            C.  Newly developed skin lotions-

 

 

XVI.  Skin Cancer- 3 major types pg 166-167

 

 

            A.  Basal cell carcinoma

 

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            B.  Squamous cell carcinoma

 

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C.  Melanoma- Cancer of the melanocytes are the most dangerous type because;

 

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             ABCD rule of Melanoma

 

                        A-  Asymmetry

 

 

 

                        B-  Border irregularity

 

 

                        C.- Color

 

 

 

                        D.  Diameter

 

 

 

                        (E.) Elevation

 

 

 

            Treatment of Melanoma-

 

 

 

            Survival Rate of Melanoma-

 

 

 

 

XVII.  Burns pg 167-169

 

            A.  1st degree burns

 

 

            B.  2nd degree burns

 

 

 

            C.  3rd degree burns

 

 

 

 

XVIII.  Dangers of Burns pg 167-169

 

            A.  Immediate threat-

 

 

 

 

            B.  Need 1000s of extra calories-

 

 

            C.  Infections-

 

 

            D.  Scarring

 

 

 

XIX.  Rule of Nines  pg 169

 

            A.  Estimates the severity of burns

 

 

            B.  Burns considered critical if:

 

                                    Over 25% of the body has-                 

 

                                    Over 10% of the body has-

 

                                    There are third degree burns on-

 

 

 

 

Practice:  If right arm (both anterior and posterior), anterior trunk and right leg ( anterior only) have 2nd degree burns, what percentage of the body is burned?

Is this considered critical? 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


XX.  Dangers of Tatoos pg 163

 

            A.  Even if a sterile needle is used-

 

 

            B.  Hepatitic C-

 

 

 

XXI.  Developmental Aspects of Skin-  Fetus pg 169

 

            A.  Epidermis develops from-

 

            B.  Dermis and hypodermis develop from-

 

            C.  Lanugo-

 

            D.  Vernis caseosa-

 

 

 

XXII.  Developmental Aspects of Adolescent to Adults- pg 169

 

            A. Skin and hair become

 

 

B   Skin shows the cumulative environmental effects around the age of-

 

 

C.  Scaling and dermatitis become-

 

 

XXIII.  Developmental Aspects of Old Age-

 

            A.  Epidermal replacement of cells-

                  Skin becomes-

 

            B.  Skin becomes-

 

            C.  Subcutaneous fat diminishes-

 

            D.  Decreased elasticity and loss of subcutaneous tissue leads to -

 

            E.  Decreased #s of melanocytes and Langerhan’ cells increase the risk of-