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The Integumentary System
Integumentary SystemIntegumentary system = Skin Nails Hair Glands Nerve endings
Integumentary System: FunctionsPROTECTION from:
Mechanical damage Chemical damage Bacterial damage antibacterial secretionsUV radiation melanin pigment protectsThermal damage cold/pain receptorsDessication keratin waterproofing
Even more functionsHelps with heat loss or heat retention sweat glands and capillaries
Helps excrete urea perspiration
Makes Vitamin D sunlight converts cholesterol molecules in our skin
Skin Structure
2 Types of Skin TissueEpidermisKeratinocytes that can make the protein keratin (become hard & tough)
DermisConnective tissue that contains glands, capillaries and nerves
EpidermisThe StratumsCorneumLucidumGranulosumSpinosumBasale
College Life Gives Snoopy Brains
Stratum BasaleThese are the stem cells of skin
As they mature, they climb the layers of epidermis
Melanocytes are here and make melanin (keratinocytes gobble up the melanin)
Melanin Pigment
Melanin Pigment Protects Nucleus
Stratum Spinosum
Stratum Granulosum
Stratum LucidumBy this point, cells are full of keratin and are dead
Stratum Corneum20 to 30 layers of dead skin cells filled with keratinWaterproofing materialThis layer is thicker on palms and solesBeauty is only skin deep?!
Harlequin IchthyosisAutosomal recessiveGenerate in 1 day the amount of skin a normal person would generate in 14 daysConstant care, moisturizing, bathing to remove keratin layerOldest living person is 24Blind from corneal abrasions
Harlequin Ichthyosis
Dermis: Papillary and Reticular
The Dermis Home of the Tattoo
Tattoo RemovalDermabrasionSalabrasion (rub with salt)CryosurgeryExcisionLatest: Q-switched lasersDifferent lasers for different color pigmentsBlack, purple, red easiestYellow, green hardest
Burns: 1st Degree1st degree: only epidermis is damagedHeal in 2 to 3 days without a problemSunburn without blistering
Burns: 2nd DegreeInjury to the epidermis and part of the dermisCharacterized by pain, redness, swelling, and blistersStill enough epithelial cells to regeneratePartial-thickness burn
Burns: 3rd DegreeWorstEntire epidermis and dermis is destroyedNo more stem cells, no blood supplyNo nerve endings (no pain, but only at first)Must skin graft
Examples of Burns
Rules of Nines
Skin Grafting
Albinism: Melanocytes, but no melanin
Albinism
Visual Problems in Albinism
Vitiligo: Destruction of Melanocytes
PsoriasisSilvery, scaly patches of skin overgrowthPrevalence 2 3 %Onset: 15-25 years of ageThought to be autoimmune
Cold SoresViral infectionHerpes Simplex Type 1
Hansens Disease (Leprosy)Spinalonga, Greece
3 Main Types of Skin CancerBasal cell carcinoma:most commonleast malignantsun-exposed areas99% cure rate with excision
3 Main Types of Skin CancerSquamous cell carcinoma:Shallow ulcer that wont healSun-exposed areasCan grow rapidlyMetastasizes (travels to lymph nodes and other parts of the body)
3 Main Types of Skin CancerMalignant melanoma:Only about 5% of all skin cancers, but incidence is on the riseArises from accumulated damage to DNA in a melanocyteChance for survival: 50%ABCD rule
ABCD Rule of Malignant MelanomasAsymmetry: 2 sides of the pigmented spot do not matchBorder irregularity: borders are not smooth but exhibit indentationsColor: pigmented spot contains areas of different colors (black, brown, tan, red)Diameter: spot is larger than 6 mm in diameter (size of pencil eraser)
Skin AppendagesSebaceous (Oil) Glands
Sweat Glands
Hair and Hair Follicles
Nails
Sebaceous GlandsEverywhere except palms and solesUsually empty into hair follicleMakes sebumKeeps skin soft/moistAntibacterialIncreased production during pubertyWhen gland is blocked: whiteheads/blackheads
Sweat Glands: 2 TypesEccrine glands: make sweatClear secretion of water, salts, urea, lactic acidAcidic, inhibits bacteriaApocrine glands: axilla (armpit) and genital areaContain sweat plus proteins/fats (not antibacterial)
Hair FolliclesHair follicle: makes the hairHair root: aliveHair shaft: dead material; almost all proteinArrector pili: tiniest muscles; goose bumps
NailsBody: thickened keratinRoot,nail fold and nail bed are aliveLunula: white moon
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