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Anatomy & physiology the unity of form and function chapter 6 integumentary

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integumentary system - Consists of the skin and its accessory organs; hair, nails, and cutaneous glands; Most visible system, more attention paid to this organ system Inspection of skin, hair, and nails is significant part of physical exam Skin is the most vulnerable organ; exposed to radiation, trauma, infection, and injurious chemicals Recieves more medical treatment than any other organ system Dermatology - Scientific study and medical treatment of the integumentary system Skin and subcutaneous tissue - Consists of two layers: epidermis and dermis; Most skin is 1-2 mm thick Ranges from 0.5 mm on eyelids to 6 mm between shoulder blades Functions of the skin - Resistance to trauma Other barrier functions Vitamin D synthesis Sensation Thermoegulation Nonverbal communication Transdermal communication Transdermal absorption Epidermis - Keratinized stratified squamous epithelium; Dead cells at the surface packed with tough protein; keratin Lacks blood vessels Depends on the diffusion of nutrients from underlying connective tissue Sparse nerve endings for touch and pain Cells of epidermis - Stem cells Keratinocytes Melanocytes Tactile (merkel) cells Dendritic (langerhans) cells Stem cells - Undifferentiated cells that give rise to keratinocytes In deepest layer of epidermis (stratum basale) Keratinocytes - Great majority of epidermal cells Synthesize keratin Melanocytes - Occur only in stratum basale Synthesize pigment melanin that shields DNA from ultraviolet radiation Branched processes that spread among keratinocytes Tactile (Merkle) Cells - In basal layer of epidermis Touch receptor cells associated with dermal nerve fibers Dendritic (langerhans) cells - Macrophages originating in bone marrow that guard against pathogens Found in stratum spinosum and granulosum Stand guard against toxins, microbes, and other pathogens that penetrate skin Stratum basale - A single layer of cuboidal to low columnar stem cells and keratinocytes resting on the basement membrane; Melanocytes and tactile cells are scattered among the stem cells and keratinocytes Stem cells of stratum basale divide - Give rise to keratinocytes that migrate toward skin surface Replace lost epidermal cells Stratum spinosum - Consists of several layers of keratinocytes Thickest stratum in most skin; in thick skin, exceeded by stratum corneum Deepest cells remain capable of mitosis; cease dividing as they are pushed upward Produce more and more keratin filaments which causes cell to flatten; higher up in this stratum, the flatter the cells appear Dendritic cells found throughout this stratum Named for artificial appearance created in histological section; numerous desmosomes and cell shrinkage produces spiny appearance

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Anatomy & physiology the unity of
form and function chapter 6
integumentary system - Consists of the skin and its accessory organs; hair, nails, and
cutaneous glands;
Most visible system, more attention paid to this organ system
Inspection of skin, hair, and nails is significant part of physical exam
Skin is the most vulnerable organ; exposed to radiation, trauma, infection, and injurious
chemicals
Recieves more medical treatment than any other organ system

Dermatology - Scientific study and medical treatment of the integumentary system

Skin and subcutaneous tissue - Consists of two layers: epidermis and dermis;
Most skin is 1-2 mm thick
Ranges from 0.5 mm on eyelids to 6 mm between shoulder blades

Functions of the skin - Resistance to trauma
Other barrier functions
Vitamin D synthesis
Sensation
Thermoegulation
Nonverbal communication
Transdermal communication
Transdermal absorption

Epidermis - Keratinized stratified squamous epithelium;
Dead cells at the surface packed with tough protein; keratin
Lacks blood vessels
Depends on the diffusion of nutrients from underlying connective tissue
Sparse nerve endings for touch and pain

Cells of epidermis - Stem cells
Keratinocytes
Melanocytes
Tactile (merkel) cells
Dendritic (langerhans) cells

Stem cells - Undifferentiated cells that give rise to keratinocytes
In deepest layer of epidermis (stratum basale)

Keratinocytes - Great majority of epidermal cells
Synthesize keratin

, Melanocytes - Occur only in stratum basale
Synthesize pigment melanin that shields DNA from ultraviolet radiation
Branched processes that spread among keratinocytes

Tactile (Merkle) Cells - In basal layer of epidermis
Touch receptor cells associated with dermal nerve fibers

Dendritic (langerhans) cells - Macrophages originating in bone marrow that guard
against pathogens
Found in stratum spinosum and granulosum
Stand guard against toxins, microbes, and other pathogens that penetrate skin

Stratum basale - A single layer of cuboidal to low columnar stem cells and keratinocytes
resting on the basement membrane;
Melanocytes and tactile cells are scattered among the stem cells and keratinocytes

Stem cells of stratum basale divide - Give rise to keratinocytes that migrate toward skin
surface
Replace lost epidermal cells

Stratum spinosum - Consists of several layers of keratinocytes
Thickest stratum in most skin; in thick skin, exceeded by stratum corneum
Deepest cells remain capable of mitosis; cease dividing as they are pushed upward
Produce more and more keratin filaments which causes cell to flatten; higher up in this
stratum, the flatter the cells appear
Dendritic cells found throughout this stratum
Named for artificial appearance created in histological section; numerous desmosomes
and cell shrinkage produces spiny appearance

stratum granulosum - 3 to 5 layers of flat keratinocytes
Contain coarse dark-staining keratohyalin granules

stratum lucidum - Only in thick skin
Thin translucent zone superficial to stratum granulosum
Keratinocytes are densely packed with eleidin
Cells have no nucleus or other organelles
Zone has a pale, featureless appearance with indistinct boundaries

stratum corneum - up to 30 layers of dead, scaly, keratinized cells
Form double surface layer; surface cells flake off (exfoliate)
Resistant to abrasion, penetration, and water loss

Keratinocytes - Produced deep in the epidermis by stem cells in stratum basale
Some deepest_____________ in stratum spinosum also multiply and increase their
numbers

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