Medical specialty that deals with
the structure, function, and disorders of the
integumentary system
Dermatology
Functions of integumentary system
Protection
Sensation
Vitamin D production
Temperature regulation
Excretion
Blood storage
Also called as cutaneous membrane and largest organ of the body in weight
Skin
What are the major tissue layers of skin?
Epidermis
Dermis
The most superficial layer and a layer
of epithelial tissue that rests on the dermis
Epidermis
It is a layer of dense connective tissue
Dermis
Also called as subcutaneous membrane and is not part of the skin
Hypodermis
It prevents water loss and resists abrasion, avascular, composed of layers called strata, and composed of keratinized stratified squamous epithelium.
Epidermis
Types of strata
Stratum Basale
Stratum Spinosum
Stratum
Granulusom
Stratum Corneum
Stratum
Lucidum
The most superficial stratum of the epidermis,
consists
of dead squamous cells filled with keratin that acts as a structural
strength.
Stratum Corneum
The deepest strata that performs cell mitosis
Stratum Basale
Excessive sloughing of the scalp
Dandruff
A thickened area of skin.
Callus
A part of skin that thickened over a bony prominence
Corn
Types of cells found in the epidermis
Melanocytes
Langerhan cells
Merkel cells
A pigment that is yellow, red, or black-brown in color
Melanin
It contributes to skin color and absorbs damaging ultraviolet (UV)
light.
Melanocytes
It participates in immune responses that invade the skin
and is easily damaged by UV light. It is also called intraepidermal macrophages.
Langerhan cell
The least numerous of the epidermal cells and located in the
deepest layer
and it has sensory neuron (nerve cell) that detect touch sensations
Merkel cell
It is composed dense
collagenous connective tissue containing
fibroblasts,
adipocytes,
and
macrophages. It is also vascular.
Dermis
This structures extends to the dermis
Nerves
Hair
follicles
Smooth muscles
Glands
Lymphatic vessels
It is responsible for the structural strength and resistance to stretch
Collagen fibers
Elastic fibers
Collagen fibers that are oriented in many directions are resistant to stretch. It is also called as tension lines.
Cleavage lines
Incision should be made ____ with the lines to gap less abd produce less scar tissue.
Parallel
It is the result of overstretching of skin that damages the dermis.
Stretch marks
It is the projection toward the epidermis found in the upper part of the dermis that contains many blood vessels.
Dermal papillae
The dermal papillae in the palm of the hands, tip of the digits, and sole of the feet shapes the overlying epidermis into _____
Fingerprints
Footprints
What are the factors that determines the skin color?
Pigments in the skin
Blood circulation through the skin
Thickness of stratum corneum
What are the primary pigments in the skin?
Melanin
Carotene
It is a group of pigments primarily responsible for skin, hair, and eye color.
Melanin
It is a yellow pigment found in plants such as squash and carrots.
Carotene
Melanin are usually what color?
Brown
Black
Yellowish
Reddish
Melanin provides protection against _____
Ultraviolet light from the sun
Melanin is produced by what cells?
Melanocytes
The melanin is packaged into vesicles called ______ which move into the cell processes of melanocytes.
Melanosomes
It phagocytize the tips of the melanocyte cell processes, acquiring melanosomes.
Epithelial cells
Large amount of melanin in some regions form _____
Freckles
Moles
Melanin production is determined by what factors?
Genetics
Exposure to light
Hormones
It is responsible for the amounts of melanin produced in different races.
Genetic factors
Racial variation in skin color are determined by?
Amount of melanin
Kind of melanin
Distribution of melanin
It is the result of ultraviolet light that stimulates melanocytes to increase melanin production.
Suntan
A mutation that prevents the production of melanin.
Albinism
It accumulates in the lipids of the stratum corneum and in the adipocytes of the dermis and subcutaneous tissue.
Carotene
Is carotene lipid-soluble?
Yes, it is lipid-soluble.
A clinical problem that causes yellowish skin.
Jaundice
A clinical problem that causes bluish skin.
Cyanosis
A clinical problem that causes reddish skin.
Erythema
A clinical problem that causes paleness
Pallor
It is called hypodermis that is not part of the skin. It attaches the skin to the underlying bone and muscles, supplying it with blood vessels and nerves
Subcutaneous tissue
Subcutaneous tissue is composed with what tissue?
Loose connective tissue
Adipose tissue
The amount and location of adipose tissue vary with ____
Age
Sex
Diet
In the subcutaneous tissue, it functions as a padding and insulation.
Adipose tissue
Can the subcutaneous tissue be used to estimate total body fat?
Yes
In males, what is the acceptable percentage of body fat?
13% to 25%
In females, what is the acceptable percentage of body fats?
21% to 30%
Hair is found everywhere except what parts?
Palms
Soles
Lips
Nipples
Part of the genitalia
Distal segment of fingers and toes
It is an invagination of the epidermis that extends deep into the dermis in which each hair arises.
Hair follicle
Part of the hair that protrudes above the surface of the skin
Hair shaft
A part of the hair that is below the surface
Root
A part of the hair that is the expanded base of the root and rests on the hair papillae
Hair bulb
It surrounds the softer center of the hair
Hard cortex
It is the soft center of the hair
Medulla
It is single layer of overlapping cells that holds the hair in the hair follicle and covers the cortex
Cuticle
It is an extension of the dermis that protrudes into the hair bulb and it contains blood vessels.
Hair papillae
What stage is it when hair is formed by mitosis of epithelial cells within the hair bulb that undergoes cell division and keratinization?
Growth stage
What stage is it when growth stop and hair is held in the hair follicle?
Resting stage
What happens in the next growth stage?
New hair is formed and old hair falls out
How many days does eyelashes grow and rest?
30 days grow
105 days rest
How many days does hair in the scalp grow and rest?
3 years growth
1-2 years rest
What causes for old people to have white hair?
Decrease in melanin production due to age.
A smooth muscle cells that contracts and cause the hair to become perpendicular to the skin’s surface. Each of the hair follicle are attached to it.
Arrector pili muscle
What are the major glands in the skin?
Sebaceous glands
Sweat
glands
Ceruminous glands
Simple, branched acinar glands connected by a duct to the superficial part of a hair follicle.
Sebaceous glands
An oily, white substance rich in lipids which produced by sebaceous glands. It lubricates the hair and the surface of the skin that prevents drying and
protects against some bacteria.
Sebum
Release of sebum is caused by what secretion
Holocrine secretion
Also called as sudoriferous gland that releases sweat unto hair follicles or skin surface
through the pores
Sweat glands
What are the two types of sweat glands?
Ecrine sweat glands
Apocrine sweat glands
Simple, coiled tubular glands
which is more abundant than appocrine gland
and is distributed throughout the skin.
Eccrine sweat glands
Eccrine sweat glands are not present in what areas?
Margin of lips
Nail beds of fingers and toes
Glans penis
Glans clitoris
Labia minora
Eardrums
Sweat produced by eccrine glands contains what substances?
Water
Small ions
Urea
Uric acid
Ammonia
Amino acid
Glucose
Lactic acid
What are the functions of eccrine sweat glands?
Temperature regulation
Waste elimination
Stress indication
Simple,
coiled, tubular glands that produce a
thick secretion rich in organic that are usually active at puberty.
Apocrine sweat glands
What areas does apocrine sweat glands open?
Hair follicles of armpits and genitalia
The secretion generally produced by apocrine sweat glands is odorless, what causes body odor?
Bacterial action, breaking down the secretion.
Modified sweat glands in the external ear that produces a waxy
lubricating secretion.
Ceruminous glands
A yellowish material that came from the combined secretion of the ceruminous and sebaceous
glands.
Cerume or earwax
It provides sticky layer and waterproofs ear canal to prevent entrance of foreign bodies.
Cerumen
A thin plate, consisting of layers
of dead stratum corneum cells that
contains a very hard type of keratin.
Nail
Visible part of the nail
Nail body
Part of the nail that is covered by the skin
Nail root
It is a stratum
corneum that extends onto the nail body
and the nail root extends distally from the
nail matrix.
Cuticle or eponychium
It is located distal to the nail
matrix and nail attaches to it.
Nail bed
Part of the nail that are epithelial
tissue with a stratum basale that gives
rise to the cells that form the nail.
Nail bed
Nail matrix
A small part of the nail matrix
that can be seen through the nail body as a
whitish, crescent-shaped area at the base
of the nail.
Lunula
What causes the nail to grow continuously?
Cell production within the nail matrix
What are the functions of nails?
Protects the distal end of the digits
Provides support and counterpressure to the palmar
surface of the fingers, enhance touch perception and
manipulation.
Allows us to grasp and manipulate small objects
Can be used to scratch and groom the body in various ways
It keeps sweat out of the eyes
Eyebrows
It protects the eyes from foreign bodies
Eyelashes
It prevents entry of dust and other materials in the nose and ear.
Hair
What usually raises body temperature?
Exercise
Fever
Hot environment
What are the waste products released by the integumentary system?
Urea
Uric acid
Ammonia
____ houses an extensive network of blood vessels that carry
____ of the total blood flow in a resting adult.
Dermis, 8-10%
Bluish skin indicates decrease in blood oxygen
Cyanosis
Yellowish skin indicates liver infection like viral hepatitis.
Jaundice
It is injury to a tissue caused by heat, cold, friction, chemicals,
electricity, or radiation
Burn
What are the depth of burns?
Partial-thickness burns - first-degree and second-degree burn
Full-thickness burn - third-degree burn
It is a superficial burn that involves only the epidermis and is
red and painful.
Slight edema may be present.
They can be caused by sunburn or brief exposure to very hot or
very cold objects, and they heal without scarring in about a week.
First-degree burn
It is partial-thickness burns that damages both the
epidermis and the dermis
Second-degree burn
If dermal damage is minimal, symptoms include:
redness
pain
edema
blister
Mimimal second-degree burn heals for how many weeks?
2 weeks
If the burn goes deep into the dermis, it can take several months to heal and might scar. True or false
True
In minimal second-degree burn, scarring is present. True or false?
False, no scarring results from the second-degree burn.
If the burn goes deep into the dermis, the wound will appear in what color?
Red
Tan
White
Full-thickness burns that damages epidermis and dermis completely.
Third-degree burn
Third-degree burn wound appears in what color?
white
tan
brown
black
deep
cherry red
The region of third-degree burn is usually painful. True or false?
False because sensory receptors in the epidermis and dermis have been
destroyed.
In what burn degree does the epidermis, including the stratum
basale where the stem cells are found, is damaged?
Second-degree burn
The epidermis regenerates from epithelial tissue in ___ and ___, as well as from the ___ of the wound.
Hair follicles
Sweat glands
Edges
It is a procedure where the epidermis and part of the dermis are
removed from another part of the body
and placed over the burn
Split skin graft
It is the most common cancer
that is mainly caused by UV light exposure
where fair-skinned people more prone to this. It can be
prevented by limiting sun exposure and using sunscreens.
Skin cancer
A sun ray cause tan and is associated with malignant
melanomas.
UVA rays
A sun ray that cause sunburns
UVB rays
A type of cancer where cells in stratum basale is affected and it can be removed by surgery
Basal cell carcinoma
A type of cancer where cells above stratum basale is affected
and it can cause death.
Squamous cell carcinoma
A type of cancer which arises from melanocytes in a mole that can cause death but somehow is
rare in occurrence.
Malignant melanoma
Why does old people has wrinkles and saggy skin?
Loss of elastic fibers
In old people, what causes them to have a thinner skin?
Blood flow decreases due to decreased amount of collagens
In old people, why is it that they find it hard to regulate their body temperature?