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Is the skin considered an organ?
Yes
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Remember an organ consists of tissues working together to perform certain functions
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Therefore...skin (integument) and its appendages (sweat glands, oil glands, hair and nails) are considered
organs.
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Together these organs make up
the integumentary system (“covering”).
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-The ____ is the largest of all the organs...accounts for __ of total body weight.
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Varies in thickness from
1.5 - 4 mm
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The skin has two distinct regions:
- 1) epidermis (thick epithelium)
- 2) dermis (fibrous connective tissue)
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These layers are firmly cemented together along an
undulating border.
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Separation of these two layers results in a
blister
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The hypodermis (lies deep to the dermis) is not part of
the integumentary system...although it shares some of the skin’s functions.
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8 Functions of skin:
- -Protects the body from bumps, scrapes, and cuts
- -Screens out harmful UV rays from the sun
- -Metabolic duties...Synthesis of vitamin D
- -Insulates/cushions underlying body tissues
- -Protects the body from water loss
- -Helps regulate body temperature
- -Excretes wastes (urea, salt)
- -Contains sense organs
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Epidermis consists of 4 distinct cell types:
- 1) Keratinocytes
- 2) Melanocytes
- 3) Merkel cells
- 4) Langerhans' cells
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Keratinocytes:
- - The most abundant epidermal cell (connected to one another by desmosomes) whose role is to produce keratin
- -Produce antibiotics and enzymes that detoxify harmful chemicals.
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Keratin
a tough fibrous protein that gives the epidermis its protective properties
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Melanocytes (stratum basale):
Spider-shaped cells which make the dark skin pigment melanin.
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The melanin is transferred to nearby _________ where it clusters on the superficial side of the cell.
keratinocytes
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Why is it important for melanin to cluster on the superficial side of the cell?
To block out the harmful UV light from hitting the DNA that is present inside the nucleus of the cells
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-Light-skinned people:
the melanin is digested by lysosomes a short distance above the basal layer.
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-Dark-skinned people:
no digestion occurs and melanin occupies keratinocytes throughout the epidermis.
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Merkel cells (stratum basale):
Hemisphere-shaped cells that are associated with a disc-like sensory nerve ending and serves as a receptor for touch
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Langerhans’ cells (stratum spinosum):
- These cells belong to a class of macrophages-like cells.
- As part of the immune system, Langerhans cells police the outer body surface, using receptor-mediated endocytosis to take up foreign proteins (antigens) that have invaded the epidermis.
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-Langerhans cells then leave the skin and travel to a nearby lymph node, where they present the antigens to _____ _ _______, which proceed to attack all foreign cells that carry the antigen
killer T lymphocytes
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The epidermis is composed of
- avascular epithelium
- stratified squamous
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Epidermis consists of 4 or 5 distinct layers:
- 1) Stratum basale (basal layer)
- 2) Stratum spinosum (spiny layer)
- 3) Stratum granulosum (granular layer)
- 4) Stratum lucidum (clear layer)
- 5) Stratum corneum (horny layer)
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Stratum lucidum is only found on
thick skin
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Stratum Basale (Basal layer):
- -The deepest epidermal layer
- -Attached to the underlying dermis along an undulating borderline.
- -Consists of a single row of cells, mostly stem cells representing the youngest keratinocytes.
- -Cells in this layer rapidly divide via mitosis
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Stratum Spinosum (Spiny layer):
- -Several cell layers thick
- -Mitosis occurs here, but less often than in the basal layer.
- -Cells contain thick bundles of intermediate filaments, called tonofilaments (“tension filaments”)
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Stratum Granulosum (Granular layer):
- -1 to 5 layers of flattened keratinocytes,
- which contain:
- a) keratohyaline granules: form keratin in the higher strata
- b) lamellated granules: contain a waterproofing glycolipid that is secrete into the extracellular space and plays a major role in slowing water loss.
- -Cells above this layer are dead
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Stratum Lucidum (Clear layer):
- -Occurs only in thick skin
- -Consists of a few rows of flat dead keratinocytes
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Stratum Corneum (Horny layer):
- -The most external part of the epidermis
- -Composed of many layers of dead keratinocytes...which resemble flat sacs filled with keratin because their nuclei and organelles disintegrated upon death.
- -The keratin and thickened plasma membrane of cells protect the skin against abrasion and penetration
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How much skin does a person shed in a lifetime?
40lbs
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Dermis: The “hide”
- The dermis binds the entire body together like a body stocking
- it is your “hide” and corresponds to animal hides that are used to make leather products
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Dermis is a strong flexible _______ tissue
- connective
- areolar connective tissue- richly supplied with blood vessels and nerves
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Cells found in dermis: (4)
- fibroblasts
- macrophages
- mast cells
- white blood cells
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Fibers found in dermis: (3)
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What is a vascular plexus?
a network of converging and diverging vessels
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The dermal blood vessels consist of two vascular plexuses:
- a) Cutaneous plexus (deep)
- b) Subpapillary plexus (superficial)
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Cutaneous plexus (deep)
- -Located between the hypodermis and the dermis.
- -Nourishes the hypodermis and the structures located within the deeper portions of the dermis.
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Subpapillary plexus (superficial):
- -Located just below the dermal papillae
- -Supplies the more superficial dermal structures (the dermal papillae and the epidermis)
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The vascular plexuses play a role in
thermal regulation
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The dermis has two layers:
- 1) Papillary layer
- 2) Reticular layer
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Papillary layer:
- - Superficial 20% of the dermis
- -Composed of areolar connective tissue (thin collagen/reticular fiber)
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Dermal papillae
fingerlike projections that extend into the overlying epidermis
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What function(s) do these dermal papillae perform?
There is a greater surface area allowing for more exchange and for a tighter connection between layers
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On the palm and soles, the dermal papillae lie atop larger mounds
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Dermal ridges elevate the
overlying epidermis into epidermal ridges (fingerprints, palmprints, and footprints)
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What function(s) do these epidermal ridges provide?
They allow you to grip things
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Sweat pores open along the crests of the epidermal ridges, which leave distinct
fingerprints (“sweat films”)
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Reticular layer (“network”):
- -80% of thickness of dermis
- -The deepest skin layer composed of dense irregular connective tissue
- -The ECM contains thick bundles of interlacing collagen and elastic fibers where most fibers run parallel to the skin surface
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Network of what?
Network of collagen fibers
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The collagen fibers of the dermis gives skin its
strength and resilience
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The elastic fibers in the dermis provide the skin with
stretch-recoil properties.
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“Extreme stretching” of the skin (obesity and pregnancy) can tear the collagen in the dermis, which cause slivery white scars called
striae
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The hypodermis is not part of the
skin
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Hypodermis is deep to the skin – also called (2 names)
superficial fascia and subcutaneous layer
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Hypodermis contains (2 types of CT)
areolar and adipose connective tissues
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Hypodermis anchors skin to
underlying structures (mostly to muscles)
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Hypodermis helps insulate the body (stores fat) because fat is a
poor conductor of heat, it prevents heat loss from the body
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The hypodermis thickens with
weight gain
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-In females: subcutaneous fat accumulates first in the
thighs and breasts
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-In males: it first accumulates in the
anterior abdomen (“beer belly”)
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Three pigments contribute to skin color:
- 1) melanin
- 2) carotene
- 3) hemoglobin
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Melanin is made from an amino acid called
tyrosine
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Melanin is present in several varieties
yellow - reddish - brown -black
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Melanin is made in
melanocytes, which contain an enzyme called tyrosinase
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______ passes from melanocytes to keratinocytes in the stratum basale of the epidermis
Melanin
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-Freckles and pigmented moles are localized accumulation of
melanin
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- Freckles:
melanin is restricted to the basal layer of the epidermis and form as the result of exposure to the sun.
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- Moles:
- clusters of melanocytes transform into melanin-containing cells and accumulate in the basal layer of the epidermis and the top layers of the dermis.
- Not formed by exposure to the sun.
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Carotene
- -A yellow-orange pigment that the body obtains from vegetable sources such as carrots and tomatoes.
- -Accumulates in the stratum corneum of the epidermis and in the fat of the hypodermis
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Hemoglobin
-The crimson-color of oxygenated hemoglobin
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Another factor influencing skin color is _______ _, a vital hormone required for the uptake of calcium from the diet and essential for healthy bones
vitamin D
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-UV rays stimulate the deep epidermis to produce
vitamin D
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The trade-off between protection from the harmful effects of UV radiation and production of vitamin D may have been the selective pressure behind the evolution of ___ ______ as early humans moved away from the tropics
skin coloration
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2 categories of cutaneous glands
- 1) sebaceous glands
- 2) sweat glands
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Sebaceous (“greasy”) glands occurs over entire body, except ____ ___ ____
palms and soles
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Most sebaceous glands are associated with a
hair follicle
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Simple alveolar glands with several _____ opening into a single duct
alveoli
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-The alveoli are filled with cells (no lumen) that make
oily lipids
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Sebaceous glands secrete
sebum
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What is sebum?
- an oily substance that acts as a lubricant to keep skin soft and moist and to keep the hair from becoming brittle.
- Also, collects dirt, prevents water loss, and kills bacteria.
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The sebaceous glands are particularly active during _____ (hormones/androgen) making the skin very oily
puberty
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-Blackheads are accumulations of
dried sebum and bacteria in the oil duct
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Acne is an ____ ______ of the sebaceous glands
active infection
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Sebum is made via a process called
- holocrine secretion
- whole cells break up to from the product
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What is sweat?
Sweat is a filtrate of blood that passes through the secretory cells of the sweat glands and is released by exocytosis
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How much sweat do we normally produce in one day?
500 ml
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On hot days or vigorous exercise
12 L
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Only mammals have sweat glands used for
thermoregulation
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______ have the most sweat glands of all mammals
Humans
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Hair usually interferes with the evaporation of sweat and the ability to cool the body...therefore the need for temperature regulation through sweating led to a reduction of
hairiness
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What is true sweat?
- -99% water
- -1% salts (NaCl) and metabolic wastes (urea, ammonia, uric acid)
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Sweat is _____ so it retards the growth of bacteria on the skin
acidic
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Two types of sweat glands:
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Both eccrine and apocrine respond to ___ and ____
stress and heat
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Eccrine glands are the more numerous type and produce
true sweat
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Eccrine is abundant on which body parts (3)
palms, soles, and forehead
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Eccrine gland has coiled simple tubular gland. The coiled secretory base lies in the
deep dermis and hypodermis
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Apocrine glands
Confined to axillary, anal, and genital areas--- produces a special kind of sweat
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Apocrine glands are _____ in size
larger
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Milky or yellow color sweat consisting of fatty substances and proteins (odorless), however organic molecules are decomposed by bacteria on skin resulting in
body odor
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Apocrine glands start to function at puberty under the influence of
androgens.
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They enlarge and recede with phases of a woman’s
menstrual cycle
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The apocrine glands activity increases with
sexual foreplay
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Apocrine glands are analogous to the sexual scent glands of other
animals
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Hair follicles
tubular invaginations of the epidermis from which the hairs grow
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The main function of hair is to
sense things that lightly touch the skin
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The hair on the scalp protects the head against _____ ______ in summer and _______ ____ _____ on cold days
- direct sunlight
- against heat loss
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Eyelashes shield
the eyes
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nose hairs filter
large particles such as insects and lint from inhaled air.
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Hair is composed of
dead, keratinized cells
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The hard keratin in hairs has two advantages over the soft keratin found in typical epidermal cells:
- 1) It is tougher and more durable
- 2) The cells of hard keratin do not flake off
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root:
the part of the hair embedded within the skin
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shaft:
the part that projects above the skin surface
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The hair is composed of three concentric layers of keratinized cells:
- a) Medulla
- b) Cortex
- c) Cuticle
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Medulla:
central core that consists of large cells and air spaces
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Cortex:
- surrounds medulla
- consists of several layers of flattened cells.
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c) Cuticle:
- outermost layer
- a single layer of cells that overlap one another from below like shingles on a roof
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The cuticle provides strength and keeps the inner layers
tightly compacted
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Hair pigment is made by melanocytes at _____ and is transferred to _____
- the base of the hair follicle
- the cells of the hair root
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Different proportions of two types of melanin (black-brown and yellow-rust) combine to produce
all the common hair colors...black, brown, red and blond
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Graying or whitening of hair results from a decrease in the
- production of _______ and from the replacement of melanin by ____ ___ ____ in the hair shaft
- melanin
- colorless air bubbles
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Hair bulb:
deep, expanded end of the hair follicle
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Root plexus:
knot of sensory nerves around hair bulb bending of the hair stimulates nerve endings.
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The wall of the hair follicle is composed of an
outer connective tissue root sheath (derived from the dermis) an inner epithelial root sheath (derived from the epidermis)
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Arrector pili muscle:
bundle of smooth muscle that runs from the most superficial part of the dermis to a deep-lying hair follicle
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Relaxed:
hairs lie at an angle
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Contracted:
hairs stand errect and skin forms dimples
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For animals...insulating layer of
air
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A nail is a
scalelike modification of the epidermis made up of hard keratin.
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Each nail has (3)
- a) a distal free edge
- b) a body
- c) a proximal root
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The nail rests on a bed of epidermis called the
nail bed
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Nail bed contains
only the deeper layers of the epidermis (the nail itself corresponds to the superficial keratinized layers)
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Nails look pink because of the rich network of
- _______ in the underlying dermis
- capillaries
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At the root and the proximal end of the nail body, the bed thickens to form the
nail matrix
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The nail matrix is the
actively growing part of the nail
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The matrix is so thick in the proximal region that the pink dermis cannot
show through it.
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Instead, we see a white crescent called the
lunula (“little moon”)
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The lateral and proximal borders of the nail are overlapped by skin folds called
nail folds
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The proximal nail fold is the called the
eponychium (cuticle)
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A burn is
tissue damage inflicted by heat, electricity, radiation, extreme friction, or certain harmful chemicals.
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The immediate threat to life from serious burns is the loss of
- body fluids (water) and salts.
- This dehydration leads to fatal circulatory shock (inadequate blood circulation).
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In addition ______ becomes the main threat
infection
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Partial thickness burns: (2)
- - First-degree burns
- - Second-degree burns
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Full thickness burns: (1)
- Third-degree burns
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First-degree burns:
only the epidermis is damaged
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Second-degree burns:
injury to the epidermis and the upper part of the dermis
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Third-degree burns:
- consume the entire thickness of the skin
- Skin is usually grafted onto the burned area.
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