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Epidermis
Keratinized stratified squamous epithelium
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Dermis
Connective tissue layer
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Hypodermis
Subcutaneous fat layer
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Functions of the Skin (6)
- Resistance to trauma and infection
- Barrier to ultraviolet light
- Vitamin D synthesis
- Sensory receptors
- Thermoreceptors through sweating
- Nonverbal communication
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Stem Cells
Undifferentiated cells in deepest layers
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Keratinocytes
Most of the skin cells
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Melanocytes
Synthesize pigment that shield UV
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Tactile (Merkel) Cells
Receptor cells associated with nerve fibers
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Dendritic (Langerhans) Cells
Macrophages guard against pathogens
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Stratum Basale
- Single layer of cells on basement membrane
- Keratinocyte stem cells undergo mitosis to replace epidermis
- Melanocytes distribute melanin through cell processes and melanin picked up by keratinocytes
- Merkel cells are touch receptors that form Merkel disc
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Stratum Spinosum
- Several layers of keratinocytes
- Appear spiny due to shrinkage during histological preparation
- Contains denditic (langerhans) cells
- Macrophages from bone marrow that migrate to the epidermis
- Help protect body against pathogens by presenting them to the immune system
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Stratum Granulosum
- 3 to 5 layers of flat keratinocytes
- Contain keratinohyalin granules which combine with filaments of cytoskeleton to form keratin
- Produces lipid-filled vesicles that release a glycolipid by exocytosis to waterproof the skin
- It forms a barrier between surface cells and deeper layers of the epidermis and cuts off surface strata from nutrient supply
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Stratum Lucidum
- Thin translucent zone seen only in thick skin
- Keratinocytes are packed with eleidin, a precursor to keratin (does not stain well)
- cells have no nucleus or organelles
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Stratum Corneum
- Up to 30 layers of dead, scaly, keratinized cells
- Surface cells flake off (exfoliate)
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Dermal Papillae
- Extensions of the dermis into the epidermis
- Forms the ridges of the fingerprints
- Layers: Papillary layer, reticular layer is deeper part of the dermis
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Hemoglobin
Red pigment of red blood cells
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Carotene
- Yellow pigment
- concentrates in stratum corneum and fat
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Melanin
- Yellow, Brown, and Black hues
- Pigment synthesis stimulated by UV radiation
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Cyanosis
Blueness from deficiency of oxygen in the circulating blood (cold weather)
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Erythema
Redness due to dilated cutaneous vessels (anger, sunburn, embarrassment)
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Jaundice
Yellowing of skin and sclera due to excess of bilirubin in blood (liver disease)
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Hemangiomas
Birthmarks: discolored skin caused by benign tumors of dermal blood capillaries (strawberry birthmarks disappear in childhood while port wine birthmarks last for life)
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Freckles and Moles
- Aggregations of melanocytes
- Freckles are flat
- Moles are elevated
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Friction ridges
- Leave oily fingerprints on touched surfaces
- A unique pattern formed during fetal development
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Flexion Creases
form after birth by repeated creasing of the hand, wrist, and elbow areas
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Root
- Within follicle
- Medulla, Cortex, and Cuticle
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Follicle
Oblique tube within the skin
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Bulb
Where hair originates
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Papilla
Vascular tissue in bulb that provides nutrients
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Blonde Hair
- Little Eumelanin
- Mostly Pheomelanin
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Red Hair
- Little Eurmelanin
- Lots of Pheomelanin
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White hair
Lack of pigment and hollow
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Sudoriferous Glands
Sweat Glands
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Apocrine
- Produces scent of sweat
- Found only near hair follicles and respond to stress and sex
- Bromhidrosis is body odor produced by bacterial action on fatty acids
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Merocrine (Eccrine)
- Produces persperation
- Millions of them help cool the body
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Sebaceous Glands
- Produce Sebum, an oily secretion that contains broken-down cells.
- Lanolin is sebum
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Polythelia
Additional nipples that may develop along milk line
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Basal Cell Carcinoma
- Least dangerous
- Arises from stratus basale and invades dermis
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Squamous Cell Carcinoma
- Arises from keratinocytes in stratum spinosum
- Metastasis to the lymph nodes can be lethal
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Malignant Melanoma
- Most deadly
- Arises from melanocytes of a preexisting mole
- ABCD: asymmetry, border irregular, color mixed and diameter over 6 mm
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Autograph
Tissue from patient
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Isograft
Tissue from identical twin
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Hemograft (allograft)
From unrelated person
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Heterograft (Xenograft)
from another species
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Calcium Phospate
Minerals that harden the matrix of connective tissue
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Long Bones
Lever acted upon by muscles
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Short Bones
Glide across one another in multiple directions
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Flat Bones
Protect soft organs
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Shaft (Diaphysis)
- Cylinder of compact bone
- Marrow cavity lined with endosteum
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Marrow Cavity
Medullary Cavity
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Endosteum
Osteogenic cells and reticular connective tissue
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Epipheses
- Enlarged ends
- Spongy bone covered by compact bone
- Enlarged to strengthen joint and attach ligaments
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Joint Surface
Covered with articular cartilage
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Shaft
- Covered with periosteum
- Outer layer fibrous layer of collagen
- Inner osteogenic layer of bone forming cells
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Epiphyseal plate
Growth plate
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Structure of a Long Bone
- Compact and Spongy Bone
- Marrow Cavity
- Articular Cartilage
- Periosteum
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Structure of a Flat Bone
- External and internal surfaces composed of compact bone
- Middle layer is spongy bone and bone marrow
- Skull fracture may leave inner layer of compact bone unharmed
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Fibroblasts
Bone stem cells
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Osteogenic Cells
- in endosteum, periosteum, or central canals give rise to new osteoblasts
- Arise from embryonic fibroblasts (bone stem cells)
- Multiply continuously
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Osteoblasts
Mineralize organic matter of a matrix
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Osteocytes
- Osteoblasts trapped in the matrix they formed
- Cells in lacunae connected by gap junctions inside canaliculi
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Osteoclasts
- Develop in bone marrow by fusion of 3-50 blood stem cells
- Reside in resorption pits that they "eat" into the bone
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Dry Weight of Osseous Tissue Matrix
1/3 organic and 2/3 inorganic
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Organic Matter
collagen, glycosaminoglycans, proteglycans and glycoproteins
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Inorganic Matter
- 85% hydroxyapatite (calcium phosphate)
- 10% minerals (fluoride, potassium, magnessium)
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Osteon
- Basic structural unit
- Cylinders formed from layers of matrix around central canal
- Osteocytes connected to each other and their blood supply by tiny cell processes in canaliculi
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Lamellae
Layers of matrix around central canal
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Osteonic Canal
Central canal
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Volkmann Canals
- Perforating canals
- Vascular canals perpendicularly joining central canals
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Trabeculae
- plates of bone that give spongy bone spongelike appearance
- Have few osteons or central canals
- No osteocyte is far from blood of bone marrow
- Develop along bone's lines of stress
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Bone Marrow
In medullary cavity (long bone) and among trabeculae (spongy bone)
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Medullary Cavity
Long Bone
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Red Marrow
- Like thick blood
- Reticular fibers and immature cells
- Hemopoietic (Produces blood cells)
- In vertebrae, ribs, sternum, pelvic girdle and proximal heads of femur and humerus in adults
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Yellow Marrow
Fatty marrow of long bones in adults
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Gelatinous Marrow of Old Age
Yellow marrow replaced with reddish jelly
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Intramembranous Ossification
- Condensation of mesenchyme into trabeculae
- Osteoblasts on trabeculae lay down osteoid tisssue (uncalcified bone)
- Calcium phosphate is deposited in the matrix forming bony trabeculae of spongy bone
- Osteoclasts create marrow cavity
- Osteoblasts form compact bone at surface
- Surface mesenchyme produces periosteum
- Produces flat bones of skull and clavicle
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Osteoid Tissue
Uncalcified Bone
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Osteoclasts in Intramembranous Ossification
Create marrow cavity
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Osteoblasts in Intramembranous Ossification
Form compact bone at surface
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Endochondral Ossification
- Bone develops for pre-existing model; perichondrium and hyaline cartilage
- Most bones develop by this process
- Formation of primary ossification center and marrow cavity in shaft of model
- Stem cells give rise to osteoblasts and clasts
- Bone laid down and marrow cavity created
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Osteoblasts
Develop bony collar
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Chondrocytes
Swell and die in Enchondral ossification
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Cartilage in Endochondral Ossification
Remains as articular cartilage and epiphyseal (growth) plates, which proved grown through childhood and are gone by early twenties
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Zone of Reserve Cartilage
Hyaline Cartilage
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Zone of Proliferation
Chondrocytes multiply forming columns of flat lacunae
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Zone of Hypertrophy
Cell enlargement
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Zone of Calcification
Mineralization of matrix
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Zone of Bone Deposition
- Chondrocytes die and columns fill with osteoblasts
- Osteons formed and spongy bone is created
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How Bones Increase in Length
- Interstitial growth and epiphyseal plate
- Epiphyseal line is left behind when cartilage is gone
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How Bones Increase in Width
- Appositional Growth
- Osteoblasts lay down matrix in layers on outer surface and osteoclasts dissolve bone on inner surface
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How Bones are Remodeled Throughout Life
- Wolff's Law of Bone
- Greater Density and mass of bone in athletes or manual workers is an adaptation to stress
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Wolff's Law of Bone
- Architecture of bone determined by mechanical stresses
- Action of osteoblasts and osteoclasts
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Mineralization
- Crystallization process
- Osteoblasts produce collages fibers spiraled the length of the osteon
- Minerals cover the fibers and harden the matrix
- Ions are deposited along the fibers
- Ion concentration must reach the solubility product for crystal formation to occur
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Ions
Calcium and phosphate and from blood plasma
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Ectopic
- Abnormal calcification
- May occur in lungs, brain, eyes, muscles, tendons, or arteries (arteriosclerosis)
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Mineral Resorption from Bone
- Bone dissolved and minerals released into blood for other uses
- Performed by osteoclasts "ruffled border"
- Hydrogen pumps in membrane secrete hydrogen into space between the osteoclast and bone surface
- chloride ion follow by electrical attraction
- hydrochloric acid dissolves bone minerals
- Enzyme digests collagen
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Acid Phosphatase
Enzyme that digests the collage in mineral resorption from bone
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Dental Braces
- Stimulates osteoclasts to remove bone
- Decrease pressure stimulates osteoblasts
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Phosphate
Component of DNA, RNA, ATP, phospholipids, and pH buffers
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Calcium
Needed in neurons, muscle contraction, blood clotting and exocytosis
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Ion Imbalances
- Phosphate level change = little effect
- Calcium level change = can be serious
- Homeostasis depends on calcitriol, calcitonin, and PTH hormon regulation
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Hypocalcemia
- Deficiency of blood calcium
- Causes excitability of nervous system if too low
- Muscle spasms, tremors, or tetany 6 mg/dl
- Laryngospasm and suffocation 4 mg/dl
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Hypercalcemia
- Excess of blood calcium
- Binding to cell surface makes sodium channels less likely to open, depressing nervous system
- Muscle weakness and sluggish reflexes, cardiac arrest 12 mg/dl
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Axial Skeleton
- Central axis
- Skull, vertebral column, ribs, sternum and sacrum
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Appendicular Skeleton
Limbs and girdles
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Pectoral Girdle
Scapula and clavicle
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Sternoclavicular and Acromioclavicular Joint
Clavicle attaches medially to the sternum and laterally to the scapula
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Humeroscapular
- Should joint
- Scapula articulates with the humerus
- easily dislocated due to loose attachment
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Antebrachium
Forearm = Radius and ulna (Radius is on the thumb side)
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Carpus
Wrist = 8 small bones in 2 rows
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Manus
- Hand = 19 bones in 2 groups
- 5 metacarpals in palm
- 14 phalanges in fingers
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Carpal Bones
- Form the wrist
- Allow for flexion, extension, abduction and adduction
- 2 Rows/4 Bones Each
- - Proximal row = scaphoid, lunate, triquetrum and pisiform
- -Distal row = trapezium, trapezoid, capitate and hamate
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Phalanges
Proximal, middle and distal phalanx
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Metacarpals
Base, shaft, and head
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Pelvic Girdle
- Supports trunk on the legs and protects viscera
- Each os coxae is joined to the vertebral column at the sacroiliac joint
- Anteriorly, pubic bones are joined by pad of fibrocartilage to form pubic symphysis
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