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Skin Flashcards 1. Name the four organs of the INTEGUMENT SYSTEM 2. What is the largest organ of THE INTEGUMENT SYSTEM? 2. What are the five Functions of the Integument System? 3. What are the 3 layers of the skin? 4. What layer of the skin provides strength to the skin? 5. What layer of the skin provides protection to the skin? Which layer of the skin has no vascularization? How does the epidermis get its nutrients? What layer of the skin are nails made in? How many layers does the epidermis have and what are they? 6. 7. 8. 9. 10. 11. 12. What is the deepest layer? What is the most superficial layer? What layer is only present in thick skin? 13. What are the four cell types found in the STRATUM BASALE? 14. What protein provides waterproofing and strength to the skin? 15. 16. What pigment is produced in this layer? What layer has cells attached to each other by desmosomes? Organs a. Skin b. Hair c. Nails d. Glands SKIN is the largest organ of the integument system. Also the largest organ in the body! Functions a. Protection Abrasion Infections UV light Dehydration b. Thermal regulation (maintaining proper body temp) Insulation = adipose layer Cooling = sweat glands c. Sensory reception (touch, temp, pain, etc) d. Vitamin D production (discussed in physiology) e. Communication (Smile, frown, etc are forms of communication) a. EPIDERMIS b. DERMIS c. HYPODERMIS Epidermis Epidermis Epidermis It absorbs nutrients from the tissues deep to it epidermis All epidermis has four layers (thick skin has a fifth layer): Stratum basale (deepest layer of epidermis) Stratum spinosum Stratum granulosum Stratum lucidum (only in thick skin) Stratum corneum (most superficial layer of epidermis) 1. Main cell type is KERATINOCYTES Keratin is a protein, provides waterproofing and strength to skin However, keratinocytes do not start producing keratin until they get closer to the surface. 2. MELANOCYTES produce MELANIN (dark brown pigment) 3. MACROPHAGES (ingest and destroy cells) 4. MERKEL CELLS are nerve fibers (sensory receptors) for light touch Stratum spinosum Skin Flashcards 17. In what layer of the epidermis do cells stop dividing? What layer of epidermis provides strength to the epidermis? 19. What are Langerhans’ cells and where are they? Stratum spinosum 18. Stratum spinosum 20. 21. 22. Where do Langerhans cells arise from? In what layer of the epidermis do cells start to die? Why do most cells in the epidermis die? 23. The main difference between thick skin and thin skin relates to the thickness of this layer. How long does it take for a cell to migrate from the stratum basale to the stratum cornuem? How long do the dead cells remain in the stratum corneum layer before they are shed? This layer of the epidermis is only on the palms and soles and it is directly under the stratum corneum Which layer has cells that provide protection from uv radiation? What two areas separate from each other in a blister? White blood cells (immune function) in the stratum spinosum of the epidermis Red bone marrow, along with other white blood cells Startum granulosum Lack of nutrients because they are now too far from nutrient source in connective tissue Stratum corneum 24. 25. 26. 27. 28. About 15-30 days About 2 weeks Stratum Lucidum Stratum Lucidum 29. 30. 31. The stratum basale tears away from the basement membrane Blister smaller than 5 mm Blister larger than 5 mm Stem cells persist in both the epidermis and dermis 35. BASAL CELL CARCINOMA (most common, least deadly; symptoms are easily seen shiny nodules on the nose) 2) SQUAMOUS CELL CARCINOMA 3) MELANOMA (least common, most deadly) Major risk factor is UV light What is a vesicle? What is a bulla? Why is the skin capable of repair, even after serious damage? 32. What are the 3 major types of Skin Cancer? 33. Which is most common, least common? 34. Which is the most deadly, least deadly? 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. What is the major risk factor for skin cancer? Which type of cancer is most easily cured and almost never metastasizes? Which skin cancer is the most likely to metastasize? What is the medical term for a mole? What is the medical term for a freckle or any other pigmented area that is flat and does not stick upwards from the skin? What is the medical term for scratch marks? What is the medical term for dry skin? What is the medical term for inflamed skin? What is Eczema? What causes it? What is the most frequently occurring form of eczema? Name three things that might trigger Atopic dermatitis? BASAL CELL CARCINOMA usually doesn’t metastasize MELANOMA usually metastasizes Nevus (plural = nevi) Macula Excoriations Xerosis Dermatitis • Itchy red skin that comes and goes. • Caused by an autoimmune reaction. • The most frequently occurring form of eczema is atopic dermatitis. • Triggered by allergens like soaps, cosmetics, clothing, detergents, jewelry, or sweat. • Can be triggered by changes in weather or stress. Skin Flashcards 47. Touching poison ivy causes what type of skin condition? 48. What is the name for severe dandruff? 49. What causes it? 50. 51. What is Psoriasis caused by? What are the symptoms of psoriasis? 52. 53. What skeletal condition is psoriasis associated with? What are the two layers of the dermis? 54. What specific layer is responsible for fingerprints, and what layer of the skin is it in? What is the strongest layer of the epidermis? What is the strongest layer of the dermis? What is the strongest layer of the skin? What layer of the SKIN is responsible for stretch marks? Where are all the glands of the body located? What layer of the skin is the area that a transdermal patch must reach? What layer of the skin generates the pink color seem in Caucasian people? Doctors make incisions on the body based on the lines of cleavage of the skin. This is based on the structure of which layer of the skin? What are Pacinian corpuscles? 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. Contact dermatitis • • Seborrheic dermatitis Caused by an allergy to the fungus that we all have around our hair roots. An autoimmune disease of the skin silvery flakes on the elbows, knees, and scalp which are NOT itchy Arthritis and a pencil-in-cup appearance on x-ray 1. PAPILLARY LAYER (Papillary = “Pimple” Has bumps). This is the more superficial layer. 2. RETICULAR LAYER is the deeper layer The PAPILLARY LAYER is in the DERMIS and is the actual layer responsible for the fingerprints. Stratum spinosum Reticular layer Epidermis Dermis The DERMIS The DERMIS The DERMIS The DERMIS nerve fibers in the reticular layer of the dermis for vibration and pressure What are Meissner's Corpuscles? nerve fibers in the papillary layer of the dermis for light touch What are stretch marks and what causes them? Caused by Sudden weight gain (often seen in pregnancy) During expansion of skin, collagen fibers in the DERMIS separate = stretch marks. What is the hypodermis? Layer in the skin that consists of fibrous tissue, blood vessels and nerves; sits on top of the muscles What are functions of the HYPODERMIS? 1) Stores fat 2) Cushions 3) Insulation of heat from blood vessels in this layer. 4) Stabilizes the position of the skin in relation to underlying tissues What cosmetic surgical procedure is performed in the Liposuction is performed in the hypodermis. hypodermis? What type of tissue is cellulite? There is no such thing as cellulite. Therefore, it is not a type of adipose or connective tissue, and it does not exist as a particular region of the skin. Skin Flashcards 70. 71. 72. 73. 74. What are the three types of burns? Which is the most serious? Which is a sunburn? Which is a blister? Which needs a skin graft? 75. What are 2 reasons why deep burns are so dangerous? 76. What are DECUBITUS ULCERS 77. What pigment produces brown coloration to the skin? 78. What pigment accumulates more in Asian skin types? 79. Why do black-skinned people have lighter palms and soles? 80. What causes the pink color of skin in Caucasians? 81. 82. 83. What things determine skin color? What is the medical term for a bruise? What is Cyanosis? 84. What 4 things cause cyanosis? 85. How do wrinkles form? 86. 87. a. What is BOTOX? Why do people use it? Why do people need repeat injections? 88. What is one example of how a COLLAGEN INJECTION is used for cosmetic reasons? 89. Into what layer of the skin is ink injected for TATTOOS? Three types: FIRST DEGREE: Minor burn to the epidermis; sunburn SECOND DEGREE: Dermis separates from epidermis; blister THIRD DEGREE: Hypodermis is burned. (most severe type of burn; needs a skin graft) 1)Infection 2) Dehydration: nothing to keep fluid in body. DECUBITUS ULCERS Epidermis is destroyed, underlying tissue is exposed. MELANIN: (dark brown pigment). More melanin, darker the skin. CAROTENE: (a yellowish/orange pigment). Accumulates more in Asian skin types. In black-skinned people, the thick stratum lucidum layer of the palms and soles blocks the appearance of the melanin pigment in the deeper layers HEMOGLOBIN in red blood cells is a red pigment. Since the DERMIS is the skin layer that contains the blood vessels, that is the layer that causes the pink skin color of Caucasians. Melanin, carotene, skin thickness, and hemoglobin. CONTUSION: “Bruise” CYANOSIS: Bluish color to skin. Caused by superficial blood vessel constriction in the dermis or lack of blood flow to skin Occurs for several reasons, including: 1) Cold 2) Not enough oxygen in body to go around. The oxygen is conserved for the vital organs, so oxygen to skin and nails is shut down. 3) Certain medicines 4) Certain chemicals may cause cyanosis. Over time, collagen fibers align themselves more and more as they are always being pulled in the same direction: smile, frown. Skin begins to sag because body makes less elastin. This is a deadly poison (botulism) which paralyses the muscles, making them sag. Without muscle tension, wrinkles relax. In 3 months, new muscle cells are made, so wrinkles come back, and need new injection. Collagen is injected into wrinkles to make them flatten out. The effect can last a couple of years. Collagen can also be injected into the lips to make them appear fuller, but in this area, it degrades faster, so new injections are needed more often. Pigment is injected into the dermis. Skin Flashcards 90. 91. What vitamin is produced by the skin? What is the function of Arrector Pilli? 94. Vitamin D is produced by the skin (dermis) They are tiny muscles that make the hair stick up when you are cold, as in “goosebumps”. The dermal papillae are what are destroyed by electrolysis, so hair won’t grow back. Hair is just dead skin cells. the hair matrix 92. 93. What are destroyed by electrolysis? What is hair made of? 96. 97. 98. 99. variations in hair growth rate and duration of the hair growth cycle SEBACEOUS (oil) and ECCRINE (sweat) GLANDS Produce sebum (oil that coats the hair and epidermis) Eccrine and apocrine glands Eccrine What part of the hair follicle is the site of hair growth and the location of the melanocytes that determine hair color? 95. What causes differences in uncut hair length? What glands that are found all over the body? What do sebaceous glands secrete? What glands secrete sweat? Which of the above glands secretes most of the sweat, and is found all over the body? 100. Which of the above glands only secretes sweat in the public and axillary regions? 101. How do pimples begin? 102. What is the black part of a blackhead caused by? 103. What causes boils? 104. How do boils differ from pimples? 105. What layer of skin gives rise to the NAILS? 106. What are nails made of? 107. What is the proximal nail fold called? 108. What is the white half-moon visible under the proximal part of a fingernail? 109. What 4 classifications of SKIN GLANDS are there? Which ones produce sweat? 110. Where are Apocrine Glands found? 111. What special protein do they secrete? 112. What are Mammary Glands? a. What do they secrete? Apocrine Pimples begin when oil gland ducts (sebaceous glands) become blocked by viscous (thick) sebum. The black part of a blackhead is oxidized sebum Boils are caused by bacteria that enter a gland and invade into the hypodermis. Boils involve the hypodermis and are larger than pimples The EPIDERMIS gives rise to the nails. Nails are made of keratin (not calcium or collagen) Eponychium lunula SEBACEOUS (oil) ECCRINE (MEROCRINE) GLANDS (sweat) APOCRINE GLANDS (sweat land that produces a secretion to coat pubic and axillary hairs, and also produce pheromones) o MAMMARY GLANDS (special type of apocrine gland, but produces milk) CERUMINUS GLANDS (wax) APOCRINE GLANDS are only in the axilla and pubic region, where they produce a secretion to coat the hairs. The hairs function as a wick to draw the secretions to the surface. These glands also produce a type of protein called a hormone known as PHEROMONES. Modified apocrine glands are also found in breast milk ducts. Modified apocrine glands. They secrete milk. Skin Flashcards 113. What do Ceruminus Glands secrete, and where are they found? 114. What are Exocrine Glands? 115. What are Endocrine Glands? 116. 117. 118. 119. 120. 121. What do Plasma Cells secrete? What do Goblet Cells secrete? Are they unicellular or multicellular? What is Leukemia? What is Lymphoma? What is Carcinoma? 122. What is Melanoma? 123. What is Sarcoma? 124. What are 3 CHARACTERISTICS OF CANCER CELLS? 125. What are MALIGNANT tumors? 126. What does METASTASIZE means? 127. What is a carcinogen? What are some examples? 128. What is a mutagen? 129. What Diagnostic Procedure test for cervical cancer? 130. Which one tests for breast cancer? a. Which one tests for colon cancer? 131. What is the epidermis primarily composed of? Only found in the ear, and they produce wax. Exocrine glands secrete substances into the cell itself, or onto the epidermis by way of a DUCT. Endocrine glands do not have ducts. They secrete hormones directly into the blood. A type of blood cell that secretes antibodies. Goblet cells secrete mucus. They are unicellular A cancer in blood-forming cells. A tumor developing in lymphatic tissues. A tumor developing in any part of the epithelium. A tumor developing in the pigment-forming cells (melanocytes) of the skin. A tumor developing in muscles and connective tissues. 1. LACK DIFFERENTIATION-Normal cells have specialized functions, but cancer cells do not differentiate and do not contribute to the function of the body. 2. ABNORMAL NUCLEI-They have large or multiple nuclei with mutated chromosomes. 3. FORM MALIGNANT TUMORS-Cancer cells grow and divide rapidly until they accumulate and form a lump of cancer cells called a tumor. A BENIGN tumor is an accumulation of noncancerous cells because they stay in their own capsule (encapsulated) and do not invade. If a tumor is benign, it is not cancer. MALIGNANT tumors are cancerous cells that metastasize Metastasize means to spread and invade CARCINOGEN is an environmental agent that contributes to cancer. Not everyone exposed to it for a long time will get cancer. Examples of a carcinogen: sun radiation, tobacco, toxic chemicals, and viruses. MUTAGEN - an agent that always increases chances of DNA change or mutation if you are exposed to too long. Examples are x-rays and nuclear radiation. PAP SMEARS detect cervical cancers. MAMMOGRAMS are diagnostic procedures to detect breast cancer. COLONOSCOPY is a diagnostic procedure to detect colon cancer. A scope is inserted into the rectum so the doctor can look for polyps. Keratinized stratified squamous epithelium Skin Flashcards 132. What is the process where cells in the stratum corneum lose their nucleus and fuse to squamous sheets, which eventually shed from the surface? 133. What happens when skin is rubbed and cell division is stimulated? Desquamation 134. What are the ABCD’s of determining if a mole might be cancerous? A is for Asymmetry, where one side of the mole looks different than the other side. B is for Border, where the border is jagged or irregular instead of smooth and regular. C is for Color, where the mole contains more than one color. D is for Diameter. A mole that's smaller than the eraser on the end of a pencil (6mm) generally is not a cause for concern. However, a larger mole is not necessarily a dangerous one- no rmal moles often grow to be larger than 6mm. With lubricant creams daily and steroid creams during outbreaks Cradle Cap Psoriasis. 135. How can atopic dermatitis be treated? 136. In children, Seborrheic dermatitis is also known as? 137. What disorder causes flaking of skin, especially knees, elbows, and scalp. There are treatments such as shampoo with coal tar or steroids, but no cure. 138. What disorder destroys melanocytes, especially in areas of friction? Also causes depigmentation. 139. Surgeons make incisions on the body based on the lines of cleavage of the skin formed by what layer of skin? 140. Leather is made of this layer of skin 141. What happens when you get cut? 142. Thick, red, sometimes painful scars. More often in African American, Native American, and Asian races. Treated with cortisone shots. 143. This is scar tissue in the deeper layers of the body, such as right outside of the intestines, outside of the ovaries, etc. Some people form adhesions spontaneously from the organs rubbing against each other. If the adhesions cause symptoms, they might need a surgery to clean them away. 144. What is an enlargement of the lining of blood vessels, and is treated with lasers? 145. Why does chemotherapy cause hair loss? 146. Describe electrolysis as a hair removal treatment. 147. A rare autosomal dominant disorder of melanocyte development, causing a congenital white patch of You get calluses. Vitiligo. the dermis Dermis - macrophages eat foreign bodes and dead cells - bleed, then clot - fibroblasts lay down collagen Keloid Scars Adhesion tissue Hemangioma. Because the drugs target any cell that is rapidly dividing. Hair roots are an example of something that would divide rapidly. It involves sticking a find wire into the follicle and administering and electrical current to kill the hair papillae. Piebaldism Skin Flashcards hair. 148. How do nails grow? 149. What are some functions of pheromones? 150. How can one prevent cancer? 151. What foods can contribute to cancer? 152. What foods can prevent cancer? 153. How does radiation work as cancer treatment? 154. Describe Bone Marrow Transplants. 155. This form of cancer treatment takes blood cells from a patient and fuses the blood with an antibody that is specifically designed to seek out and destroy the cancer cell. 156. This new research is attempting to find a gene that will shrink tumors. 157. This involves natural healing therapies such as biofeedback, acupuncture, and exotic foods. At the nail matrix, there is a rapid division of keratocytes, and as they die, the skin moves up and creates the nail. Pheromones function to regulate menstrual cycles of females. If you put multiple females in a room for months, their menstrual cycles will start to occur simultaneously. Pheromones also act as a way to sexually attract others. By changing their behaviors, such as not smoking, sunbathing, drinking, or getting too many x-rays. Fats, salt, smoked-cured meats, pork, and pickled foods. Fiber, green leafy veggies, and fruits. Radiation is likely to kill cells that are in the process of dividing. Since cancer cells divide rapidly, they are killed. However, other fast dividing cells are affected as well, such as stomach lining, and hair follicles. It involves a voluntary donor, who contributes a small piece of bone form the crest of his or her hip. This bone marrow will contain healthy new blood cells that can repopulate the depleted bone marrow of the sick person. They are injected through the patient’s vein. Immunotherapy. Gene therapy. Complementary therapies.