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CHAPTER 5 THE INTEGUMENTARY SYSTEM MISCELLANEOUS Largest _________ (21 ft2 in adult, weighs about 8 lbs) Usually attaches to _________ (exception: flexion creases) Thinnest layer? (0.05mm) _______________ Thickest layer? (1.5mm) _________________ Why a system? STRUCTURE OF SKIN Epidermis – stratified ____________; stratum basale (cell __________); stratum corneum (keratinized); Langerhan’s cells (dendritic _______ cells, phagocytic); melanocytes (roughly ________ # in everyone) Dermis – loose and ___________connective; dermal papillae epidermal ridges (f_______, surface area); elastin/collagen; blood vessels; receptors for t______, pr________, p_______, and temp.; hair ____________; sweat glands; sebaceous glands (produce _________) Subcutaneous (Hypodermis) – loose connective and ____________ (insulates; excessive amounts = obesity) STRUCTURE OF SKIN EPIDERMIS Notice all of the bacteria. Stratum corneum. Notice how the squamous cells form a protective layer (~15-20 cell s thick). ACCESSORY STRUCTURES (HAIR) Hair – develops from hair ___________ (cuticle cells of hair and cuticle cells of follicle grow in _____ directions – keeps hair from _________ _______); three growth phases (anagen, catagen, telogen); as the hair grows, __________ digest sheath around hair shaft at skin’s surface; alopecia; sebaceous gland; arrector ______ ACCESSORY STRUCTURES (HAIR) Hair Magnified (3:12) Notice how the cells grow in opposite directions. Hair ACCESSORY STRUCTURES (HAIR) Color of hair is controlled and affected by ________. Albinism is a genetic ___________ that prevents the production of _____________ within melanocytes. ACCESSORY STRUCTURES (NAILS) Nails – nail root; nail bed; nail body (plate); lunula; cuticle; made mostly of k_____________cells; grow __________on the hand you use; condition of nails can provide clues to underlying ____________ (color, shape, presence of lines on nail body) ACCESSORY STRUCTURES (SWEAT GLANDS) Sweat glands – most concentrated on ____________ (Why?); apocrine (empty into _______ _________); eccrine (empty onto ________ ____________); ceruminous glands (cerumen, wet/dry); mammary glands FUNCTIONS OF SKIN Protection from physical ____________ Protection from ___________ invasion Prevents __________ loss/gain Synthesis of vitamin ____ (in presence of light) TEMP REGULATION Heat arises from breakdown of _______ose and ATP (heat is absorbed by blood); vasodilation; vasoconstriction; sweating; contraction of _____________ pili; hyperthermia; hypothermia; fever – benefits? DISORDERS Athlete’s foot (_________ infection) Impetigo (____________ infection) Eczema/psoriasis (overactive ______ ___________) Dandruff (increased keratinization) Urticaria (hives – ______________ reaction) How to become a dermatologist (3:36) DISORDERS Athlete’s Foot (fungal infection) Impetigo (bacterial infection) DISORDERS Eczema (overactive cell division; skin irritant) Psoriasis (overactive cell division; genetic) Urticaria (hives) (allergic reaction) CANCERS Melanoma – malignant; cancer of ____________; arises from moles; ~8000 deaths per year in US, ~50,000 worldwide Basal cell carcinoma – due to _____; benign tumor in basal cells of epidermis Squamous cell carcinoma – due to _____; usually benign; found in superficial squamous cells of epidermis Moles – benign overgrowth of melanocytes Warts – not tumors; _________ infection (HPV: human papillomaviruses; there are nearly 200 of them) Treeman (7:31) Treeman after surgery (1:18) CANCERS Melanoma Animation (3:01) Melanoma Video (5:04) Melanoma on Skin Basal Cell Carcinoma Melanoma on the iris Squamous Cell Carcinoma MELANOMA SURGERY Photos courtesy of Josie Harrington, former student BURNS 1st, 2nd, 3rd, and 4th degree The Doctors on Burns (1:33) 2nd degree 1st degree 3rd degree BURNS Rule of nines Used to determine the _________of a burn Expressed in _____ WOUND HEALING wound clot scab WBC work fibroblasts make new tissue scar Benefits of a wound-healing medication Wound Healing Process (4:06) AGING Meet Mrs. Tinker! Dermis thins; epidermis becomes _________; less ___________ in subcutaneous; less collagen and elastin (reduced flexibility); difficulty maintaining temp. homeostasis; fewer hair __________; less sebaceous glands (cracking due to less __________); fewer melanocytes (inconsistent pigmentation) Age spots (UV damage)