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The Integumentary System The Integumentary System  Integument means covering.  Skin and its appendages make up the integument system  It covers about 3,000 square inches of the surface.  It is made up of hair, nails , sebaceous (oil) glands, and Sudoferious (sweat) glands. Functions of skin  Skin is covering for the underlying, deeper, tissue , protecting them from dehydrations, injury, and germ invasions.  Skin helps regulate body temperature by controlling the amount of heat loss .Evaporation of the water from the skin , in the form of perspiration, rids the body of excess heat.  Skin helps manufacture vitamin D. The ultra violet light on the skin is necessary for the first stages of vitamin D formation. Functions of The Skin Continuation….  Skin is the sight of many nerve endings. A square inch of skin contains about 72 feet of nerves and hundreds of receptors.  Skin has tissues for the temporary storage of fat, glucose, water, and salts such as sodium chloride. Most of the substances are later contained observed and transferred to other parts of the body.  Skin is designed to screen out harmful ultraviolet contained by sunlight.  Skin has special properties to absorb drugs and bad toxins. Structure of the Skin  The skin consists of two basic layers: o The epidermis or outermost or outermost covering made of epithelial cells with no blood vessels present o The dermis or true skin is made of connective tissue and is vascular o ***The hypodermis isn’t really considered but since its in the diagram I’ll go over it. Epidermis  Keratinized stratified squamous epithelium  Four types of cells  Keratinocytes – deepest, produces keratin (tough fibrous protein)  Melanocytes - make dark skin pigment melanin  Merkel cells – sensory receptors for touch  Langerhans cells – macrophage which are effective in the defense  Layers (from deep to superficial)  Stratum basale or germinativum – single row of cells attached to     dermis; youngest cells Stratum spinosum – spinyness is artifactual; tonofilaments (bundles of protein) resist tension Stratum granulosum – layers of flattened keratinocytes producing keratin (hair and nails made of it also) Stratum lucidum (only on palms and soles) Stratum corneum – horny layer (cells dead, many layers thick) Epithelium: layers (on left) and cell types (on right) Dermis  Corium, is the thicker, inner layer if the skin.  It contains masses of connective tissues, collagen tissue bands, elastic fibers, nerve endings, muscles, hair follicles, oil and sweat glands, and fat cells.  The thickness of the dermis varies over different parts of the body for instance, the dermis is thicker over the soles of the feet and the palms of the hands.  There are many nerve receptor of different types of the dermal layer.  Blood vessels in the dermis aid in the regulation of body temperature to maintain homeostasis. *Dermis layers *Dermal papillae * * Hypodermis  Not considered apart of the Integumentary system.  It lies under the dermis and called superficial fascia.  It consists of loose connective tissues and contains about ½ of the bodies stored half. Derived from epidermis and dermis Everywhere but palms, soles, nipples, parts of genitalia *“arrector pili” is smooth muscle * Hair bulb: epithelial cells surrounding papilla Hair papilla is connective tissue________________ Skin appendages  Derived from epidermis but extend into dermis.  Include:  Hair and hair follicles  Sebaceous (oil) glands  Sweat (sudoiferous) glands  Nails  Functions of hair  Warmth – less in man than other mammals  Sense light touch of the skin  Protection - scalp  Parts  Root imbedded in skin  Shaft projecting above skin surface  Make up of hair – hard keratin  Three concentric layers  Medulla (core)  Cortex (surrounds medulla)  Cuticle (single layers, overlapping)  Types of hair  Vellus: fine, short hairs  Intermediate hairs  Terminal: longer, courser hair  Hair growth: averages 2 mm/week  Active: growing  Resting phase then shed  Hair loss  Thinning – age related  Male pattern baldness  Hair color  Amount of melanin for black or brown; distinct form of melanin for red  White: decreased melanin and air bubbles in the medulla  Genetically determined though influenced by hormones and environment Sebaceous (oil) glands  Entire body except palms and soles  Produce sebum by holocrine secretion  Oils and lubricates Sweat glands  Entire skin surface except nipples and part of external genitalia  Prevent overheating  500 cc to 12 l/day! (is mostly water)  Humans most efficient (only mammals have)  Produced in response to stress as well as heat Types of sweat glands  Eccrine or merocrine  Most numerous  True sweat: 99% water, some salts, traces of waste  Open through pores  Apocrine  Axillary, anal and genital areas only  Ducts open into hair follices  The organic molecules in it decompose with time - odor  Modified apocrine glands  Ceruminous – secrete earwax  Mammary – secrete milk Nails  Of hard keratin  Corresponds to hooves and claws  Grows from nail matrix Careers Associated with Integumentary System  Dermatologist- Annual salary of 279,000, Dermatologists are medical doctors who deal with skin and skin aliments, the conduct skin evaluations in order to determine how to best treat and prevent conditions and diseases. Education: Undergraduate, 4 years of medical school, residency programs (3-4 years)  Plastic surgeon- Doctors who deal with replacing, repairing or reconstructing various parts of the body, mostly facial features. Annual salary of 300,000 to 791,510, Education: Complete up to medical school requirements and then must complete residencies which takes longer than other normal residencies.  Allergist- Annual salary: 332,450, Specialist in diagnosis and treatment of allergic diseases. Education: The first step towards becoming an allergist is earning a medical degree, then two more years for specialization; the final step is to earn certification from the board of allergy and immunology. Disorders of the Integumentary system  Burns  Threat to life  Catastrophic loss of body fluids  Dehydration and fatal circulatory shock  Infection  Types  First degree – epidermis: redness (e.g. sunburn)  Second degree – epidermis and upper dermis: blister  Third degree - full thickness  Infections  Skin cancer Burns First-degree (epidermis only; redness) Second-degree (epidermis and dermis, with blistering) Third-degree (full thickness, destroying epidermis, dermis, often part of hypodermis) Estimate by “rule of 9’s” Critical burns  Over 10% of the body has thirddegree burns  25 % of the body has second-degree burns  Third-degree burns on face, hands, or feet Tumors of the skin  Benign, e.g. warts  Cancer – associated with UV exposure (also skin aging)  Aktinic keratosis - premalignant  Basal cell - cells of stratum basale  Squamous cell - keratinocytes  Melanoma – melanocytes: most dangerous; recognition:  A - Asymmetry  B - Border irregularity  C - Colors  D - Diameter larger than 6 mm Skin Cancer Sqaumous cell carcinoma Basal cell carcinoma Melanoma