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BODY MEMBRANES HUMAN INTEGUMENT CHAPTER 3 and 4 SKIN AND BODY MEMBRANES FUNCTION OF BODY MEMBRANES LINE OR COVER BODY SURFACES PROTECT BODY SURFACES LUBRICATE BODY SURFACES Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 4.1 FUNCTIONS OF BODY MEMBRANES • MEMBRANES ARE THIN LAYERS OF TISSUE WHICH COVER A SURFACE, LINE A BODY CAVITY, OR DIVIDE A BODY SPACE OR ORGAN. CELL MEMBRANES Classification of Body Membranes • EPITHELIAL MEMBRANES – CUTANEOUS MEMBRANE – MUCOUS MEMBRANE – SEROUS MEMBRANE • CONNECTIVE TISSUE MEMBRANES • CALLING THESE MEMBRANES EPITHELIAL TISSUE IS INACCURATE BECAUSE THESE TISSUES ALSO INCLUDE AN UNDERLYING LAYER OF CONNECTIVE TISSUE, THEREFORE, THEY ARE ACTUALLY SIMPLE ORGANS. CUTANEOUS MEMBRANE • CUTANEOUS MEMBRANE = SKIN – A DRY MEMBRANE – OUTERMOST PROTECTIVE BOUNDARY – SUPERFICIAL EPIDERMIS – KERATINIZED STRATIFIED SQUAMOUS EPITHELIUM – UNDERLYING DERMIS – MOSTLY DENSE CONNECTIVE TISSUE MUCOUS MEMBRANES • UNDERLYING LOOSE CONNECTIVE TISSUE (LAMINA PROPRIA) • LINES ALL BODY CAVITIES THAT OPEN TO THE EXTERIOR BODY SURFACE • OFTEN ADAPTED FOR ABSORPTION OR SECRETION SEROUS MEMBRANES • UNDERLYING AREOLAR CONNECTIVE TISSUE • LINES OPEN BODY CAVITIES THAT ARE CLOSED TO THE EXTERIOR OF THE BODY • SEROUS LAYERS SEPARATED BY SEROUS FLUID SEROUS MEMBRANES SPECIFIC SEROUS MEMBRANES • PERITONEUM • ABDOMINAL CAVITY • PLEURA AROUND THE LUNGS •PERICARDIUM AROUND THE HEART THE INTEGUMENT LARGEST ORGAN IN THE BODY (18-20 FT2). ALSO, THE MOST EXTENSIVE SENSORY ORGAN OF THE BODY FOR TACTILE, THERMAL, AND PAIN STIMULI. SKIN IS A CUTANEOUS MEMBRANE DERIVATIVES SWEAT AND OIL GLANDS HAIRS NAILS CUTANEOUS MEMBRANE • YOUR SKIN OR INTEGUMENT • THE SUPERFICIAL EPIDERMIS IS COMPOSED OF A KERATINIZING STRATIFIED SQUAMOUS EPITHELIUM. THE UNDERLYING DERMIS IS MOSTLY DENSE FIBROUS CONNECTIVE TISSUE • IT IS A DRY MEMBRANE SKIN FUNCTIONS • PROTECTS DEEPER TISSUES FROM: – MECHANICAL DAMAGE – CHEMICAL DAMAGE – BACTERIAL DAMAGE – THERMAL DAMAGE – ULTRAVIOLET RADIATION – DESICCATION BASIC SKIN FUNCTIONS a closer look • KEEPS OUT AND INHIBITS THE GROWTH OF MICROORGANISMS • PREVENTS DEHYDRATION OR BECOMING “WATER LOGGED” • PREVENTS THE LOSS OF HEAT • REDUCES EFFECTS OF MECHANICAL AND CHEMICAL DAMAGE • SYNTHESIZES VITAMIN D • AIDS IN EXCRETION OF UREA AND URIC ACID • CUSHIONS MECHANICAL IMPACTS • PROTECTS FROM ULTRAVIOLET RADIATION • TACTILE CONNECTIONS TO THE ENVIRONMENT • EVERYTHING YOU SEE ABOUT A PERSON CONSISTS OF DEAD CELLS. SKIN CHARACTERISTICS • • • • LOW PH CELL ARRANGEMENT- CLOSELY PACKED CELL REPLACEMENT KERATIN, FIBROUS PROTEIN THAT MAKES EPIDERMIS A TOUGH PROTECTIVE LAYER • TOPICAL CREAMS DEMONSTRATE THAT THE PROTECTIVE QUALITIES ARE LIMITED STRUCTURE OF THE SKIN • Epidermis • Dermis • Hypodermis • ARRECTOR PILI MUSCLE WHEN CONTRACTED PULL HAIR UPRIGHT. • VESTIGIAL MECHANISM. EPIDERMAL LAYER • EPIDERMIS THIN OUTER LAYER CONTAINING TIGHTLY PACKED EPIDERMAL CELLS AND KERATIN (WATER PROOFING) COMPLETELY RENEWED EVERY 30 DAYS. • 5 LAYERS IN THICK SKIN (FRICTION SKIN) AND 4 LAYERS IN THIN SKIN. • STRATIFIED SQUAMOUS EPITHELIUM WHICH CAN KERATINIZE (BECOME HARD) SKIN STRATA • STRATUM CORNEUM • STRATUM LUCIDUM • STRATUM GRANULOSUM • STRATUM SPINOSUM • STRATUM BASALE MELANIN PRODUCED BY MELANOCYTES • A PIGMENT WHICH RANGES FROM YELLOW TO BROWN TO BLACK PRODUCED BY SPECIAL CELLS CALLED MELANOCYTES WHICH ARE RESPONSIBLE FOR SKIN PIGMENTATION. • DARKENING OCCURS WITH INCREASING AMOUNTS OF SUNLIGHT. • PRODUCED BY STRATUM BASALE CELLS • SHIELDING SUNNY SIDE OF DNA • DARKER SKIN DOESN’T HAVE MORE PIGMENT JUST MORE ACTIVE PIGMENT • MOLES, AND FRECKLES OCCUR WHEN MELANIN PRODUCED BY STRATUM BASALE CELLS IS CONCENTRATED MELANIN MELANOCYTE-STIMULATING HORMONE CONTROLS LEVELS OF MELANIN LIGHT COMPLEXIONED SKIN MOSTLY PRODUCE PHEOMELANIN, WHILE THOSE WITH DARK COLORED SKIN MOSTLY PRODUCE EUMELANIN. MELANIN • INDIVIDUALS DIFFER IN THE NUMBER AND SIZE OF MELANIN PARTICLES. THE LATTER TWO VARIABLES ARE MORE IMPORTANT IN DETERMINING SKIN COLOR THAN THE PERCENTAGES OF THE DIFFERENT KINDS OF MELANIN. • IN LIGHTER SKIN, COLOR IS ALSO AFFECTED BY RED CELLS IN BLOOD FLOWING CLOSE TO THE SKIN. TO A LESSER EXTENT, THE COLOR IS AFFECTED BY THE PRESENCE OF FAT UNDER THE SKIN AND CAROTENE, A REDDISH-ORANGE PIGMENT IN THE SKIN. UV LIGHT • ULTRAVIOLET LIGHT DIRECTLY DAMAGES DNA LEADING TO MUTATIONS; SECOND, IT PRODUCES ACTIVATED OXYGEN MOLECULES THAT IN TURN DAMAGE DNA AND OTHER CELLULAR STRUCTURES; AND THIRD, IT LEADS TO A LOCALIZED IMMUNOSUPPRESSION, THUS BLOCKING THE BODY'S NATURAL ANTI-CANCER DEFENSES. • STRATUM BASALE CELLS PHAGOCYTIZE OR EAT THE PIGMENT. THE MELANIN FORMS A PROTECTIVE LAYER OVER THEIR DNA FROM THE DAMAGING EFFECTS OF UV RADIATION IN SUNLIGHT. SKIN COLOR ALTERATIONS • REDNESS- REDDENED SKIN • PALLOR OR BLANCHINGPALE SKIN • JAUNDICE- YELLOW SKIN • BRUISES- HEMATOMA • COLOR OF VEINS THROUGH SKIN INDOOR TANNING •DEVELOPING SKIN CANCER LATER IN LIFE (UV- B) •SUFFERING CATARACTS AND RETINAL DAMAGE •PREMATURELY AGES THE SKIN •DEVELOPING ULTRAVIOLET LIGHTINDUCED SKIN RASHES WHEN YOU EAT CERTAIN FOODS OR TAKE SOME COMMON MEDICATIONS, SUCH AS BIRTH CONTROL PILLS AND ANTIHISTAMINES “VITAMIN” D • EACH OF THE FORMS OF VITAMIN D IS HYDROPHOBIC, AND IS TRANSPORTED IN BLOOD BOUND TO CARRIER PROTEINS • SUNLIGHT AND SUPPLEMENTAL FOODS RESTORE VITAMIN D • VITAMIN D IS A STEROID HORMONE THAT HAS LONG BEEN KNOWN FOR ITS IMPORTANT ROLE IN REGULATING BODY LEVELS OF CALCIUM AND PHOSPHORUS, IN MINERALIZATION OF BONE, PROPER FUNCTIONING OF THE THYROID AND PITUITARY GLANDS • FINAL STAGE IS WITHIN THE KIDNEYS DERMIS “YOUR HIDE” • IS MUCH THICKER THAN THE EPIDERMIS • FUNCTIONS TO HOLD THE BODY TOGETHER AND TO SUSTAIN AND SUPPORT THE EPIDERMIS. • CONSISTS OF BLOOD VESSELS, NERVE ENDINGS, LYMPH VESSELS, SWEAT AND OIL GLANDS. DERMAL LAYERS • PAPILLARY AREASLOOPED OR SWIRLED RIDGE- ATTACHES TO EPIDERMAL LAYER • FINGERPRINTS ARE RIDGES RETICULAR AREAS- DEEPEST LAYER CONTAIN PHAGOCYTES, BLOOD VESSELS, SWEAT AND OIL GLANDS, AND DEEP PRESSURE SENSORS. • COLLAGEN AND ELASTIC LAYERS SKIN APPENDAGES • CUTANEOUS GLANDS – SEBACEOUS GLANDS- OIL GLANDS • SEBUM = MIXTURE OF OILY SUBSTANCES AND FRAGMENTED CELLS. – SUDORIFEROUS GLANDS • ECCRINE- ALL OVER THE BODY • APOCRINE- CONFINED TO AXILLARY AND GENITAL AREAS Hair and Hair Follicles • HAIR IS MOSTLY DEAD PROTEIN • LOST ITS ABILITIES TO RETAIN HEAT OR SCARE OTHER LIVING THINGS • FUNCTIONS TO CUSHION HEAD, FILTER PARTICULATE MATTER FROM GETTING INTO LUNGS, AND CHANNEL SWEAT AWAY FROM THE EYES. ARRECTOR PILI MUSCLE • SMOOTH MUSCLE CONTRACTS WHEN WE ARE COLD OR FRIGHTENED, THUS THE HAIR BECOME ERECT. • VESTIGIAL ORGAN SUBCUTANEOUS LAYERHYPODERMIS • SUBCUTANEOUS TISSUE ACTS BOTH AS AN INSULATOR, CONSERVING BODY HEAT, AND AS A SHOCK ABSORBER, PROTECTING INTERNAL ORGANS FROM INJURY. • STORES FAT AS AN ENERGY RESERVE IN THE EVENT EXTRA CALORIES ARE NEEDED TO POWER THE BODY. • THE BLOOD VESSELS, NERVES, LYMPH VESSELS, AND HAIR FOLLICLES CROSS THROUGH THIS LAYER. NAILS • YOUR NAILS ARE MADE UP OF LAYERS OF KERATIN — A PROTEIN THAT'S ALSO FOUND IN YOUR HAIR AND SKIN. HOMEOSTATIC IMBALANCES • ATHLETE’S FOOT “TINEA PEDIS” FUNGAL INFECTION HOMEOSTATIC IMBALANCES • BOILS AND CARBUNCLES INFLAMMATION OF HAIR FOLLICLES AND SEBACEOUS GLANDS CAUSED BY BACTERIA. HOMEOSTATIC IMBALANCES • COLD SORES OR FEVER BLISTERS CAUSED BY THE HERPES SIMPLEX INFECTION. VIRUS LOCALIZES IN A CUTANEOUS NERVE. HOMEOSTATIC IMBALANCES • CONTACT DERMATITIS CAUSED BY THE EXPOSURE OF THE SKIN TO CHEMICALS SUCH AS THOSE IN POISON IVY THAT PROVOKE ALLERGIC RESPONSES. HOMEOSTATIC IMBALANCES • IMPETIGO IS CAUSED BY A HIGHLY CONTAGIOUS STAPHYLOCOCCUS INFECTION CHARACTERIZED BY A YELLOW CRUST. HOMEOSTATIC IMBALANCES • PSORIASIS IS A CHRONIC CONDITION CHARACTERIZED BY REDDENED EPIDERMAL LESIONS. BURNS • CELL DEATH CAN BE DUE TO INTENSE HEAT, ELECTRICITY, CHEMICALS, OR UV RADIATION. BURNS EXPOSE THE BODY TO DEHYDRATION AND INFECTIONS. BURNS - “SUPERFICIAL BURNS” • 1ST DEGREE BURNS ONLY DAMAGE THE EPIDERMIS WITH THE AREAS BECOMING RED AND SWOLLEN. BURNS – “PARTIAL THICKNESS BURNS” • 2ND DEGREE BURNS INJURE DERMIS. • SKIN IS PAINFUL AND BLISTERS APPEAR. • INVOLVE INJURY TO THE EPIDERMIS AND THE UPPER REGION OF THE DERMIS. BURNS – “FULL THICKNESS BURNS” • 3RD DEGREE BURNS DESTROY FULL THICKNESS OF THE SKIN. • NEED SKIN GRAFTS. RULE OF NINES • IS USED TO ASSESS BURN DAMAGE BY DIVIDING THE BODY INTO 11 AREAS, EACH REPRESENTING ABOUT 9% OF THE TOTAL BODY SURFACE. • IF MELANOCYTES TURN CANCEROUS A MELANOMA FORMS. SKIN CANCER • BASAL CELL CARCINOMA SQUAMOUS CELL CARCINOMA MALIGNANT MELANOMA • IN MEN, MELANOMA IS FOUND MOST OFTEN ON THE AREA BETWEEN THE SHOULDERS AND HIPS OR ON THE HEAD AND NECK. • IN WOMEN, MELANOMA OFTEN DEVELOPS ON THE LOWER LEGS. IT MAY ALSO APPEAR UNDER THE FINGERNAILS OR TOENAILS OR ON THE PALMS OR SOLES. • THE CHANCE OF DEVELOPING MELANOMA INCREASES WITH AGE AND IS ONE OF THE MOST COMMON CANCERS. TATTOOS • INJECTS INK INTO DERMIS LAYER, THEREFORE IS PERMANENT. LIPOSUCTION • LIPOSUCTION, THE MOST COMMONLY PERFORMED COSMETIC PROCEDURE IN THE UNITED STATES. • LIPOSUCTION CAN BE PAINFUL, EXPENSIVE, AND LIKE ALL SURGERY CARRIES CERTAIN HEALTH RISKS. FAT COMES BACK! FIRST FACE TRANSPLANT 2006 FRENCH WOMAN, BITTEN OFF BY HER PET DOG. COMPLEX, WILL TAKE REJECTION DRUGS FOR REST OF HER LIFE. HAS HIGHER RISK OF CANCER AND OTHER MALADIES. FACE IS IMMOBILE. • FIRST FACE TRANSPLANT CURRENT STATUS • CAN SMILE AND BLINK http://news.bbc.co.uk/2/hi/europe/468 5202.stm