os 203 06262013 integumentary system

Upload: pazucena

Post on 13-Apr-2018

215 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/27/2019 OS 203 06262013 Integumentary System

    1/5

    INTEGUMENTARY SYSTEMOS 203: Skin, Muscles and BonesDr. Rowena Genuino

    26 June 2013

    Arcilla, Arguilla, Azucena 1

    SKIN Largest organ of the body Higher Surface area to Volume ratio in children

    o Children are more prone to dehydrationand hypothermia

    LAYERSEPIDERMIS

    Thin but tough epithelial Function:

    o Protective barrier against environment Appearance:

    o

    Paper thin and brownDERMIS

    With thick vascularized connective tissue Function:

    o Makes the skin pliableo Nutritiveo Elasticityo Tensile and strong

    Appearanceo Thick and white

    When cut, there is moderate bleeding due tovascularization

    Gritty feelingHYPODERMIS

    Composed of modified loose connective tissue Function:

    o Insulationo Shock absorptiono Energy storage

    Appearance:o Thin and white (superficial fascia)o Thick and yellow (subcutaneous fat)

    Soft and least resistant to infection

    MAIN FUNCTIONS OF THE SKINSKIN AS ORGAN FOR PROTECTION

    Stratum Corneum

    End product of keratinization or the differentiationof keratinocytes

    Process of keratinization (takes 1 month):o Flatten and Stack up: cuboidal to

    polyhedralo There is a loss of nuclei and organelleso Keratin bundles + Matrix fill up cello Thickening of plasma membrane

    (envelope protein)

    Waterproof barrier that decreases the bodyswater loss

    Toughest layer due to Brick-Mortar Model:o Keratin-filled squames = Bricko Intercellular liquid = Mortaro Cornified cell envelope- reinforces CM,

    adds to toughness

    Two compartments:o Proliferating layer: the basement

    membrane which produces cells(mitosis)

    o Differentiating layer: the outer layers(stratum corneum is the mostdifferentiated layer)

    Stratum Granulosum

    Composed of Keratohyalin granuleso Filaggrinn- binds keratin bundles

    Stratum Spinosum

    Has many layers

    Desmosomesfor intercellular junction Lamellar granules produces ceramide for

    intercellular junctionStratum Basale

    Single mitotic layer with stem cells

    OutlineI. Skin

    a. Layersi. Epidermisii. Dermisiii. Hypodermis

    b. Main Functionsi. Skin as Organ for Protectionii. Skin as Immunologic Organiii. Skin as Organ for Supportiv. Skin as Organ for

    Homeostasis & Secretion

    v. Skin as Sensory OrganII. Skin Appendages

    a. Eccrine Glandb. Hairc. Pilosebaceous Unit

    i. Hair Follicleii. Sebaceous Glandiii. Apocrine glandiv. Arrector Pili

  • 7/27/2019 OS 203 06262013 Integumentary System

    2/5

    INTEGUMENTARY SYSTEMOS 203: Skin, Muscles and BonesDr. Rowena Genuino

    26 June 2013

    Arcilla, Arguilla, Azucena 2

    OTHER EPIDERMAL CELLSMelanocyte

    Serves as UV barrier Distributed to the apex of the basal cells Dendritic Derived from neural crest Appearance: clear, rounded cells Types of melanin:

    o Phenomelanin(fair skin)o Eumelanin (dark skin)

    SKIN AS IMMUNOLOGIC ORGANLangerhans Cell

    For immune surveillance; antigen presentingcells

    Found in the mid-epidermis Dendritic Derived from bone marrow Part of Mononuclear Phagocytic System

    **Disease note: Allergic contact dermatitis

    Due to malfunction of Langerhans cellsSKIN AS ORGAN FOR SUPPORT

    Elasticity and tensile strength due to connectivetissues:

    o Fiberso Ground Substanceo Connective Tissue cells

    Dermis provides nutrients due to highvascularization

    Epidermal-dermal Attachmento Peg and socket Interdigitation

    Epidermal rete ridges(downward)

    Dermal Papillae (upward) Basal lamina (found in between

    the two other layers, serves forattachment)

    o Produces pattern of fingerprints

    Skin tension lineso Shows what orientation the collagen

    fibers are directed towardso Useful in knowing where to make a cut

    to prevent scaring

  • 7/27/2019 OS 203 06262013 Integumentary System

    3/5

    INTEGUMENTARY SYSTEMOS 203: Skin, Muscles and BonesDr. Rowena Genuino

    26 June 2013

    Arcilla, Arguilla, Azucena 3

    Dermatoglyphic patternso parallel epidermal ridges (containing

    sweat pores)o grooves, form whorls, arches or loops

    form unique fingerprints

    SKIN AS ORGAN FOR HOMEOSTASIS & SECRETIONVascular Network of skin

    Provides nutritiondue to vascularization:o To appendages in the dermis and

    hypodermiso To epidermis

    Provides thermoregulationo Diverts arterial blood directly into veins

    without passing capillaries for heatconservation

    o Tips of fingers, toes, earsGlomus bodies

    Atrio-ventricular shunts Conserves heat by diverting blood from arteries

    directly to vein without passing through capillaries

    Causes tips of fingers and toes and ears to go bluefirst

    SKIN AS SENSORY ORGANMerkel Cell-neurite complexes

    For touch With dense core granules Abundant in finger tips

    Free nerve endings

    Pain, itch, temperatureEncapsulated nerve receptors

    Meissner corpuscleo Also for toucho Small; found in dermal papillaeo With Spirally coursing axon surrounded

    by lamellaeo Abundant in lips and finger tips

    Pacinian corpuscleo Large; found deep in dermiso With central axon surrounded by

    concentric lamellaeo Abundant in fingertips and joints

    **Disease note: Leprosy

    Attacks nerves of skin Makes the skin dry, rough and edematous Autonomic nerve dysfunction (nerve cells

    dont function properly)

    SKIN APPENDAGES

    ECCRINE GLANDS

    Most abundant skin gland Thermoregulation Excretory function:

    o Heavy metalso Organic compoundso Macromolecules

    Single coiled tubular: sweat glands

    Single duct with 3 segments:o Intraepidermalo Straight dermalo Coiled dermal

  • 7/27/2019 OS 203 06262013 Integumentary System

    4/5

    INTEGUMENTARY SYSTEMOS 203: Skin, Muscles and BonesDr. Rowena Genuino

    26 June 2013

    Arcilla, Arguilla, Azucena 4

    Ductal portiono Darkly stainingo Stratified cuboidal; highly eosinophilic cells

    Secretory portiono Single layer of slightly eosinophilic pyramidal

    cells

    Sweato Clear and odorless

    Mainly composed of NaClHAIR

    Keratinized cells Sheds of in cycles which determines the

    maximum length the hair can grow

    Absent in palm of the hands, soles of the feet,and mucocutaneous junction

    Velus: barely visiblehair found all over the body Terminal: thicker hair of the eyebrows, head,

    pubic region, etc.

    Functions of hair:

    Protection and thermoregulation

    Sensation Immune reserve/epidermal cell reserve via cell

    regeneration

    PILOSEBACEOUS UNITHAIR FOLLICLE

    Parts of Hair Follicle

    Infundibulumo Opens into skino Where the sebaceous gland emptieso Bulge stem cell

    Inferior segmento Present only during growth stage

    Hair bulbo With hair matric with melanocyte to

    provide hair coloro With hair papilla

    Concentric layers of hair follicle

    Hair shafto Composed of hard keratino Takes longer to shed due to sulfur rich,

    closely packed keratin bundles

    o Interlocking cuticles of hair shaft andinner root sheath

    Makes hair difficult to pull

  • 7/27/2019 OS 203 06262013 Integumentary System

    5/5

    INTEGUMENTARY SYSTEMOS 203: Skin, Muscles and BonesDr. Rowena Genuino

    26 June 2013

    Arcilla, Arguilla, Azucena 5

    Internal root sheath External root sheath

    o Continues with surface Fibrous sheath

    Stages in growth

    Growing (Anagen):o Longest stageo 8/10 hair follicles are at this stageo Duration of Anagen determines hair

    length (ex. eyelash: 6 weeks, scalp: 3years)

    Regressing (Catagen)o Shortest stageo Where separation happenso Club hair

    Resting (Telogen)o Stage right before follicle gets shed off

    **Disease note: Andorgenic Alopecia Male pattern baldness Caused by excess androgen plus genetic

    predisposition

    SEBACEOUS GLAND

    Simple branched alveolar Holocrine Produces sebum- a triglyceride that softens thin

    skin and in charge of hair flexibilityDisease note: Acnecaused by increased production of

    sebum due to hormonal changes

    APOCRINE GLAND

    Not present in all units

    Simple coiled With merocrine secretions Has larger lumen Eosinophilic

    ARRECTOR PILI

    Hair movement, causes hair to stand up whenstimulated

    Hi sa mga intarmed! Labyu!Jules

    Smile always (well need it)! -Jasmine

    Hey friends! Nagdagdag ako ng mga pictures para masma-imagine nyo yung mga structures :>Join UP-MSS Because at MSS, We Can!Join MSSR-IPPNW for socially responsible fun!- Carlos