os 203 06262013 integumentary system
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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
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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
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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
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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
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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
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