skin and temperature
DESCRIPTION
mbbs 1st prof examTRANSCRIPT
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Layers of Skin
• Epidermis• Dermis• Subcutaneous layer
• hypodermis
Stratifiedsquamousepithelium
Dense irregularconnectivetissue
Adipose tissue
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© The McGraw-Hill Companies, Inc./Al Telser, photographer
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(a)
Hair shaft
Epidermis
Hair follicle
(b)
Sebaceous gland
Dermis
Sweat
Epidermis
Dermis
Hair shaft
Sweat gland pore
Capillary
Stratum corneum
Stratum basale
Dermal papilla
Arrector pili muscle
Lamellated (Pacinian) corpuscle
Basement membrane
Sebaceous gland
Hair follicle
Sweat gland
Nerve cell process
Adipose tissue
Blood vessels
Muscle layer
Sweat gland duct
Subcutaneouslayer
TTactile (Meissner’s) corpuscle
Epidermis
• Lacks blood vessels
• Keratinized
• Thickest on palms and soles (0.8-1.4mm)
• Melanocytes provide melanin
• Rests on basement membrane
• Stratified squamous epithelium
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b: © Victor Eroschenko
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Epidermis
There are five (5) layers of the epidermis:• Stratum corneum• Stratum lucidum• Stratum granulosum• Stratum spinosum• Stratum basale
Stratum corneum
Stratum lucidum
Stratum granulosum
Stratum spinosum
Stratum basale
Basementmembrane
Dermis
Dermal papilla
(a) (b)
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b: © The McGraw-Hill Companies, Inc./Al Telser, photographer
Skin and Its TissuesSkin Functions
1. Protection- Physical barrier
a. from water lossb. from injuryc. from chemicals and microorganisms
- Chemical barriera. pH or 5-6b. prevents microorganism growth
- Biological barriera. Langerhan’s cells (epidermis)b. Macrophages and mast cells (dermis)
2. Excretion (minimal, most through kidneys!)- urea- uric acid
3. Regulation of body temperature -
Skin and Its TissuesSkin Functions
4. Cutaneous Sensation- Light touch detection = Meissner's Corpuscle's
a. egg-shaped;b. located in dermal papillae;c. populate areas in the fingertips, palms, soles, eyelids, tip of tongue, nipples, clitoris, tip of
penis.
- Pressure detection = Pacinian Corpuscle'sa. onion-shaped;
b. located in deep dermis and subcutaneous regions
- Free nerve endingsa. respond to temperature changes or to factors
that can damage tissuesb. extend into epidermis
Skin and Its TissuesSkin Functions
5. Vitamin D Synthesis- UV rays in sunlight activate its synthesis;- Vitamin D is required for bone homeostasis.
6. Blood Reservoir- The dermis houses about 10% of the body's blood vessels.- Skin only requires 1-2% of the body’s blood
7. Immunity- Langerhan’s cells (macrophages);- interact with T-helper cells in immune responses.
Skin and Its Tissues
Skin and Its Tissues
• Accessory structures of the skin originate from the epidermis and include:
• Hair follicles• Nails• Skin glands
Skin and Its TissuesHair Follicles 1. Epidermal cells that form a tube-
like structure that extends into the dermis
2. Three parts:1. Hair shaft2. Hair root3. Hair papilla
3. Cells that move upward and away from the nutrient supply (papilla) become keratinized and die
3. Pigments include:eumelanin – brownish-
blackpheomelanin – reddish-
yellow
4. Arrector Pili Muscle = a bundle of smooth muscle associated with
every hair follicle. a.
causes hair to stand on end ("goose bumps")
when frightened or cold.
Skin and Its Tissues
Nails
1. Epithelium undergoing keratinization
2. Three parts:
1. Nail plate
2. Nail bed
3. Lunula
3. Functions:
a. manipulation;
b. protection of digit
ends.
Skin and Its TissuesSebaceous Glands 1. holocrine gland (simple
cuboidal epithelium)
2. associated with every hair follicle
3. Secretion = sebum (oil)
a. fat b. cellular material
4. Sebum is secreted into hair follicle
5. Function: Sebum keeps skin &
hair soft, pliable and virtually waterproof.
.
Skin and Its TissuesSweat Glands 1. Two types (based on glandular secretion)
A. Eccrine glands
- Structure: 1. coil in deep dermis2. duct in dermis3. pore at surface
- Characteristics: 1. respond to elevated temperature /
exercise 2. no odor in secretion 3. function throughout life 4. not associated with hair follicles 5. Location: forehead neck back
- Secretion (merocrine) = water plus 1. salts and 2. wastes (urea and uric acid)
Skin and Its Tissues
Skin and Its TissuesSweat Glands or Sudoriferous Glands
B. Apocrine glands - Structure: ducts terminate into hair follicles
- Characteristics: 1. respond to stress / emotions 2. odor in secretion 3. begin to function at puberty &
continue through life 4. associated with hair follicles 5. Location: axillary regions and groin - Secretion (apocrine) = water above plus
1. oil and 2. cellular debris
3. Modified Sweet Glands 1. Ceruminous glands = external ear;
secretion = earwax;2. Mammary glands = breasts; milk.
Skin and Its TissuesSubcutaneous Layer (hypodermis)
1. beneath skin
2. Structure = adipose tissue & blood vessels
3. Function = insulation
Regulation of Body Temperature
Body temperature – balance between heat production and heat loss
At rest, the liver, heart, brain, and endocrine organs account for most heat production
During vigorous exercise, heat production from skeletal muscles can increase 30–40 times
Normal body temperature is 36.2C (98.2F); optimal enzyme activity occurs at this temperature
Temperature spikes above this range denature proteins and depress neurons
Regulation of Body Temperature
Core and Shell Temperature
Organs in the core (within the skull, thoracic, and abdominal cavities) have the highest temperature
The shell, essentially the skin, has the lowest temperature
Blood serves as the major agent of heat transfer between the core and shell
Core temperature remains relatively constant, while shell temperature fluctuates substantially (20C–40C)
Mechanisms of Heat Exchange
The body uses four mechanisms of heat exchange Radiation – loss of heat in the form of infrared rays Conduction – transfer of heat by direct contact Convection – transfer of heat to the surrounding air Evaporation – heat loss due to the evaporation of water
from the lungs, mouth mucosa, and skin (insensible heat loss)
Evaporative heat loss becomes sensible when body temperature rises and sweating produces increased water for vaporization
Role of the Hypothalamus
The main thermoregulation center is the preoptic region of the hypothalamus
The heat-loss and heat-promoting centers comprise the thermoregulatory centers
The hypothalamus: Receives input from thermoreceptors in the skin and
core Responds by initiating appropriate heat-loss and heat-
promoting activities
Heat-Promoting Mechanisms
Low external temperature or low temperature of circulating blood activates heat-promoting centers of the hypothalamus to cause: Vasoconstriction of cutaneous blood vessels Increased metabolic rate Shivering Enhanced thyroxine release
Heat-Loss Mechanisms
When the core temperature rises, the heat-loss center is activated to cause: Vasodilation of cutaneous blood vessels Enhanced sweating
Voluntary measures commonly taken to reduce body heat include: Reducing activity and seeking a cooler environment Wearing light-colored and loose-fitting clothing
Mechanisms of Body Temperature Regulation
Hyperthermia
Normal heat loss processes become ineffective and elevated body temperatures depress the hypothalamus
This sets up a positive-feedback mechanism, sharply increasing body temperature and metabolic rate
This condition, called heat stroke, can be fatal if not corrected
Heat Exhaustion
Heat-associated collapse after vigorous exercise, evidenced by elevated body temperature, mental confusion, and fainting
Due to dehydration and low blood pressure Heat-loss mechanisms are fully functional Can progress to heat stroke if the body is not cooled
and rehydrated
Fever Controlled hyperthermia, often a result of infection,
cancer, allergic reactions, or central nervous system injuries
White blood cells, injured tissue cells, and macrophages release pyrogens that act on the hypothalamus, causing the release of prostaglandins
Prostaglandins reset the hypothalamic thermostat The higher set point is maintained until the natural
body defenses reverse the disease process
Hypothermia – low body temperaturea. very dangerous if core body temperature drops below 94 Fb. limbs can withstand about 65 F because
they contain no vital organs