The Integumentary System:  Chapter 5

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Structures of the Skin

The skin covers the whole body.  It has a surface area of about 1.8 square meters on an adult.  The skin is sometimes called the cutaneous membrane or the integument.  The skin is made up of two regions.  They are called the epidermis and the dermis.  The hypodermis is a subcutaneous tissue found between the skin and any underlying structures.

 

Epidermis

It is the outer and thinner region of the skin.  It is made up of stratified squamous epithelium divided into many layers.

 

Dermis

The dermis is thicker and deeper than the epidermis and it is made of dense irregular connective tissue.  The upper layer has fingerlike projections called dermal papillae.  They project into and anchor the epidermis.  This causes ridges.  They cause spiral and concentric patterns which are fingerprints.

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Hypodermis

This is the subcutaneous tissue which lies below the dermis.  It is made of loose connective tissue including adipose which is fat.  Fat is an energy storage form that can be called upon when necessary to supply the body with molecules for cellular respiration.

 

Accessory Structures of the Skin

Accessory structures of the skin include hair, nails, and glands.  Hair is found on all body parts except the palms, soles, lips, nipples, and portions of the external reproductive organs.  They project from hair follicles that are formed from epidermal calls.  Nails grow from special epithelial calls at the base of the nail in the region called the nail root.  The pink color of nails is due to the vascularized dermal tissue beneath the nail.  The whitish color of the half-moonshaped base which is called lunula.  Glands are groups of cells specialized to produce and secrete substance into ducts.  There are three types of glands:  sweat glands, sebaceous glands, and mammary glands.  Sweat glands are present in all regions of the skin.  There are apocrine and eccrine glands.  Apocrine opens to hair follicles, eccrine opens to the surface of the skin.  Sebaceous glands are associated with the hair follicle.  They secrete an oily substance called sebum.  This lubricates the hair and skin and helps waterproof them.  Acne vulgaris is the most common form of acne and it occurs mostly when you are a teenager because of hormonal changes.  Mammary glands are located in the breast.  A female has about 15 to 25 lobes.   They secrete milk.

 

Disorders of the Skin

There are many disorders of the skin that are not life threatening but can be annoying.  This includes athletes foot a fungal infection normally in the foot area.  Impetigo is a highly contagious disease occurring most often in young children.  Psoriasis is a chronic condition which could be hereditary where the skin develops pink or reddish patches covered by scales.  Another is dandruff which is a skin disorder where the rate of keritinization is increased greatly.  Lastly is urticaria which is hives.

 

Skin Cancer

 

A life threatening skin disorder is cancer.  It can either be melanoma or non-melanoma.  Basal cell carcinoma is the most common type of skin cancer.  It begins when ultraviolet radiation causes epidermal basal cells to form a tumor, while at the same time suppressing the immune systems ability to detect the tumor.  Squamous cell carcinoma starts in the epidermis proper.  It is five times less common than basal cell carcinoma.  It may spread to nearby organs and death only happens in about 1 percent of cases. Melanoma usually starts in the form of a mole.  It is most common in fair skinned people.

 

 

The process for wound healing:

 

A.      A deep wound ruptures blood vessels and blood flows out and fills the wound

B.      After a blood clot forms, a protective scab develops

C.      Fibroblasts and white blood cells migrate to the wound site

D.      new epidermis forms and fibroblasts promote tissue regeneration

E.      Freshly healed skin

 

Burns

First degree burns:  only epidermis is affected.  Redness and pain, no blistering or swelling.

 

Second Degree burns:  Extends through entire epidermis and part of the dermis.  Redness and pain, and also blistering.

 

Third Degree Burns:  Full thickness burns and destroys the entire thickness of skin.  Skin may be black, tan, white, or red.

 

Fourth Degree Burns:  burned down to the bone.  Most do not survive.

 

Rule of nines:  estimating the extent of burns.

 

The Effects of Aging

With aging homeostasis adjustments to heat is limited due to few vasculature (fewer blood vessels) and fewer sweat glands. The number of hair follicles also decreases causing the hair to become extremely thin.  As a person ages the number of melanocytes decreases. This causes the hair to turn grey and the skin to become paler. Skin changes can also be due to sun damage. 

 

 

 

 

Safety Instructions

To keep your skin healthy you should try to avoid direct sunlight for many hours or long periods of time.  When you are exposed to the sun you should use sunscreen or wear protective clothing.  The sun is the hottest from 10 until 3. 

 

Maintenance

Daily you should wear lotion with spf in it.  You should also go yearly to get your skin checked for skin cancer.  If you have any suspicious looking spots or moles on your skin you should also get that checked out. 

 

Automatic Systems Check

The bodies skin helps regulate water and does not let you lose too much or gain too much. 

 

Other topics for maintenance

If you absolutely need to get tan you should consider visiting your local Sunset Tan and get spray tanned.

 

 

Troubleshooting

Problem:  A strange looking mole.

Answer:  Go see a doctor and get it checked out

 

Available Options/Upgrades

To enhance your skin color consider spray tanning, not tanning beds as they can help in the progression and production of skin cancer.  The only thing that could really go wrong is that you could become orange is the person who sprays you isnŐt good and doesnŐt know how to spray or sprays too much. SUNSET TANÉ