Skin and Body Membranes ANATOMY & PHYSIOLOGY EPITHELIAL MEMBRANES These are membranes that cover and line the body (any area that is exposed to air). These include: cutaneous membranes (skin), mucous membranes, and serous membranes. MUCOUS MEMBRANES Line all body cavities exposed to the exterior (respiratory, urinary, and reproductive tracts). SEROUS MEMBRANES Line enclosed body cavities: Parietal lines the wall Visceral lines the organs Serous fluid is between the serous membranes (visceral and parietal) The peritoneum lines the organs of the abdominal cavity. The pericardium surrounds the heart and pleura surrounds the lungs. These act as protection and lubrication (mostly). CONNECTIVE TISSUE MEMBRANES Synovial membranes: surround the joints and contain lubricating fluid (synovial fluid) May contain sacs called bursae http://www.google.com/imgres? INTEGUMENTARY SYSTEM (CUTANEOUS MEMBRANE): Serves for homeostasis: a.k.a. skin Means covering Contains keratin, a protein Protects (covers) the body Regulates body temperature Prevents H2O loss Secretes some waste Location of sensory (some) equipment STRUCTURE OF SKIN 1. 2. Epidermis: -outer layer of skin -contain melanocytes (cells that have melanin, a pigment) Dermis: -inner layer of skin -composed of connective tissue (with collagen & elastic fibers), nervous tissue, & blood -thicker than epidermis 3. Subcutaneous: -a.k.a. as the hypodermis -Below the dermis -Composed of loose connective tissue and adipose (fat) -Binds the skin to underlying organs SECTION OF SKIN http://www.google.com/imgres? FUN FACTS ABOUT THE EPIDERMIS Think about the saying “Beauty is only skin deep.” Everything we see when we look at someone is dead skin cells. The average person sheds about 40 lbs of dandruff (part of the epidermis) in a lifetime. We grow a new epidermis about every 25-45 days. FUN FACTS ABOUT THE DERMIS Fingerprints, caused by dermal papillae (or nipples), are genetically determined. Since the dermal layer contains fat (adipose), and as we age, we lose fat and the elasticity of our skin, the dermal layer sags. This forms wrinkles. PIGMENTS THAT CAUSE SKIN COLOR: OTHER CAUSES OF SKIN COLOR: Melanin (yellow, reddishbrown, or black) Carotene (orange-yellow) Hemoglobin (red) SKIN COLOR Emotions Illness (hypertension, fever, inflammation, etc.) Jaundice (yellow skin) Bruising Environment (UV rays) Bloods vessels: If poorly oxygenated, a bluish appearance occurs. This is called cyanosis. APPENDAGES OF SKIN (ACCESSORY ORGANS): Cutaneous glands: a.k.a. exocrine glands Sebaceous glands (oil secreting glands) Secrete sebum (oil) Keeps hair and skin soft Protects skin and kills bacteria Sweat glands a.k.a. Sudoriferous glands Eccrine glands secrete sweat to regulate temperate Apocrine glands secrete sweat in emotions (stress, pain, sex, and sometimes thermoregulation). Sweat is a mixture of water, urea, and salts. APPENDAGES OF SKIN (ACCESSORY ORGANS): Hair protects skin Hair follicles produce hair Located on all parts of skin except: palms, soles, lips, nipples, and some reproductive structures. Nails protect skin and sensory equipment under skin. http://www.google.com/imgres? Warning: there are images on the next few slides that MAY be disturbing! Really. IMBALANCES OF THE SKIN Bedsores (pressure ulcers) occur when a patient remains in one position too long. The skin cells dies as a result of lack of blood supply. http://www.google.com/imgres? IMBALANCES OF THE SKIN Acne is caused by an infection of the sebaceous glands. http://www.google.com/imgres? IMBALANCES OF THE SKIN A burn is tissue damage (& cell death) caused by some type of intense heat. There are 2 lifethreatening problems for burn-victims: fluid loss and infection Pathogens (invaders like bacteria or fungi) feed off of destroyed skin. Doctors estimate fluid loss (for burn victims) by using the rule of nines. This divides the body into 11 areas, each accounting for 9% of the total body surface area + 1% representing the genital area. BURNS First-degree burns: epidermis is damaged (think sunburns). Second-degree burns: epidermis and some dermal tissue (upper layer) are damaged. Blisters occur. This is painful. Third-degree burns: destroys skin (a.k.a. fullthickness burns). Nerve endings in the area of burned tissue are destroyed (therefore, NOT painful). Skin grafting must be done to recover b/c skin will not regenerate in these areas. http://www.google.com/imgres? SQUAMOUS CELL CARCINOMA: Quick growing skin cancer that appears on epidermis. Can metastasize (spread) to lymph nodes (w/o treatment: surgery or radiation). Usually caused by sun exposure. Often found on ears, scalp, lower lip, & back of the hand SKIN CANCER BASAL CELL CARCINOMA: Most common type of skin cancer. Slow growing, shiny round nodules appear. Usually caused by sun exposure. Rarely spread before treatment (surgery). Often found on face. http://www.google.com/imgres? SKIN CANCER Malignant melanoma: Cancer of melanocytes Can be lethal Usually appear spontaneously (however, can be caused b/c a mole changes, DNA is damaged, genetic causes, or sun damage). Metastasizes quickly to lymph nodes and BVs (then to other organs). Treatment: surgery, radiation, and/or chemotherapy MALIGNANT MELANOMA ABCD recognition: (A) Asymmetry: pigment is uneven (B) Border irregularity: the lesion is not smooth (C) Color: the color of the lesion varies within the lesion (shades) (D) Diameter: the lesion is larger than 6 mm (pencil eraser) http://www.google.com/imgres? Look up in text or online! Know the following: Athlete’s foot, boils, cold sores, dermatitis, impetigo, and psoriasis. This slide show was developed by Dana Halloran, Cardinal Mooney High School, Sarasota, FL. Used with her personal permission, adapted and amended by Rosa Whiting, Manatee School for the Arts, Palmetto, FL.