Membranes and Skin 4.1.1_____ List the general functions of each membrane type-cutaneous, mucous, serous, and synovialand give its location in the body. 4.1.2_____ Compare the structure (tissue makeup) of the major membrane types. Classification of Body Membranes Epithelial Membranes - covering and lining membranes ______________ membrane – Skin (Integument) o ______________ stratified squamous epithelium o Dense fibrous connective tissue o Exposed to air so it is a _______ membrane Epithelial Membranes (Con’t) ______________ Membranes – lines all body cavities that open to the ______________ o Epithelium (stratified squamous, simple columnar) o Loose connective tissue (lamina propria) o ______ membranes – continuously bathed in secretions (usually mucus, but not always) Epithelial Membranes (Con’t) Serous Membranes – line body cavities that ______________ open to the exterior o Simple squamous epithelium o ____________ connective tissue (thin layer) o ____________ layer lines the wall of the ventral body cavity o Visceral layer lines the outside of the organs o Layers are separated by serous fluid (reduces friction) o Names depend upon locations – Peritoneum – lines the abdominal cavity – _________ – surrounds the lungs – Pericardium – surrounds the heart Connective Tissue Membranes ______________ Membranes – line the fibrous capsule surrounding joints o Soft areolar connective tissue (no epithelium) o Provide a ______________ surface o Secrete lubricating fluid Integumentary System 4.3.1 List several important functions of the integumentary system and explain how these functions are accomplished. Consist of Cutaneous membrane (skin) Derivatives – ____________ and oil glands – Hair – Nails Funtions Protection from ____________ and chemical damage, thermal damage, bacterial invasion, UV radiation, dessication Aids in ______ ______ or retention Aids in excretion of urea Synthesizes Vitamin D – *Please see the chart on pg 95 for details 4.2.1 When provided with a model or diagram of the skin, recognize and name the major and minor parts. 4.2.2 Name the layers of the epidermis and describe the characteristics of each Structure of the skin Epidermis – the ____________ layer – Stratified squamous epthelium – Keratinized – gets hard and tough Dermis - ___________ to the epidermis – Made of dense connective tissue – Collagen and elastic fibers Subcutaneous tissue or ____________ – Deep to the dermis (not part of skin) – Adipose tissue – ____________ skin to rest of body – Shock absorber/insulator/curves Epidermis Composed of 5 layers called ____________ *from the inside going out* 1. Stratum basale 2. Stratum spinosum 3. Stratum granulosum 4. Stratum lucidum 5. Stratum ____________ – The epidermis is ___________ – has no blood supply Stratum Basale – Lies ___________ to the dermis – Cells receive _______________ via diffusion from the dermis – Keratinocytes are constantly dividing – Also called stratum germinativum – Daughter cells are pushed ____________ to become part of the upper epidermal layers – Contains the ____________ Stratum Spinosum and Stratum Granulosum – Stratum Spinosum – 8 to 10 cell layers thick – Stratum Granulosum – 2 to 5 cell layers thick o Cells begin to ____________ as they are pushed upwards o Increasingly fills with _________ (keratinized) o As the cell continues to push upwards, the nucleus and organelles ____________ and the cell __________ Stratum Lucidum – Several layers of ____________ cells that look transparent – only occurs where skin is hairless (hands and feet) – Too much keratin – not enough nutrition or oxygen/to far from ____________ Stratum Corneum – 25 or more cell layers thick, containing soft keratin. – ____________ like layers filled with keratin – cornified or horney cells – Cells are continually shed as clothes rub against your body or when you wash. – Completely new epidermis every ____________ – ____________ – an exceptionally tough protein Dermis This is your ____________ Leather = dermis Dense fibrous connective tissue Two major regions – ____________ layer – Reticular areas Varies in thickness – Ex. Hands vs. eyelids Dense fibrous connective tissue – Papillary region o Upper area that contains the dermal papillae (_____________) o contains _____________ , free nerve endings, Meissner’s corpuscles (touch) – Reticular region o Lower area that contains _____________ , sweat and oil glands, and Pacinian corpuscles (pressure) Overall dermis structure – _____________ and _____________ fibers located throughout the dermis o Collagen fibers give skin its toughness o Collagen fibers help keep skin hydrated o Elastic fibers give skin elasticity – As we age we loose collagen/elastic fibers and subcutaneous tissue making us _________ – Blood vessels play a role in body _____________ regulation 4.3.3 Name the factors that determine skin color and describe the function of melanin. Skin Color Three pigments contribute to skin color 1. _____________ (yellow, reddish brown, black) in the epidermis 2. _____________ deposited in the stratum corneum and subcutaneous tissue 3. Hemoglobin in the dermal blood vessels Melanin – FYI(steps of tanning) 1. Produced by cells called melanocites located in the stratum basale layer of the epidermis. 2. Sunlight stimulates the production of _____________. 3. Stratum basale cells _________________________ the pigment 4. Melanin forms protective layer over the sunny side of nuclei. 5. _____________ and _____________ are spots of concentrated melanin. Other Influences on Skin Color – _____________ – redness – – – o embarrassment, fever, hypertension, inflammation or allergy ______________ - paleness or blanching o Fear, anger, anemia, hypotension Jaundice – yellowing o Signifies a _________ disorder o Excess bile pigments are absorbed and deposited in body tissues ____________ - hematomas o Sites where blood has escaped from the circulation and then clotted in the tissue space. o Possibly signifies a Vitamin C deficiency or hemophilia Appendages of the Skin 4.3.2 Describe the distribution and function of the epidermal derivatives – sebaceous glands, sweat glands, and hair. Appendages of the skin – ____________ glands Oil glands Sweat glands o Eccrine o Apocrine – Hair and hair follicles – ____________ Cutaneous glands – ____________ glands that release their secretions to the outside of the body Formed by the cells of the stratum basale but reside almost entirely in the ____________ o Sebaceuos glands (oil) o Sweat glands *exocrine glands release to a specific site. – Sebaceous Glands Produce____________ o Sebum – mix of oil and cell fragments o lubricates skin and hair o ____________ bacteria Found all over the body except on palms of hands and soles of feet Ducts usually empty into a ________________________ If blocked by sebum, whitehead forms If material oxidizes and dries, ____________ is formed Acne is an active ____________ of the sebaceous glands – Sweat Glands - Sudoriferous glands o ____________ per person Two types o ____________ (ek’ rin) – more numerous – found all over the body. o Apocrine (ap’ o-krin) – found in the ____________ and ____________ areas Eccrine Sweat Glands o Found all over the body o Produce sweat – made of water, salts, ____________, and traces of metabolic wastes like urea, and ammonia. o ____________ (inhibits bacterial growth) o Exits the skin at sweat pores o Helps regulate body ____________ Apocrine Sweat Glands o Found in the axillary and genital areas o ____________ than eccrine glands o Ducts empty into hair follicles o Made of same substances as eccrine sweat plus ____________ and ____________ o Bacteria live on these nutrients and cause the unpleasant BO o Function almost ____________ Ceruminous Glands o modified eccrine sweat glands, found on the external ____________ ____________. o ____________ (cerumen). Composed of a combination of sebum and secretion from ceruminous gland. o Function- In combination with hairs, prevent dirt and insects from entry. Also keeps eardrum ____________. 4.3.2 Describe the distribution and function of the epidermal derivatives – sebaceous glands, sweat glands, and hair. Hair and Hair Follicles – Protects head from bumps – Shields the eyes ____________ – Keeps foreign particles out of ____________ – Used to provide ____________ – we wear clothes now Hair o Found almost everywhere on human body o ____________ protrudes above skin surface o ____________ located below surface; base of root is the hair bulb o 3 main regions Actual hair shaft Hair follicle Hair bulb o Has 3 concentric layers ____________: Central axis ____________: Forms bulk of hair ____________: Forms hair surface Hair follicle o ____________ - Dermal sheath: part of dermis that surrounds the epithelial sheath Dermal Connective tissue, supplies blood to matrix in hair bulb o ____________ - Epithelial sheath with internal and external parts. Forms the hair Internal part contains stratum basale that may remain after injury and supply a source of new epidermis When hairs are pulled out, internal part comes out and is visible as white bulb Hair bulb o Internal ____________ is source of hair Formed by division of well-nourished stratum basale epithelial cells Daughters cells are pushed away and keratinize and die. o Contains ____________ o Dermis projects into bulb and is blood supply Hair Color o Caused by varying amounts and types of melanin. Melanin can be black-brown and red. Muscles. - ____________ pili. o Type of smooth muscle. o Muscle contraction causes hair to “stand on end” o Skin pushed up by movement of hair follicle ____________ Hair Growth o ____________ - Growth and resting stages Growth: cells added at base and hair elongates. Average rate is ___________ Rest: follicle shortens and holds hair in place. Then hair falls out of follicle. New hair begins. o Regular hair loss means hair is being ____________ o Permanent hair loss: pattern baldness most common cause Homoeostasis of the Skin 4.4.1 Differentiate between first, second, and third degree burns. 4.4.2 Explain the importance of the “rule of nines.” Burns Tissue damage and cell death caused by intense heat, _____________ , UV radiation or chemicals Leads to dehydration and electrolyte imbalance Can lead to _____________ – low blood volume Rule of Nines Estimate of the amount of _____________ lost based on the total body surface burned. Body is divided into 11 areas each representing 9% of the total body surface area (11 x 9 = 99) and one area the perineum makes up the remaining 1% Burn Victims _____________ is the leading cause of death in burn victims Pathogens easily invade the burned areas and multiply rapidly (lots of food) I_____________ system becomes depressed First-Degree Damage only the _____________ Area becomes red and swollen Heals in _____________ days Sunburn Second-Degree Involves injury to the epidermis and the upper region of the _____________ Area becomes red and painful and blisters appear. Sufficient epithelial cells are still present so _____________ will occur Usually no scarring Third-Degree _____________ the entire thickness of the skin (epidermis and all of the dermis) Appears gray-white or blackened Burned area is _________ painful because the nerve endings are destroyed Regeneration is NOT possible – skin grafting is done Burns are Critical when: Over ________ of the body has second-degree burns Over _________ of the body has third-degree burns Third-degree burns on the face, hands or feet 4.4.3 Summarize the characteristics of basal cell carcinoma, squamous cell carcinoma, and malignant melanoma. Skin Cancer Basal Cell Carcinoma Squamous Cell Carcinoma Malignant Melanoma Basal Cell Carcinoma Most _____________ and least malignant Starts in stratum basale – cells can no longer form keratin and invade the dermis and hypodermis Shiny, dome-shaped Slow-growing ________ curable Surgical removal Squamous Cell Carcinoma Starts in the stratum spinosum _____________ rapidly and can metastasize to the lymph nodes Treated with surgical removal and radiation Scaly and red Malignant Melanoma Cancer of the _____________ Metastasizes quickly to lymph and blood vessels ____________ survival rate Spreading black to brown patch Stages of Melanoma American Cancer Society ABCDE Rule A – Asymmetry – sides don’t match B – Border irregular – not smooth C – Color – different colors (black, brown, tan, blue, red) D – Diameter – larger than 6 mm E – Evolution – changes with time