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1 PowerPoint Lecture Outlines to accompany
Hole’s Human Anatomy and Physiology Eleventh Edition Shier w Butler w Lewis Chapter 6 Modified by: Amber Jackson Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

2 Chapter 6 Skin and the Integumentary System
Composed of several tissues Maintains homeostasis Protective covering Retards water loss Regulates body temperature Houses sensory receptors Contains immune system cells Synthesizes chemicals Excretes small amounts of waste

3 Skin Cells help produce Vitamin D needed for normal bone and tooth development some cells (keratinocytes) produce substances that simulate development of some WBCs Epithelial tissue – covers body surface; covers and lines internal organs, composes glands Function to: protect, secrete, absorb

4 Membranes – serous – line body cavities to reduce
friction, secrete watery fluids to lubricate surfaces with (no outside opening) Mucous – line tubes / (cavities) open to outside of body Ex: digestive, respiratory, urinary, and reproductive - goblet cells – secrete mucus Cutaneous – “skin” largest body organ protective; prevents harmful substances from entering body, regulates water balance and body temp., sensory receptors, immunities…

5 Layers of Skin Epidermis Dermis Subcutaneous layer beneath dermis
not part of skin

6 Epidermis -outer layer
lacks blood vessels keratinized – (dead cells) hardening thickest on palms and soles ( mm) melanocytes provide melanin rests on basement membrane stratified squamous

7 Melanin – dark pigment absorbs
ultra-violet (u.v.) radiation to prevent mutation in skin cell D.N.A. melanocytes – long, cellular extensions -all races have same number of melanocytes -darker races have more numerous and longer extensions that are nearer skins surface

8 Epidermis Layers of Epidermis stratum corneum stratum lucidum
stratum granulosum stratum spinosum stratum basale

9 Dermis contains dermal papillae on average 1.0-2.0mm thick
binds epidermis to underlying tissues irregular dense connective tissue form fingerprints re: fetal movements

10 muscle cells – wrinkle skin (facial expressions)
blood vessels - nutrients to cells hair follicles glands nerve cell processes specialized sensory receptors (Pacinian corpuscles – heavy pressure Meissner’s corp – light touch)

11 Hair Follicles epidermal cells (dead) tube-like depression
extends into dermis – present on all skin surfaces except: palms, soles, lips, nipples, extern reprod organs Grow->rest->new growth-> old hair pushed out hair root hair shaft hair papilla melanin (albino, gray) arrector pili muscle - goosebumps

12 Nails protective coverings nail plate – keratinized covering nail bed
lunula – (half moon) – most active growing region

13 Types of Glandular Secretions
Merocrine glands fluid product salivary glands pancreas sweat glands Apocrine glands cellular product portions of cells mammary glands ceruminous glands Holocrine glands secretory products whole cells sebaceous glands

14 Sebaceous Glands secrete sebum (oil)- fatty material - acne is excess
usually associated w/ hair follicles- helps waterproof and soften hair and skin holocrine glands secrete sebum (oil)- fatty material - acne is excess sebum production absent on palms and soles

15 Sweat Glands “Sudoriferous glands” – long coiled tube
in deeper dermis or hypodermis eccrine glands- most numerous (resp to heat…) :forehead, back… “Sweat” –water, salt, waste, urea Apocrine glands- scent, develop at puberty ceruminous glands- ear wax mammary glands – (female) secrete milk

16 Subcutaneous Layer (Hypodermis)
Loose connective and adipose (fat) tissues Major blood vessels – form network (rete cutaneum)

17 Subcutaneous Layer hypodermis loose connective tissue adipose tissue
insulates major blood vessels

18 Regulation of Body Temperature
Hypothalamus - controls body temp. set point too hot -> surface vessels dilate & deep vessels constrict -> blood to surface -> heat radiates out to cool the body. Conduction – heat moves to surface to cool Convection - heat to air surrounding the body Evaporation - eccrine secretes sweat which evaporates to cool the body

19 Heat rash

20 Problems in Temperature Regulation
*too cold – vessels constrict to restrict blood to skin surface -> muscles contract -> shivering to warm the body Problems in Temperature Regulation Hyperthermia – abnormally high body temperature Hypothermia – abnormally low body temperature

21 Frostbite

22 Skin Color TANNING !!???? Genetic Factors Physiological Factors
varying amounts of melanin varying size of melanin granules albinos lack melanin Physiological Factors dilation of dermal blood vessels constriction of dermal blood vessels accumulation of carotene jaundice Environmental Factors sunlight UV light from sunlamps X rays darkens melanin TANNING !!????

23

24 Overexposure to sunlight burns the skin and can start a process that may lead to skin cancer.
For ultimate health benefits, (Vitamin D) it's very important to manage your time in the sun so as not to burn! (sunblock) Sunburned skin's DNA is likely to be mutated and can lead to skin cancer. At best, the skin is sore to the touch, red, and inflamed. At worst, it blisters and peels.

25 Healing of Burns First degree burn – superficial partial-thickness
Minor burns – vessels dilate, skin reddens (erythema) First degree burn – superficial partial-thickness (epidermis) redding Second degree burn – deep partial-thickness (epidermis & some dermis) blisters Third degree burn – full-thickness (destroys epidermis, dermis, & accessory organs) autograft – from “your” body homograft – transplant from “other” body (cadaver) various skin substitutes

26 Healing of Burns 1st degree 3rd degree 1st & 2nd degree

27 Rule of Nines

28 Healing of Cuts Shallow cut – epithelial cells divide to fill in gap
Dermal cut – blood will form clot in wound, dried fluids form scab; cells stimulated to divide and regenerate tissue. (fibroblasts)

29 Healing of Cuts

30 Life Span Changes Melanin production slows Cell cycle slows down
Hair thins Number of hair follicles decrease Nail growth becomes impaired Sensory receptors decline Body temperature unable to be controlled Diminished ability to activate Vitamin D Cell cycle slows down Skin becomes scaly Age spots appear Epidermis thins Dermis becomes reduced Loss of fat Wrinkling Sagging Sebaceous glands secrete less oil

31 Clinical Application Acne Vulgaris most common skin disorder
sebum and epithelial cells clog glands produces whitheads and blackheads (comedones) anaerobic bacteria trigger inflamation (pimple) largely hormonally induced androgens stimulate sebum prodiction treatments include antibiotics, topical creams, birth control pills


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