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Human Anatomy,          First Edition
McKinley & O'Loughlin


      Chapter 5 Lecture Outline:
       Integumentary System



                                           1




                                           2




The Integument
   The skin that covers your body.
   Skin is also known as the cutaneous
   membrane.
   Integumentary system consists of the
   skin and its derivatives—nails, hair,
   sweat glands, and sebaceous glands.


                                               5-3




                                                     1
The Integument
 Is the body’s largest organ.
 Its surface is covered by an epithelium that protects
 underlying body layers.
 The connective tissues contain blood vessels that
 provide nutrients and provide strength and resilience
 to the skin.
 Smooth muscle controls both blood vessel diameter
 and hair position.
 Neural tissue supports and monitors sensory
 receptors in the skin

                                                        5-4




2 Distinct Layers
 A layer of stratified squamous
 epithelium called the epidermis.
 A deeper layer of dense irregular
 connective tissue called the dermis.
   deep to the dermis is a layer of areolar and
   adipose connective tissue called the
   subcutaneous layer, or hypodermis


                                                        5-5




                                                    6




                                                              2
7




Thick Skin
 Thick epidermis is found on the palms
 of the hands, the soles of the feet, and
 corresponding surfaces of the fingers
 and toes.
 All five epidermal strata occur in thick
 skin.


                                                  5-8




Thin Skin
 Thin epidermis covers most of the body.
 Lacks the stratum lucidum
   Has only four specific layers.
   Contains the following accessories: hair
   follicles, sebaceous glands, and sweat
   glands.



                                                  5-9




                                                        3
Functions of Skin
   protection
   prevention of water loss
   temperature regulation
   metabolic regulation
   immune defense
   sensory reception
   excretion


                                                   5-10




Skin Color
 Hemoglobin is an oxygen-binding protein
 present in red blood cells. Upon binding with
 oxygen, hemoglobin exhibits a bright red
 color.
 Melanin is a pigment produced and stored in
 cells called melanocytes.
   the two types of melanin occur in various yellow,
   reddish, tan, brown, and black shades
 Carotene comes primarily from diet.
                                                   5-11




Friction Ridges
 Found on the fingers, palms, soles, and toes.
 Formed from large folds and valleys of both
 dermal and epidermal tissue.
 Help us grasp objects, and they
 Increase friction so that items do not slip
 easily from our hands.
 Our feet do not slip on the floor when we
 walk.

                                                   5-12




                                                          4
Friction Ridges
 Friction ridges can leave noticeable
 prints on touched surfaces.
 Each individual has a unique pattern of
 friction ridges.
 Fingerprints have become a valuable
 tool for law enforcement in identifying
 individuals.

                                          5-13




Skin Markings
 Nevus (mole)
 Freckles
 Hemangioma
   capillary hemangiomas (“strawberry-
   colored birthmarks”)
   cavernous hemangiomas (“port-wine
   stains”)


                                          5-14




Layers of the Dermis
 Composed of cells of the connective
 tissue proper and primarily of collagen
 fibers, although both elastic and
 reticular fibers are also present.
 Other components of the dermis are
 blood vessels, sweat glands, sebaceous
 glands, hair follicles, nail roots, sensory
 nerve endings, and muscular tissue.
                                          5-15




                                                 5
2 Major Regions of Dermis
 Superficial papillary layer
 Deeper reticular layer




                                             5-16




Lines of Cleavage
 Tension lines in the skin identify the
 predominant orientation of collagen fiber
 bundles.
 Clinically and surgically significant because
 cuts can result in slow healing and increased
 scarring.




                                             5-17




                                            18




                                                    6
Innervation and Blood Supply
 The dermis has extensive innervation.
 Monitor sensory receptors in the dermis and
 epidermis, and control both blood flow and gland
 secretion rates.
 Tactile corpuscles and tactile (Merkel) cells perceive
 touch sensations, and work with a variety of other
 sensory nerve endings in the skin.
 This rich innervation allows us to be very aware of
 our surroundings and to differentiate among the
 different kinds of sensory signals from receptors in
 the skin.

                                                      5-19




Nails
 Scalelike modifications of the epidermis
 that form on the dorsal surfaces of the
 tips of the fingers and toes.
 Protect the exposed distal tips and
 prevent damage or distortion during
 jumping, kicking, catching, or grasping.
 Hard derivatives formed from the
 stratum corneum layer of the epidermis.

                                                      5-20




                                                     21




                                                             7
Hair
 Found almost everywhere on the body
 except the palms of the hands, the
 sides and soles of the feet, the lips, the
 sides of the fingers and toes, and
 portions of the external genitalia.
 Most of the hairs on the human body
 are on the general body surface rather
 than the head.
                                          5-22




                                         23




                                         24




                                                 8
3 Kinds of Hair
 During our lives, we produce three
 kinds of hair:
   lanugo
   vellus
   terminal hair




                                             5-25




Functions of Hair
 Protection
 Heat retention
 Prevents the loss of conducted heat from the
 scalp to the surrounding air
 Facial expression
 Sensory reception
 Visual identification
 Chemical signal dispersal
                                             5-26




Hair Color
 Result of the synthesis of melanin in the
 matrix adjacent to the papillae.
 Variations in hair color reflect genetically
 determined differences in the structure of the
 melanin.
 Environmental and hormonal factors
 Age
   Gray hair


                                             5-27




                                                    9
Hair Growth and Replacement
 Sometimes hair loss may be temporary
 as a result of one or more of the
 following factors: exposure to drugs,
 dietary factors, radiation, high fever, or
 stress.
 Thinning of the hair, called alopecia can
 occur in both sexes, usually as a result
 of aging.
                                            5-28




Exocrine Glands of the Skin
   Sweat (sudoriferous) glands produce a
   watery solution that performs several
   specific functions.
     merocrine (eccrine) sweat glands
     apocrine sweat glands
   Sebaceous glands produce an oily material
   that coats hair shafts and the epidermal
   surface.


                                            5-29




                                           30




                                                   10
31




Other Integumentary Glands
 Ceruminous glands
 Mammary glands
   modified apocrine sweat glands




                                             5-32




Burns
 Major cause of accidental death, primarily as
 a result of their effects on the skin.
 Usually caused by heat, radiation, harmful
 chemicals, sunlight, or electrical shock.
 The immediate threat to life results primarily
 from fluid loss, infection, and the effects of
 burned, dead tissue.
 Burns are classified according to the depth of
 tissue involvement.

                                             5-33




                                                    11
Classification of Burns
 First- and second-degree burns are
 called partial-thickness burns.
 Third-degree burns are called full-
 thickness burns.
   first-degree burns involve only the
   epidermis and are characterized by
   redness, pain, and slight edema
      an example is sunburn

                                                  5-34




Classification of Burns
 Second-degree burns involve the
 epidermis and part of the dermis.
 The skin appears red, tan, or white, and
 is blistered and painful.
   An example is a scald.




                                                  5-35




Classification of Burns
 Third-degree burns involve the epidermis, dermis,
 and subcutaneous layer, which are often destroyed.
 Regeneration may occur from the edge only, due to
 the absence of dermis.
 Skin grafting is required to prevent abnormal
 connective tissue fibrosis and disfigurement.
 Dehydration is a major concern because the entire
 portion of skin has been lost, and water cannot be
 retained.
 Must be aggressively treated for dehydration.

                                                  5-36




                                                         12
Aging of the Integument
 Skin repair processes take longer due to
 reduced number and activity of stem cells.
 Skin forms wrinkles and becomes less
 resilient.
 Skin’s immune responsiveness is diminished.
 Skin becomes drier due to decreased
 sebaceous gland activity.
 Altered skin and hair pigmentation.

                                           5-37




Aging of the Integument
 Sweat production diminishes.
 Blood supply to the dermis is reduced
 leading to impaired thermoregulation.
 Hair thinning and loss.
 Integumentary production of vitamin D3
 diminishes.
 Development of skin cancers.

                                           5-38




Skin Cancer
 The most common type of cancer.
 The greatest risk factor is exposure to
 UV rays of the sun.
 The highest incidence is in people who
 have had severe sunburns, especially as
 children.


                                           5-39




                                                  13

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Integumentary System Chapter Outline

  • 1. Human Anatomy, First Edition McKinley & O'Loughlin Chapter 5 Lecture Outline: Integumentary System 1 2 The Integument The skin that covers your body. Skin is also known as the cutaneous membrane. Integumentary system consists of the skin and its derivatives—nails, hair, sweat glands, and sebaceous glands. 5-3 1
  • 2. The Integument Is the body’s largest organ. Its surface is covered by an epithelium that protects underlying body layers. The connective tissues contain blood vessels that provide nutrients and provide strength and resilience to the skin. Smooth muscle controls both blood vessel diameter and hair position. Neural tissue supports and monitors sensory receptors in the skin 5-4 2 Distinct Layers A layer of stratified squamous epithelium called the epidermis. A deeper layer of dense irregular connective tissue called the dermis. deep to the dermis is a layer of areolar and adipose connective tissue called the subcutaneous layer, or hypodermis 5-5 6 2
  • 3. 7 Thick Skin Thick epidermis is found on the palms of the hands, the soles of the feet, and corresponding surfaces of the fingers and toes. All five epidermal strata occur in thick skin. 5-8 Thin Skin Thin epidermis covers most of the body. Lacks the stratum lucidum Has only four specific layers. Contains the following accessories: hair follicles, sebaceous glands, and sweat glands. 5-9 3
  • 4. Functions of Skin protection prevention of water loss temperature regulation metabolic regulation immune defense sensory reception excretion 5-10 Skin Color Hemoglobin is an oxygen-binding protein present in red blood cells. Upon binding with oxygen, hemoglobin exhibits a bright red color. Melanin is a pigment produced and stored in cells called melanocytes. the two types of melanin occur in various yellow, reddish, tan, brown, and black shades Carotene comes primarily from diet. 5-11 Friction Ridges Found on the fingers, palms, soles, and toes. Formed from large folds and valleys of both dermal and epidermal tissue. Help us grasp objects, and they Increase friction so that items do not slip easily from our hands. Our feet do not slip on the floor when we walk. 5-12 4
  • 5. Friction Ridges Friction ridges can leave noticeable prints on touched surfaces. Each individual has a unique pattern of friction ridges. Fingerprints have become a valuable tool for law enforcement in identifying individuals. 5-13 Skin Markings Nevus (mole) Freckles Hemangioma capillary hemangiomas (“strawberry- colored birthmarks”) cavernous hemangiomas (“port-wine stains”) 5-14 Layers of the Dermis Composed of cells of the connective tissue proper and primarily of collagen fibers, although both elastic and reticular fibers are also present. Other components of the dermis are blood vessels, sweat glands, sebaceous glands, hair follicles, nail roots, sensory nerve endings, and muscular tissue. 5-15 5
  • 6. 2 Major Regions of Dermis Superficial papillary layer Deeper reticular layer 5-16 Lines of Cleavage Tension lines in the skin identify the predominant orientation of collagen fiber bundles. Clinically and surgically significant because cuts can result in slow healing and increased scarring. 5-17 18 6
  • 7. Innervation and Blood Supply The dermis has extensive innervation. Monitor sensory receptors in the dermis and epidermis, and control both blood flow and gland secretion rates. Tactile corpuscles and tactile (Merkel) cells perceive touch sensations, and work with a variety of other sensory nerve endings in the skin. This rich innervation allows us to be very aware of our surroundings and to differentiate among the different kinds of sensory signals from receptors in the skin. 5-19 Nails Scalelike modifications of the epidermis that form on the dorsal surfaces of the tips of the fingers and toes. Protect the exposed distal tips and prevent damage or distortion during jumping, kicking, catching, or grasping. Hard derivatives formed from the stratum corneum layer of the epidermis. 5-20 21 7
  • 8. Hair Found almost everywhere on the body except the palms of the hands, the sides and soles of the feet, the lips, the sides of the fingers and toes, and portions of the external genitalia. Most of the hairs on the human body are on the general body surface rather than the head. 5-22 23 24 8
  • 9. 3 Kinds of Hair During our lives, we produce three kinds of hair: lanugo vellus terminal hair 5-25 Functions of Hair Protection Heat retention Prevents the loss of conducted heat from the scalp to the surrounding air Facial expression Sensory reception Visual identification Chemical signal dispersal 5-26 Hair Color Result of the synthesis of melanin in the matrix adjacent to the papillae. Variations in hair color reflect genetically determined differences in the structure of the melanin. Environmental and hormonal factors Age Gray hair 5-27 9
  • 10. Hair Growth and Replacement Sometimes hair loss may be temporary as a result of one or more of the following factors: exposure to drugs, dietary factors, radiation, high fever, or stress. Thinning of the hair, called alopecia can occur in both sexes, usually as a result of aging. 5-28 Exocrine Glands of the Skin Sweat (sudoriferous) glands produce a watery solution that performs several specific functions. merocrine (eccrine) sweat glands apocrine sweat glands Sebaceous glands produce an oily material that coats hair shafts and the epidermal surface. 5-29 30 10
  • 11. 31 Other Integumentary Glands Ceruminous glands Mammary glands modified apocrine sweat glands 5-32 Burns Major cause of accidental death, primarily as a result of their effects on the skin. Usually caused by heat, radiation, harmful chemicals, sunlight, or electrical shock. The immediate threat to life results primarily from fluid loss, infection, and the effects of burned, dead tissue. Burns are classified according to the depth of tissue involvement. 5-33 11
  • 12. Classification of Burns First- and second-degree burns are called partial-thickness burns. Third-degree burns are called full- thickness burns. first-degree burns involve only the epidermis and are characterized by redness, pain, and slight edema an example is sunburn 5-34 Classification of Burns Second-degree burns involve the epidermis and part of the dermis. The skin appears red, tan, or white, and is blistered and painful. An example is a scald. 5-35 Classification of Burns Third-degree burns involve the epidermis, dermis, and subcutaneous layer, which are often destroyed. Regeneration may occur from the edge only, due to the absence of dermis. Skin grafting is required to prevent abnormal connective tissue fibrosis and disfigurement. Dehydration is a major concern because the entire portion of skin has been lost, and water cannot be retained. Must be aggressively treated for dehydration. 5-36 12
  • 13. Aging of the Integument Skin repair processes take longer due to reduced number and activity of stem cells. Skin forms wrinkles and becomes less resilient. Skin’s immune responsiveness is diminished. Skin becomes drier due to decreased sebaceous gland activity. Altered skin and hair pigmentation. 5-37 Aging of the Integument Sweat production diminishes. Blood supply to the dermis is reduced leading to impaired thermoregulation. Hair thinning and loss. Integumentary production of vitamin D3 diminishes. Development of skin cancers. 5-38 Skin Cancer The most common type of cancer. The greatest risk factor is exposure to UV rays of the sun. The highest incidence is in people who have had severe sunburns, especially as children. 5-39 13