Chapter 5 Lecture Outline
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Diapositiva 1
Ingegneria delle tecnologie per la salute Fondamenti di anatomia e istologia Apparato tegumentario aa. 2017-18 INTEGUMENTARY SYSTEM integumentary system = refers to skin and its accessory structures responsible for much more than simply human outward appearance: about 16% of body weight, covering an area of 1.5 to 2 m2 (= largest organ system in human body). • skin protects inner organs INTEGUMENTARY SYSTEM • skin = even not typical, but an organ, made of tissues that work together as a single structure to perform unique and critical functions • integumentary system = skin + its accessory structures, providing body with overall protection. • made of multiple layers of cells and tissues, which are held to underlying structures by connective tissue: deeper layer of skin is well vascularized (has numerous blood vessels) and also has numerous sensory, and autonomic and sympathetic nerve fibers ensuring communication to and from brain. INTEGUMENTARY SYSTEM Overview • Largest organ (15% of body weight) • Epidermis – keratinized stratified squamous epithelium • Dermis – connective tissue layer • Hypodermis • Thickness variable, normally 1-2 mm – dermis may thicken, up to 6 mm – stratum corneum layer increased • calluses on hands and feet Structure of the Skin 2 layers: epidermis + dermis SKIN: histology SKIN: histology SKIN: histology Cells of the Epidermis • Stem cells – undifferentiated cells in deepest layers • Keratinocytes – most of the skin cells • Melanocytes – synthesize pigment that shield UV • Tactile (merkel) cells – receptor cells associated with nerve fibers • Dendritic (langerhans) cells – macrophages guard against pathogens Cell and Layers of the Epidermis Epidermis: histology = composed of keratinized, stratified squamous epithelium, made of 4 or 5 layers of epithelial cells, depending on its location in body. -
Nomina Histologica Veterinaria, First Edition
NOMINA HISTOLOGICA VETERINARIA Submitted by the International Committee on Veterinary Histological Nomenclature (ICVHN) to the World Association of Veterinary Anatomists Published on the website of the World Association of Veterinary Anatomists www.wava-amav.org 2017 CONTENTS Introduction i Principles of term construction in N.H.V. iii Cytologia – Cytology 1 Textus epithelialis – Epithelial tissue 10 Textus connectivus – Connective tissue 13 Sanguis et Lympha – Blood and Lymph 17 Textus muscularis – Muscle tissue 19 Textus nervosus – Nerve tissue 20 Splanchnologia – Viscera 23 Systema digestorium – Digestive system 24 Systema respiratorium – Respiratory system 32 Systema urinarium – Urinary system 35 Organa genitalia masculina – Male genital system 38 Organa genitalia feminina – Female genital system 42 Systema endocrinum – Endocrine system 45 Systema cardiovasculare et lymphaticum [Angiologia] – Cardiovascular and lymphatic system 47 Systema nervosum – Nervous system 52 Receptores sensorii et Organa sensuum – Sensory receptors and Sense organs 58 Integumentum – Integument 64 INTRODUCTION The preparations leading to the publication of the present first edition of the Nomina Histologica Veterinaria has a long history spanning more than 50 years. Under the auspices of the World Association of Veterinary Anatomists (W.A.V.A.), the International Committee on Veterinary Anatomical Nomenclature (I.C.V.A.N.) appointed in Giessen, 1965, a Subcommittee on Histology and Embryology which started a working relation with the Subcommittee on Histology of the former International Anatomical Nomenclature Committee. In Mexico City, 1971, this Subcommittee presented a document entitled Nomina Histologica Veterinaria: A Working Draft as a basis for the continued work of the newly-appointed Subcommittee on Histological Nomenclature. This resulted in the editing of the Nomina Histologica Veterinaria: A Working Draft II (Toulouse, 1974), followed by preparations for publication of a Nomina Histologica Veterinaria. -
Skin 1. Describe the Basic Histological Structure of the Skin, Identifying The
Skin lecture notes 1 Lecture objectives: skin 1. Describe the basic histological structure of the skin, identifying the layers of the skin and their embryologic origin. 2. Identify the cell layers that constitute the epidermis and the differences between thick and thin skin. 3. Describe the cellular components of the epidermis and their function: keratinocytes, melanocytes, Langerhans cells and Merkel cells: 4. Describe the structural organization of the dermis and the components of the papillary and reticular layers. 5. Identify other structures present in the skin: vessels, skin sensorial receptors, hair follicles and hairs, nails and glands. 6. Understand the mechanism of skin repair 7. Describe histological findings in common skin diseases. Skin lecture notes 2 HISTOLOGY OF THE SKIN The skin is the heaviest, largest single organ of the body. It protects the body against physical, chemical and biological agents. The skin participates in the maintenance of body temperature and hydration, and in the excretion of metabolites. It also contributes to homeostasis through the production of hormones, cytokines and growth factors. 1. Describe the basic histological structure of the skin, identifying the layers of the skin and their embryologic origin. The skin is composed of the epidermis, an epithelial layer of ectodermal origin and the dermis, a layer of connective tissue of mesodermal origin. The hypodermis or subcutaneous tissue, which is not considered part of the skin proper, lies deep to the dermis and is formed by loose connective tissue that typically contains adipose cells. Skin layers 2. Identify the cell layers that constitute the epidermis and the differences between thick and thin skin. -
Basic Biology of the Skin 3
© Jones and Bartlett Publishers, LLC. NOT FOR SALE OR DISTRIBUTION CHAPTER Basic Biology of the Skin 3 The skin is often underestimated for its impor- Layers of the skin: tance in health and disease. As a consequence, it’s frequently understudied by chiropractic students 1. Epidermis—the outer most layer of the skin (and perhaps, under-taught by chiropractic that is divided into the following fi ve layers school faculty). It is not our intention to present a from top to bottom. These layers can be mi- comprehensive review of anatomy and physiol- croscopically identifi ed: ogy of the skin, but rather a review of the basic Stratum corneum—also known as the biology of the skin as a prerequisite to the study horny cell layer, consisting mainly of kera- of pathophysiology of skin disease and the study tinocytes (fl at squamous cells) containing of diagnosis and treatment of skin disorders and a protein known as keratin. The thick layer diseases. The following material is presented in prevents water loss and prevents the entry an easy-to-read point format, which, though brief of bacteria. The thickness can vary region- in content, is suffi cient to provide a refresher ally. For example, the stratum corneum of course to mid-level or upper-level chiropractic the hands and feet are thick as they are students and chiropractors. more prone to injury. This layer is continu- Please refer to Figure 3-1, a cross-sectional ously shed but is replaced by new cells from drawing of the skin. This represents a typical the stratum basale (basal cell layer). -
The Integumentary System the Integumentary System
Essentials of Anatomy & Physiology, 4th Edition Martini / Bartholomew The Integumentary System PowerPoint® Lecture Outlines prepared by Alan Magid, Duke University Slides 1 to 51 Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Integumentary Structure/Function Integumentary System Components • Cutaneous membrane • Epidermis • Dermis • Accessory structures • Subcutaneous layer (hypodermis) Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Integumentary Structure/Function Main Functions of the Integument • Protection • Temperature maintenance • Synthesis and storage of nutrients • Sensory reception • Excretion and secretion Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Integumentary Structure/Function Components of the Integumentary System Figure 5-1 Integumentary Structure/Function The Epidermis • Stratified squamous epithelium • Several distinct cell layers • Thick skin—five layers • On palms and soles • Thin skin—four layers • On rest of body Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Integumentary Structure/Function Cell Layers of The Epidermis • Stratum germinativum • Stratum spinosum • Stratum granulosum • Stratum lucidum (in thick skin) • Stratum corneum • Dying superficial layer • Keratin accumulation Copyright © 2007 Pearson Education, Inc., publishing as Benjamin Cummings Integumentary Structure/Function The Structure of the Epidermis Figure 5-2 Integumentary Structure/Function Cell Layers of The Epidermis • Stratum germinativum -
The Integumentary System the Integumentary System
The Integumentary System The Integumentary System Integument is skin Skin and its appendages make up the integumentary system A fatty layer (hypodermis) lies deep to it Two distinct regions Epidermis Dermis Epidermis Keratinized stratified squamous epithelium Four types of cells Keratinocytes – deepest, produce keratin (tough fibrous protein) Melanocytes - make dark skin pigment melanin Merkel cells – associated with sensory nerve endings Langerhans cells – macrophage-like dendritic cells Layers (from deep to superficial) Stratum basale or germinativum – single row of cells attached to dermis; youngest cells Stratum spinosum – spinyness is artifactual; tonofilaments (bundles of protein) resist tension Stratum granulosum – layers of flattened keratinocytes producing keratin (hair and nails made of it also) Stratum lucidum (only on palms and soles) Stratum corneum – horny layer (cells dead, many layers thick) (see figure on next slide) Epithelium: layers (on left) and cell types (on right) Dermis Strong, flexible connective tissue: your “hide” Cells: fibroblasts, macrophages, mast cells, WBCs Fiber types: collagen, elastic, reticular Rich supply of nerves and vessels Critical role in temperature regulation (the vessels) Two layers (see next slides) Papillary – areolar connective tissue; includes dermal papillae Reticular – “reticulum” (network) of collagen and reticular fibers *Dermis layers *Dermal papillae * * Epidermis and dermis of (a) thick skin and (b) thin skin (which one makes the difference?) Fingerprints, -
Integumentary System
Integumentary System Chapter 5 Integumentary System Integumentary system consists of: 1) Skin….the cutaneous membrane-Composed of epidermis and dermis 2) Accessary structures- hair, nails, glands. Dermatology: branch of medicine that deals with the diagnosis and treatment of skin disorders. Epidermis Papillary layer Dermis Reticular layer Hypodermis Fat Hypodermis/subcutaneous layer- NOT a part of the skin: - attaches skin to the muscle underneath. - contains blood vessels and nerves and large amount of adipose tissue - permits independent movement of deeper structures Functions of Skin 1) Protection: Stratified squamous epithelium….protects from abrasions. Sweat and oils….protects from bacterial infections. Keratin….water-proofing protein….prevents dehydration. Melanin….brown pigment….protects from UV exposure. 2) Thermoregulation: Sweat glands….evaporation of sweat cooling. Blood vessels vasoconstrict/vasodilate control blood flow in the skin heat loss/conservation. 3) Sensation: Nerve endings…sense temperature, touch, pressure, pain. Abundant in skin of the face, fingers, nipples, genitals. Fewer in skin of the back, knees, elbows. 4) Excretion: sweat…water, salt, organic substances. 5) Fat storage: adipose tissue in skin and subcutaneous layers. 6) Immunity: WBCs in skin….protect from infections. 7) Blood reservoir: blood vessels in skin hold 5% blood can be diverted to other organs. 8) Synthesis of vitamin D: skin, kidneys, liver together help make vitamin D used to absorb Ca bone development and maintenance. 9) Communication: facial expression, reflection of age, emotions. Structure of Skin Epidermis Papillary layer Dermis Reticular layer Hypodermis Skin is composed of two layers: 1) Epidermis – top layer of the skin. Skin is defined as thin or thick based on the epidermis: Thinner in thin skin (most of the body) and thicker in thick skin (palm, soles). -
Human General Histology
116 شپږم څپرکي پوست )جلد( Skin & its Appendages stratified squamous Epidermis dermis epithelium subcutis dermis (wave) (straight) dermal papillae epidermal papillae epidermis epidermis 117 شپږم څپرکي پوست )جلد( (print) Epidermis stratified squamous epidermis Stratum basale (Basal lamina) stratum basale basal layer stem cells keratinocytes mitosis stratum germinal layer germinativum basal Stratum spinosum desmosome (keratinocytes) desmosome stratum spinosum (spines) stratum spinosum prickle cells keratinocytes keratin felaments (fibrils) desmosome fibrils stratum spinosum germinative zone epidermis stratum basalae stratum spinosum stratum granulosum 118 شپږم څپرکي پوست )جلد( keratohyalin keratin (pyknotic) filametns keratohyalin lucid=clear stratum granulosum stratum lucidum stratum corneum keratin filaments carbohydrates epidermis zone stratum granulosum stratum lucidum Stratum corneum stratum lucidum stratum granulosum of keratinization dermis 119 شپږم څپرکي پوست )جلد( Dermis epidermis papillary (reticular layer) papillary papillae dermal papilla tactile papillae (capillaries) corpuscles dermis (elastic fibers) dermis (adipose tissues) (superficial fascia) 1,9,3 (stratified stratum squamous epi) corneum Keratinocyte stem keratinocytes stem cells stratum spinosum keratinocytes intermediate cells keratinocytes (keratin) (intermediate filaments) epidermis a tonofibrils cytokeratin filaments stratum spinosum 120 شپږم څپرکي پوست )جلد( keratin filaments tonofibrils stratum granulosum epidermal b keratohyalin granules cysteine histidine (keratin -
The Integumentary System
C h a p t e r 5 The Integumentary System PowerPoint® Lecture Slides prepared by Jason LaPres Lone Star College - North Harris Copyright © 2010 Pearson Education, Inc. Copyright © 2010 Pearson Education, Inc. Introduction to the Integumentary System • The integument is the largest system of the body – 16% of body weight – 1.5 to 2 m2 in area – The integument is made up of two parts: • Cutaneous membrane (skin) • Accessory structures Copyright © 2010 Pearson Education, Inc. Introduction to the Integumentary System • The cutaneous membrane has two components – Outer epidermis: • Superficial epithelium (epithelial tissues) – Inner dermis: • Connective tissues Copyright © 2010 Pearson Education, Inc. Introduction to the Integumentary System • Accessory Structures – Originate in the dermis – Extend through the epidermis to the skin surface: • Hair • Nails • Multicellular exocrine glands Copyright © 2010 Pearson Education, Inc. Introduction to the Integumentary System • Subcutaneous Layer (Superficial Fascia or Hypodermis) – Loose connective tissue – Below the dermis – Location of hypodermic injections Copyright © 2010 Pearson Education, Inc. General Structure of the Integumentary System Figure 5-1 Copyright © 2010 Pearson Education, Inc. Introduction to the Integumentary System • Functions of Skin – Protects underlying tissues and organs – Maintains body temperature (insulation and evaporation) – Synthesizes vitamin D3 – Stores lipids – Detects touch, pressure, pain, and temperature – Excretes salts, water, and organic wastes (glands) Copyright -
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3 Introduction When properly developed, communicated and implemented, guidelines improve the quality pathophysiological scars further com- of care that is provided and patient outcomes. pounded by traumatic emotional sequelae Guidelines are intended to support the health- and other comorbidities. care professional’s critical thinking skills and judgment in each case. Traumatic scars can occur as a result of acci- In addition to guiding safer, more effective and dents, acts of violence and other catastrophic consistent outcomes, the authors can only dare events (e.g. disease, burn accident and surgery). to dream that these guidelines will also support better constructed MT research methodology Over the last several decades, advancements in and designs, ultimately leading to the inclusion medical technology have led to improved surgi- of MT professionals in mainstream interprofes- cal techniques and emergency care (Blakeney & sional healthcare. Creson 2002). Simply put, more people are sur- viving injuries that would have been fatal 20 or 30 What Defines Traumatic Scarring? years ago, and an increase in survival rate means an increased need for professionals skilled in The American Psychological Association defines treating people with scars. Working successfully trauma as an emotional response to a terrible with traumatic scars requires expert navigation, event like an accident, sexual assault or natural not only of the physicality of the scar material but disaster (APA 2015). also inclusive of the whole clinical presentation. Scar or cicatrix, derived from the Greek eschara – This book will provide the information needed to meaning scab – is the fibrous replacement tis- help guide the development of that expertise. sue that is laid down following injury or disease Given the complexity of traumatic scars, where (Farlex 2012). -
I. INTEGUMENTARY SYSTEM Components: Integument
LECTURE OUTLINE & REVIEW QUESTIONS: INTEGUMENTARY SYSTEM ANATOMY 25 - GUTHRIE I. INTEGUMENTARY SYSTEM Stem cells > mitosis > new keratinocytes Components: Stratum spinosum Integument: outer covering of body Production of keratin filaments Appendages: hairs, nails, glands Progressive flattening of cells Increasing surface area II. INTEGUMENT Cells held together by desmosomes Components, superficial to deep: Stratum granulosum Epidermis } = “Skin” } Keratin filaments + keratohyaline granules > Dermis } } Integument keratin Hypodermis: } Lamellated granules: glycolipids > extracellular subcutaneous tissue or superficial fascia space Areolar c.t. Cell death Deep fascia Stratum corneum Dead, flattened cells packed with keratin Skin averages about: Desquamation 16% of body weight 2 square meters surface area Thin Skin vs. Thick Skin 2 mm thickness Refers to epidermal thickness Thin skin: A. EPIDERMIS Most of body Stratified squamous keratinized epithelium ~ 0.07-0.12mm thick (varies) Keratin = “soft” form Hairs 1. Cell Types: Thick skin: a. Keratinocytes Palms and soles Life Cycle: 0.4-0.6mm thick Mitosis of stem cells in basal layers glabrous (no hairs) Pushed toward surface by newer cells Keratin production & accumulation Thick skin: Progressive flattening All strata thicker. Lose nucleus and organelles May have an additional layer: Desquamate (~ 1 gram/day) Stratum lucidum Average Time: 28-30 days Between granulosum and corneum Functional Layers of Epidermis, Thin skin: (deep to superficial): All strata thinner Stratum basale (germinativum) -
Chapter 6 – the Integumentary System
Chapter 6 – The Integumentary System I. The Skin and Subcutaneous Tissue: The skin is the body’s largest organ, accounting for 15% of the body weight of adults. Please see the terms for Figure 6.1 on page ________. Be sure to recognize the picture for your exam. The skin consists of two layers: Epidermis (outer layer made of stratified squamous epithelium) and dermis (deeper layer made of connective tissue). Hypodermis is a layer of subcutaneous fat that lies below the two layers of the skin. Skin is classified as thick or thin based on the relative thickness of the epidermis. Thick skin covers the palms, soles, and surfaces of the fingers and toes. It has a thick stratum corneum, a layer of dead cells. Thick skin has sweat glands, but no hair follicles or sebaceous (oil) glands. Thin skin has a thin stratum corneum and possesses sweat glands, hair follicles, and sebaceous glands. A. Functions of the Skin 1. Resistance to trauma and infection – epidermal cells contain a tough protein called keratin that gives the skin durability. Also, skin is usually dry and slightly acidic to protect the body from bacteria & fungal infections. 2. Other barrier functions – it keeps out excess water and keeps the body from losing excess water. The epidermis also blocks harmful UV (ultraviolet) rays, thereby keeping cancer-causing radiation from deeper tissues. The skin keeps out harmful chemicals, but is permeable to several drugs and poisons. 3. Vitamin D synthesis – Vitamin D is needed for bone development and maintenance. 4. Sensation – The skin is equipped with many nerve endings that react to heat, cold, touch, texture, pressure, vibration and tissue injury.