Integumentary System



Integumentary System





Introduction to the Integumentary System


The skin and the glands, hair, nails, and other structures that are derived from it make up the integumentary (in-teg-yoo-MEN-tar-ee) system. Because it is on the outside of the body, this organ system is our contact with the external environment and is subjected to continual abuse from the environment. However, the skin is resilient and versatile. Generally, it quickly repairs itself and continues to perform its many functions year after year.



Structure of the Skin


The skin (sometimes called the cutaneous [kyoo-TAY-nee-us] membrane) consists of two distinct layers of tissues. The outer layer is the epidermis, and the inner layer is the dermis. These are anchored to underlying structures by a third layer, the hypodermis or subcutaneous tissue.


The structure of the skin is illustrated in Figure 6-1.




Epidermis


The outer layer of the skin is the epidermis. This layer consists of stratified squamous epithelium (see Figure 6-1). There are no blood vessels present in the epidermis, and the cells receive their nutrients by diffusion from vessels in the underlying tissue. The bottom row of cells in the epidermis is called the stratum basale. It consists of actively dividing (mitotic) columnar cells and melanocytes. This is the layer next to the basement membrane and closest to the blood supply. As older cells are pushed upward toward the surface by the growing cells next to the basement membrane, they receive fewer nutrients. They also undergo a process called keratinization (ker-ah-tin-ih-ZAY-shun). During keratinization, a protein called keratin is deposited in the cell. This causes the chemical composition of the cell to change, and the cell changes shape. By the time the cells reach the surface, they are flat or squamous. They are also dead from lack of nutrients and are sloughed off. They are replaced by other cells that are pushed upward from the stratum basale. About one fourth of the cells in the stratum basale are melanocytes (meh-LAN-oh-sytes). Melanocytes are specialized epithelial cells that produce a dark pigment called melanin (MEL-ah-nin), which is primarily responsible for skin color.


The outermost or surface region of the epidermis is the stratum corneum (KOR-nee-um). It makes up about three fourths of the epidermal thickness and consists of 20 to 30 layers of flattened, dead, completely keratinized cells. The cells in the stratum corneum are continually shed and replaced. About 5 weeks after a cell has been produced in the stratum basale, it is sloughed off the surface of the stratum corneum. The keratin that is present is a tough, water-repellent protein, and its inclusion in the stratum corneum provides protection against water loss from the body.



Highlight on the Integumentary System




Skin: For an “average” person, the skin weighs about 5 kg (11 lb), has a surface area of approximately 2 m2 (21 ft2), and varies in thickness from 0.05 to 0.4 cm (0.02 to 0.16 inch).


Neoplasms: Cancerous neoplasms composed of melanocytes, called malignant melanomas, account for 3% of all cancers, and the incidence is rising at a rate of 4.5% annually. Exposure to sunlight is the major risk factor for the development of malignant melanoma, and individuals with fair skin and light hair are at greatest risk. Melanomas often metastasize to the lung, liver, and brain.


Dermis: The dermis is the portion of an animal’s skin that is used to make leather because the collagen in the dermis becomes tough when treated with tannic acid.


Blister: A blister is a fluid-filled pocket between the dermis and the epidermis. When the skin is burned or irritated, some plasma escapes from the blood vessels in the dermis and accumulates between the two layers, where it forms the blister.


Dermal blood vessels: In people with light skin, when dermal blood vessels dilate and blood flow increases (e.g., during blushing and increased temperature), the skin may be quite red. If the vessels constrict and blood flow decreases, the individual is pale or “white as a sheet.”


Hair type: The shape of the hair shaft determines whether hair is straight or curly. If the shaft is round, the hair is straight. If it is oval, the hair is wavy. If it is flat, the hair is curly or kinky. To make their hair curly, individuals often get a “permanent,” which flattens the hair.


Acne: Acne is a problem that plagues many teenagers. Increased hormone activity at puberty causes an increase in sebaceous gland activity. Sebum and dead cells may block the hair follicle and form blackheads. Bacteria infect the blocked follicle, and the sebum–dead cell mixture accumulates until the follicle ruptures. This initiates an inflammatory response that soon appears on the surface as a pus-filled pimple.


Adipose tissue: People who lose weight rapidly may feel cold because they have reduced their adipose insulation. image



Dermis


The dermis, or stratum corium (KOR-ee-um), is dense connective tissue that is deeper and usually thicker than the epidermis (see Figure 6-1). Hair, nails, and certain glands (although derived from the stratum basale of the epidermis) are embedded in the dermis. The dermis contains both collagenous and elastic fibers to give it strength and elasticity. If the skin is overstretched, the dermis may be damaged, leaving white scars called striae (STRY-ee), commonly called “stretch marks.” Fibers also form a framework for the numerous blood vessels and nerves that are present in the dermis but generally absent in the epidermis. Many of the nerves in the dermis have specialized endings called sensory receptors that detect changes in the environment, such as heat, cold, pain, pressure, and touch. Because there are no nerves in the epidermis, these receptors are the body’s contact with the environment.


The upper region of the dermis has numerous papillae, or projections, that extend into the epidermis. Blood vessels, nerve endings, and sensory receptors extend into the papillae to bring them into closer proximity to the epidermis and the surface. On the palms, the fingertips, and the soles of the feet, the papillae form distinct patterns or ridges that provide friction for grasping objects. The patterns are genetically determined and are unique for each individual. These are the basis of fingerprints and footprints.

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Apr 16, 2017 | Posted by in NURSING | Comments Off on Integumentary System

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