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Integumentary Physiology Module 1
Integumentary Physiology Module 1
o Merkel's discs
OVERVIEW
o Ruffini corpuscles
- Integument = Skin L, a covering
Touch Processing
- Largest Organ of Human Body:
Weighs about 8 pounds (3.6 kgs) - Processed in postcentral gyrus:
Covers 22 sq feet About top middle area of brain
Contains 11 miles of blood vessels Often referred to as primary
- Worldwide, dead skin accounts for about one somatosensory cortex
billion tons of atmospheric dust More direct sensory input information
- Excretes up to 3 gallons of sweat on hot day than any other part of brain
FUNCTIONS OF SKIN Thermoregulation
Protection (physical & immuno-regulation) - Skin is major organ controlling heat & moisture
Contains Touch and pressure receptors flow to/from surrounding environment
Thermoregulation - Skin also has thermal sensors:
Secretion of Antibacterials & Synthesis of Participate in thermoregulatory control
Vitamin D Affect person’s thermal sensation &
Excretion of metabolic wastes comfort
PROTECTION AGAINST… Heat Production
Microorganisms - Most of body’s heat production is in:
Chemicals Liver
Heat Brain
UV radiation Heart
Dehydration Skeletal muscles during exercise
Mechanical stresses - Human body is only 25% efficient
Loses approximately 75% of energy as
Sense of Touch heat
- Touch is composed of various senses:
Regulating Body Temperature
Somatic – sensations of temperature,
pressure, & pain - Heat is transferred:
Kinesthetic – give conception of body in Through network of blood vessels &
space (proprioception) tissue
Visceral – such as stomach aches or To skin
nausea - Heat exchange mechanisms include:
Heat transfer at skin surface via:
Touch Sense o Conduction (sitting on cold
- In humans, about 90% of somatosensory cortex surface)
processes touch signals from hands & face o Convection (air temperature
- Touch senses in these areas is correspondingly colder than body)
sensitive/high-resolution o Radiation (long-wave and short-
- Palm can detect presence of fraction of gram wave)
Via moisture evaporating/diffusing
Touch Receptors through skin
- Hairless skin (Glabrous) has finest receptors Sweat evaporation on skin surface
Mechanoreceptors translate physical Respiration from lungs
force into nerve impulses Brain and Body Heat
Four main mechanoreceptors in
hairless skin areas: - Brain is about 2% of body mass, BUT produces
o Pacinian corpuscles about 15% of body’s total metabolism:
During high mental activity, this neuron - Integumentary system supports excretory system
metabolism can more than double in removal of waste
Head has specialized - Skin provides for removal of:
thermoregulatory physiology: Dead cells and sweat – contains waste
o Assures high rates of heat loss products
o Keeps brain temperature - Hair, fingernails & toenails
constant Accumulations of dead epidermal cells
- As more cells die:
Thermoregulation Need removal
- Core temperature regulated by brain’s Hair & nails grow
hypothalamus (AKA body’s thermostat)
Waste in Sweat
- Hypothalamus responds to various temperature
receptors located thruout body - Sweat contains metabolic waste products—
- Makes physiological adjustments to maintain primarily:
constant core temperature Sodium chloride
Ex: On a hot day, temperature receptors Urea
located in skin send signals to Lactic acid
hypothalamus to increase sweat rate Potassium ions
Sweat COMPONENTS OF INTEGUMENTARY SYSTEM
- Average person has 2.6 million sweat glands - Integument = average of 1 mm thick
- Sweat is made up of water & electrolytes such as Epidermis
sodium, chloride, Dermis
- and potassium Hypodermis
- When hypothalamus senses increase in core - Accessory Tissues (Dermal Appendages):
temperature: Sweat glands
Increases blood flow to skin Oil (sebaceous) glands
Stimulates sweat glands Hair
- Result – Increase in rate of water lost through Nails
sweating
LAYERS OF SKIN
SECRETION OF ANTIMICROBIALS
Epidermis
The skin generates a number of antimicrobial Five layers
peptides/proteins (AMPs) Keratin-producing cells
Provide a front-line component in innate Dermis (Cuteus)
immunity True skin
Inhibit microbial invasion Hypodermis
Subcutaneous layer of connective tissue
Synthesis of Vitamin D Contains dermal appendages
- UV rays from sun strike skin Nerves
- D from sun exposure, food, & supplements is Blood vessels that supply dermis
biologically inert
Epidermis
- Must undergo 2 hydroxylations in body
- Liver converts D to 25-hydroxyvitamin D - About 0.012 cm thick
[25(OH)D], AKA calcidiol - Can thicken for greater protection:
- Kidney forms physiologically active 1,25- Constant friction/pressure
dihydroxyvitamin D [1,25(OH)2D], AKA Callus or Corn
calcitriol - Average turnover time for epidermis = ?
Excretion of Wastes Epidermis Strata
Stratum Corneum
- Outermost, Toughest layer of skin - 2 layers
- First defense against: - Papillary – L, papilla, nipple
Microorganisms, UV, - Reticular – L, reticulum, little net
chemicals, heat Having a netlike pattern or structure
- Flat, dead skin cells - Lymph vessels are in this layer
- Cells are cornified, filled with keratin
Papillary Layer
Stratum Lucidum
- Clear layer holding substance: - Top layer of Dermis
Becomes keratin as cells ascend - Fingerlike projections interface with Epidermis
Pre-keratin = Eleidin - Give texture to surface (form rete pegs):
- Eleidin is found mostly in palms/soles Loss of rete pegs with aging
Thick skin Skin gets thinner
Stratum Granulosum Skin gets smooth, shiny, paper-thin
- Flattened cells – No nuclei Lose fingerprints
- Granular appearance
- Due to Keratohyalin Reticular Layer
Also becomes Keratin - Main layer of Dermis
Stratum Spinosum - Rest of connective tissue in Dermis
- AKA Squamous
- Larger layer Hypodermis
- Produces keratin for epidermis
- AKA Subcutaneous
- Spinous processes projecting between
- Layer of cushioning fat at base
adjacent, new Keratincytes
- Superficial fascia connecting dermis to muscle
Stratum Basele
- AKA Germinativum Epidermal Cells
- Single layer
Cuboidal and columnar cells - Four types of cells:
Undergo mitosis Keratinocytes (Gk, keras, horn)
Keratinocytes divide Melanocytes (Gk, melanin, black)
o Begin to move up Langerhans cells
Merkel cells
- Each one can have specific types of tumors
Keratinocytes
- Produce Keratin:
Scleroprotein, main component of
Hair, skin, nails
tough and insoluable
Hard, unmineralized structures on many
animals (scales, claws, horns, hooves,
feathers, shells)
- Divide and grow in lower epidermal layers, then
flatten, stack, and cornify as they ascend
- Kerartinization (Cornification)
Outer epidermal layer is waterproof and
prevents dehydration
Melanocytes
- Produce Melanin:
Pigment that colors skin and hair
Dermis
- AKA cuteus or corium
Melanocytes in darker-skinned people - Contain/release chemical mediators (histamine,
are more active; same number of etc.) in response to triggers
melanocytes - Triggers vary & are individual:
Moles, freckles, suntans External OR Internal
Protects the skin against UV radiation Can vary from day to day
- Located in lowest level of epidermis - Set off a mast cell response:
Antibiotics, foods, food additives
Langerhans Cells Stress, fatigue, heat, cold, sunlight
- Paul Langerhans (1847 - 1888) German Bacteria or fungi
pathologist, physiologist & biologist Toxins, smells
- Migrate from bone marrow - When triggered
- Begin immune response against antigens due - Degranulate
to infection: Release chemicals
Similar to macrophages All at once OR
- Located in stratum spinosum layer Slow, leaky process
Breast Anatomy
- Located in upper ventral region:
Over pectoralis major muscles
Extends from 2nd to 6th rib
Superior lateral quadrant extends
diagonally upwards into axillary area:
Section of last bone of finger
To Tail of Spence
- 5, Fat, forming the cushion at the end of the finger AKA Spence's tail, axillary
- 2, The nail process, axillary tail
- 1, The cuticle continued under and around the James Spence (1812-1882),
- 3 Root of the nail Scottish surgeon
Thin layer of mammary tissue:
BREAST From clavicle to 7th/8th rib
- ICD -9/10-CM – part of Reproductive System From midline to edge of
Chapter latissimus dorsi posterior
- CPT – part of Surgery/Integumentary System Breast Quadrants
Section
Female Breast