chapter 7: integumentary system and body temperature chapter 7: integumentary system and body...
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TheHuman Bodyin Healthand Illness
Barbara Herlihy
Chapter 7: Integumentary System and Body Temperature
Chapter 7: Integumentary System and Body Temperature
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
2
Lesson 7.1 ObjectivesLesson 7.1 Objectives
• List six functions of the skin.• Define stratum germinativum and stratum
corneum.• Describe the two layers of the skin:
epidermis and dermis.• List the two major functions of the
subcutaneous layer.
• List six functions of the skin.• Define stratum germinativum and stratum
corneum.• Describe the two layers of the skin:
epidermis and dermis.• List the two major functions of the
subcutaneous layer.
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
3
Functions of the SkinFunctions of the Skin
• Keeps harmful substances out; keeps water and electrolytes in
• Protects internal structures and organs• Acts as a gland for vitamin D synthesis• Performs excretory function• Performs sensory role• Helps regulate body temperature
• Keeps harmful substances out; keeps water and electrolytes in
• Protects internal structures and organs• Acts as a gland for vitamin D synthesis• Performs excretory function• Performs sensory role• Helps regulate body temperature
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
4
Structure of the SkinStructure of the Skin
• Considered an organ• Also called the integument or cutaneous
membrane• Two distinct layers:
– Epidermis– Dermis
• Considered an organ• Also called the integument or cutaneous
membrane• Two distinct layers:
– Epidermis– Dermis
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
5
Structure of the Skin (cont’d.)Structure of the Skin (cont’d.)
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
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EpidermisEpidermis
• Thin outer layer of the skin • Formed of stratified squamous epithelium• Avascular• Site of insensible perspiration
• Thin outer layer of the skin • Formed of stratified squamous epithelium• Avascular• Site of insensible perspiration
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
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Epidermis (cont’d.)Epidermis (cont’d.)
• Layers of the epidermis– Stratum germinativum (deeper): on top of
dermis; cells continuously dividing – Stratum corneum (superficial): surface layer of
epidermis; composed of dead, flattened cells
• Keratinization: process by which skin cells are hardened and flattened with the protein keratin as they move toward the surface
• Layers of the epidermis– Stratum germinativum (deeper): on top of
dermis; cells continuously dividing – Stratum corneum (superficial): surface layer of
epidermis; composed of dead, flattened cells
• Keratinization: process by which skin cells are hardened and flattened with the protein keratin as they move toward the surface
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
8
DermisDermis
• Inner layer of the skin• Formed of dense fibrous connective tissue• Strong and elastic• Accessory structures embedded• Contains blood vessels, nervous tissue,
and some muscle tissue
• Inner layer of the skin• Formed of dense fibrous connective tissue• Strong and elastic• Accessory structures embedded• Contains blood vessels, nervous tissue,
and some muscle tissue
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
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Subcutaneous LayerSubcutaneous Layer
• Tissue that lies beneath skin: hypodermis• Formed of loose connective tissue and
adipose tissue• Highly vascularized• Two main roles:
– Insulate the body from extreme temperature changes in the external environment
– Anchor the skin to the underlying structures
• Tissue that lies beneath skin: hypodermis• Formed of loose connective tissue and
adipose tissue• Highly vascularized• Two main roles:
– Insulate the body from extreme temperature changes in the external environment
– Anchor the skin to the underlying structures
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
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The Skin, Drugs, and ChemicalsThe Skin, Drugs, and Chemicals• Skin can absorb many chemicals
– Used for transdermal drug delivery and intradermal allergy testing
– Danger of absorption of toxins
• Skin can absorb many chemicals– Used for transdermal drug delivery and
intradermal allergy testing– Danger of absorption of toxins
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
11
Skin ColorSkin Color
• Determined by genes, physiology, and sometimes pathology
• Dark pigment: melanin– Secreted by melanoctyes in the epidermis– The more melanin secreted, the darker the skin– Melanocyte malfunctions: albinism, vitiligo,
moles, melanomas
• Yellow pigment: carotene– Presence of melanin overshadows carotene’s
tint in most people
• Determined by genes, physiology, and sometimes pathology
• Dark pigment: melanin– Secreted by melanoctyes in the epidermis– The more melanin secreted, the darker the skin– Melanocyte malfunctions: albinism, vitiligo,
moles, melanomas
• Yellow pigment: carotene– Presence of melanin overshadows carotene’s
tint in most people
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12
Skin Color (cont’d.)Skin Color (cont’d.)
• Physiological changes in skin color:– Cyanosis: poor oxygenation causes bluish tint– Blushing: blood vessel dilation causes
reddening– Pallor: blood vessel constriction causes paling
• Pathological changes in skin color:– Jaundice: bilirubin, a yellow pigment, deposited– Bronze skin tint: melanin overproduction– Ecchymosis: black-and-blue bruising
• Physiological changes in skin color:– Cyanosis: poor oxygenation causes bluish tint– Blushing: blood vessel dilation causes
reddening– Pallor: blood vessel constriction causes paling
• Pathological changes in skin color:– Jaundice: bilirubin, a yellow pigment, deposited– Bronze skin tint: melanin overproduction– Ecchymosis: black-and-blue bruising
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
13
Accessory Structures of the SkinAccessory Structures of the Skin• Hair
– Functions: detect insects, protect eyes, keep dust out of lungs, reduce heat loss
– Growth affected by sex hormones
– Color influenced by type and amount of melanin
– Texture determined by shape of shaft
• Hair– Functions: detect
insects, protect eyes, keep dust out of lungs, reduce heat loss
– Growth affected by sex hormones
– Color influenced by type and amount of melanin
– Texture determined by shape of shaft
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
14
Accessory Structures of the Skin (cont’d.)
Accessory Structures of the Skin (cont’d.)
• Nails– Functions: protect
tipsof fingers and toes from injury
– Condition affected by oxygenation of blood supply, trauma, and nutritional deficiencies
• Nails– Functions: protect
tipsof fingers and toes from injury
– Condition affected by oxygenation of blood supply, trauma, and nutritional deficiencies
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
15
Accessory Structures of the Skin (cont’d.)
Accessory Structures of the Skin (cont’d.)
• Glands– Sebaceous glands:
secrete sebum into the hair follicle
– Sudoriferous glands: secrete sweat through pores
• Glands– Sebaceous glands:
secrete sebum into the hair follicle
– Sudoriferous glands: secrete sweat through pores
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
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Accessory Structures of the Skin (cont’d.)
Accessory Structures of the Skin (cont’d.)
• Types of sudoriferous glands:– Apocrine glands: usually associated with hair
follicles; activated by emotional stress; become more active during puberty
– Eccrine glands: involved in temperature regulation; responsible for sensible perspiration
• Types of modified sweat glands:– Mammary glands: secrete milk– Ceruminous glands: secrete ear wax (cerumen)
• Types of sudoriferous glands:– Apocrine glands: usually associated with hair
follicles; activated by emotional stress; become more active during puberty
– Eccrine glands: involved in temperature regulation; responsible for sensible perspiration
• Types of modified sweat glands:– Mammary glands: secrete milk– Ceruminous glands: secrete ear wax (cerumen)
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
17
Lesson 7.2 ObjectivesLesson 7.2 Objectives
• Explain four processes by which thebody loses heat.
• Describe how the skin helps toregulate temperature.
• Explain four processes by which thebody loses heat.
• Describe how the skin helps toregulate temperature.
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18
Body TemperatureBody Temperature
• Core temperature: the temperature of the inner parts of the body
• Shell temperature: the temperature of the surface areas of the body
• Thermoregulation: the mechanism by which the body balances heat production and heat loss
• Core temperature: the temperature of the inner parts of the body
• Shell temperature: the temperature of the surface areas of the body
• Thermoregulation: the mechanism by which the body balances heat production and heat loss
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19
Body Temperature (cont’d.)Body Temperature (cont’d.)
• Heat production:– Metabolic processes release thermal energy– Most heat produced by muscles, liver, and
endocrine glands– Affected by food consumption, hormonal
secretion, and physical activity– Heat produced by cells warms blood, which
distributes it throughout body
• Heat production:– Metabolic processes release thermal energy– Most heat produced by muscles, liver, and
endocrine glands– Affected by food consumption, hormonal
secretion, and physical activity– Heat produced by cells warms blood, which
distributes it throughout body
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20
Body Temperature (cont’d.)Body Temperature (cont’d.)
• Sites of heat loss: skin (80%); lungs and excretion (20%)
• Types of heat loss:– Radiation: from body to cooler air surrounding it– Conduction: from warm body to cooler object in
contact with it– Convection: by air currents moving over skin’s
surface– Evaporation: by liquid becoming a gas and
evaporating from skin’s surface
• Sites of heat loss: skin (80%); lungs and excretion (20%)
• Types of heat loss:– Radiation: from body to cooler air surrounding it– Conduction: from warm body to cooler object in
contact with it– Convection: by air currents moving over skin’s
surface– Evaporation: by liquid becoming a gas and
evaporating from skin’s surface
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21
Body Temperature (cont’d.)Body Temperature (cont’d.)
• Regulation:– Hypothalamus– Blood vessels– Sweat glands– Skeletal
muscles
• Regulation:– Hypothalamus– Blood vessels– Sweat glands– Skeletal
muscles
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22
Body Temperature (cont’d.)Body Temperature (cont’d.)
• Effects of heat extremes:– Overheating: syncope, cramps, heat exhaustion,
heat stroke– Hypothermia: slowed metabolism, fibrillation
• Neonate heat regulation:– Large surface area increases heat loss– Less insulation due to thin layer of subcutaneous
fat– Unable to shiver– Nonshivering thermogenesis: metabolism of brown
adipose tissue (BAT) generates heat when needed
• Effects of heat extremes:– Overheating: syncope, cramps, heat exhaustion,
heat stroke– Hypothermia: slowed metabolism, fibrillation
• Neonate heat regulation:– Large surface area increases heat loss– Less insulation due to thin layer of subcutaneous
fat– Unable to shiver– Nonshivering thermogenesis: metabolism of brown
adipose tissue (BAT) generates heat when needed
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
23
BurnsBurns
• Classified by depth and extent of surface burned
• Depth:– First-degree damages
epidermis only– Second-degree damages
epidermis and dermis– Third-degree destroys
dermis and epidermis, and damages underlying tissues
• Classified by depth and extent of surface burned
• Depth:– First-degree damages
epidermis only– Second-degree damages
epidermis and dermis– Third-degree destroys
dermis and epidermis, and damages underlying tissues
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24
Burns (cont’d.)Burns (cont’d.)
• “Rule of nines”: initial assessment of how much surface is burned
• Eschar: dead burned tissue that forms a scab-like layer over burned surface– Acts like a tourniquet– Becomes a breeding
ground for bacteria– Secretes toxins into
blood
• “Rule of nines”: initial assessment of how much surface is burned
• Eschar: dead burned tissue that forms a scab-like layer over burned surface– Acts like a tourniquet– Becomes a breeding
ground for bacteria– Secretes toxins into
blood
Copyright © 2007 by Saunders, an imprint of Elsevier Inc.All rights reserved.
25
Skin CareSkin Care
• All ages:– Reduce exposure to UV radiation
• Especially among elderly:– Skin dries out more easily: retain moisture by
limiting excessive bathing and use of soap– Thinner skin bruises more easily and does not
insulate as well
• All ages:– Reduce exposure to UV radiation
• Especially among elderly:– Skin dries out more easily: retain moisture by
limiting excessive bathing and use of soap– Thinner skin bruises more easily and does not
insulate as well