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© 2009 Delmar, Cengage Learning
Chapter 5
Integumentary System
© 2009 Delmar, Cengage Learning
Integumentary System
• Skin and its appendages– Hair
– Nails
– Sebaceous glands
– Sweat glands
• Integumentary means covering
• 3,000 square inches of surface area
© 2009 Delmar, Cengage Learning
Animation – Skin
Click Here to play Skin animation
© 2009 Delmar, Cengage Learning
Functions of Skin
• Covering
• Regulate body temperature
• Manufacture Vitamin D
• Nerve receptors
© 2009 Delmar, Cengage Learning
Functions of Skin
• Temporary storage
• Screen out ultraviolet radiation
• Special absorptive properties
© 2009 Delmar, Cengage Learning
Structure of the Skin
• Epidermis – Outermost covering
– Avascular
• Dermis– True skin
– Connective tissue
– Vascular
© 2009 Delmar, Cengage Learning
Structure of the Skin
© 2009 Delmar, Cengage Learning
Epidermal Cells
• Keratinocytes
• Merkel cells
• Melanocytes
• Langerhans cells
© 2009 Delmar, Cengage Learning
Epidermal Layers
• Stratum germinativum
• Stratum spinosum
• Stratum granulosum
• Stratum lucidum
• Stratum corneum
© 2009 Delmar, Cengage Learning
Dermis
• Also called corium
• Thicker, inner layer of the skin
• Many nerve receptors
• Blood vessels and heat regulation
© 2009 Delmar, Cengage Learning
Subcutaneous Layer
• Also called hypodermal layer
• Lies under dermis
• Not a true part of the integumentary system
• Attaches integumentary system to the surface muscles underneath
© 2009 Delmar, Cengage Learning
Appendages Hair
• Root shaft
• Outer cuticle layer
• Cortex
• Inner medulla
• Hair follicle
• Arrector pili muscle
© 2009 Delmar, Cengage Learning
Appendages Nails
• Hard structures covering the dorsal surfaces
of the last phalanges of the fingers and toes
• Nail bed or matrix
• Diseases and nail color
© 2009 Delmar, Cengage Learning
Appendages Sweat Glands
• Also called sudoriferous glands
• Perspiration 99% water
• Perspiration is excreted through pores
• Under the control of the nervous system
• 500ml water lost per day through skin
• Ceruminous or wax glands
© 2009 Delmar, Cengage Learning
Sebaceous Glands
• Secrete sebum which is thick, oily substance
• Sebum lubricates the skin, keeping it soft and pliable
© 2009 Delmar, Cengage Learning
Microorganisms
• Intact skin is the best way to protect itself against pathogens
• Most skin bacteria are associated with hair follicles and sweat glands
• Handwashing– Most effective action to prevent spread of disease
• 20 seconds for washing hands
• 2-4 minutes for infectious material
© 2009 Delmar, Cengage Learning
Aging
• Becomes more fragile and dry
• Loss of elasticity
• Less effective body temperature control
• Melanocytes decrease
• Physiological changes can impact self-worth
© 2009 Delmar, Cengage Learning
Disorders Skin
• Acne vulgaris– Common and chronic disorder of sebaceous glands
• Athlete’s foot– Contagious fungal infection
• Dermatitis– Inflammation of the skin
© 2009 Delmar, Cengage Learning
Disorders Skin
• Eczema– Acute or chronic, noncontagious inflammatory skin disease
• Impetigo– Acute, inflammatory, and contagious skin disease
• Psoriasis– Chronic inflammatory skin disease (reddish patches covered
by silvery-white scales)
© 2009 Delmar, Cengage Learning
Disorders Skin
• Ringworm– Highly contagious fungal infection
• Urticaria (hives)– Intensely itching wheals or welts
• Boils (carbuncles)– Painful, bacterial infection
of the hair follicles or sebaceous glands
© 2009 Delmar, Cengage Learning
Disorders Skin
• Rosacea– Common inflammatory disorder (chronic redness and irritation
to the face)
• Herpes– Viral infection which is usually seen as a blister
© 2009 Delmar, Cengage Learning
Disorders Skin
• Genital herpes– Virus which may appear as a blister in the genital area
• Shingle (herpes zoster)– Skin eruption due to a virus infection of the nerve ending
© 2009 Delmar, Cengage Learning
Disorders Hair and Nails
• Head lice– Parasitic insects
• Ingrown nails– Common nail problem
© 2009 Delmar, Cengage Learning
Disorders Hair and Nails
• Fungal infections– Infections of the nail
• Warts– Viral infections that affect the skin surrounding or underneath
the nail
© 2009 Delmar, Cengage Learning
Skin Cancer
• Basal cell carcinoma
• Squamous cell carcinoma
• Malignant melanoma
• Skin and sun exposure
© 2009 Delmar, Cengage Learning
Burns
• Rule of nines
• First degree burns
• Second degree burns
• Third degree burns
© 2009 Delmar, Cengage Learning
Skin Lesions
• Pressure ulcer (decubitus ulcers)– Stage I
– Stage II
– Stage III
– Stage IV