SKIN and BODY MEMBRANES
SKIN and BODY MEMBRANES
SKIN and BODY MEMBRANES
Cutaneous Membrane
• Cutaneous membrane = skin
• Dry membrane
• Outermost protective boundary
• Superficial epidermis is composed of keratinized stratified
squamous epithelium
• Underlying dermis is mostly dense
connective tissue
Mucous Membranes
• Surface epithelium type depends on site
• Stratified squamous epithelium (mouth, esophagus)
• Simple columnar epithelium (rest of digestive tract)
• Underlying loose connective tissue (lamina propria)
• Lines all body cavities that open to the exterior body
surface
• Often adapted for absorption or secretion
Serous Membranes
• Surface is a layer of simple squamous epithelium
• Underlying layer is a thin layer of areolar connective tissue
• Lines open body cavities that are closed to the exterior of the body
• Serous membranes occur in pairs separated by serous fluid
• Visceral layer covers the outside of the organ
• Parietal layer lines a portion of the wall of ventral body cavity
Serous Membranes
• Specific serous membranes
• Peritoneum
• Abdominal cavity
• Pleura
• Around the lungs
• Pericardium
• Around the heart
Integumentary System
• Skin (cutaneous membrane)
• Skin derivatives
• Sweat glands
• Oil glands
• Hair
• Nails
Skin Structure
• Epidermis—outer layer
• Stratified squamous epithelium
• Cornified or keratinized (hardened by keratin) to prevent
water loss
• Avascular
• Most cells are keratinocytes
• Dermis
• Dense connective tissue
Skin Structure
• Subcutaneous tissue (hypodermis) is deep to dermis
• Not technically part of the skin
• Anchors skin to underlying organs
• Composed mostly of adipose tissue
Melanin
• Pigment (melanin) produced by melanocytes
• Melanocytes are mostly in the stratum basale
• Color is yellow to brown to black
• Amount of melanin produced depends upon genetics and
exposure to sunlight
Dermis
• Two layers
• Papillary layer (upper dermal region)
• Projections called dermal papillae
• Some contain capillary loops
• Others house pain receptors and touch receptors
• Reticular layer (deepest skin layer)
• Blood vessels
• Sweat and oil glands
• Deep pressure receptors
Dermis
• Overall dermis structure
• Collagen and elastic fibers located throughout the dermis
• Collagen fibers give skin its toughness
• Elastic fibers give skin elasticity
• Blood vessels play a role in body temperature regulation
Rule of Nines
• Way to determine the extent of burns
• Body is divided into 11 areas for quick estimation
• Each area represents about 9 percent of total body surface
area
Severity of Burns
• First-degree burns
• Only epidermis is damaged
• Skin is red and swollen
• Second-degree burns
• Epidermis and upper dermis are damaged
• Skin is red with blisters
• Third-degree burns
• Destroys entire skin layer; burned area is painless
• Burn is gray-white or black
Critical Burns
• Burns are considered critical if
• Over 25 percent of body has second-degree burns
• Over 10 percent of the body has third-degree burns
• There are third-degree burns of the face, hands, or feet
Skin Homeostatic Imbalances
• Infections
• Athlete’s foot (tinea pedis)
• Caused by fungal infection
• Boils and carbuncles
• Caused by bacterial infection
• Cold sores
• Caused by virus
Skin Cancer
• Cancer—abnormal cell mass
• Classified two ways
• Benign
• Does not spread (encapsulated)
• Malignant
• Metastasized (moves) to other parts of the body
• Skin cancer is the most common type of cancer
ABCD Rule
• A = Asymmetry
• Two sides of pigmented mole do not match
• B = Border irregularity
• Borders of mole are not smooth
• C = Color
• Different colors in pigmented area
• D = Diameter
• Spot is larger then 6 mm in diameter