Chapter 7 Integumentary System and Body Temperature Elsevier

Introduction • The integumentary system includes the skin, which covers the body, protects the internal organs, and plays an important role in the regulation of body temperature. Slide 2

Structures: Organs of the Integumentary System • The integumentary system includes the skin, accessory structures, and subcutaneous tissue beneath the skin. Slide 3

Structures: Organs of the Integumentary System - cont’d • Skin – The skin is called the cutaneous membrane. – The skin has two layers, an outer layer called the epidermis and an inner layer called the dermis. – The epidermis has five layers. The stratum germinativum is the layer in which cell division takes place. The new cells produce keratin (waterproofing) and die as they are pushed toward the surface. The outer layer is the stratum corneum and consists of flattened, dead, keratinized cells. Slide 4

Structures: Organs of the Integumentary System - cont’d • Skin—cont’d – The dermis lies on the subcutaneous tissue. – Skin color is determined by many factors: some genetic, some physiologic, and some due to disease. Melanin causes skin to darken. Carotene causes skin to appear yellow. The amount of blood in the skin affects skin color (e. g. , flushing) as does the appearance of abnormal substances such as bilirubin (jaundice) and a low blood oxygen content (cyanosis). Slide 5

Structures: Organs of the Integumentary System - cont’d • Accessory Structures of the Skin – Hair is unevenly distributed over the skin. The location of the hair determines its function. Eyebrows and eyelashes protect the eyes from dust and perspiration. – The main parts of a hair are the shaft and root. – Hair color is determined by the amount and type of melanin. – Nails are thin plates of stratified squamous epithelial cells that contain a hard form of keratin. – There are two major exocrine glands in the skin: sebaceous glands and sweat glands. Slide 6

Structures: Organs of the Integumentary System - cont’d • Accessory Structures of the Skin—cont’d – The sebaceous glands (oil glands) secrete sebum. The sebum lubricates hair and skin. In the fetus, these glands secrete vernix caseosa, a cheeselike substance that coats the skin of a newborn. – The two types of sweat glands (sudoriferous glands) are the apocrine glands and the eccrine glands. The eccrine sweat glands play a crucial role in temperature regulation. – The mammary glands (which secrete milk) and the ceruminous glands (which secrete ear wax) are modified sweat glands. Slide 7

Structures: Organs of the Integumentary System - cont’d • Subcutaneous Tissue – Subcutaneous tissue anchors the dermis to underlying structures. – Subcutaneous tissue acts as an insulator; it prevents heat loss. Slide 8

Regulation of Body Temperature • Heat Production – Heat produced by metabolizing cells constitutes the body temperature. – Most of the heat is produced by the muscles and the liver. • Heat Loss – Most of the heat (80%) is lost through the skin. – Heat loss occurs through radiation, conduction, convection, and evaporation. Slide 9

Regulation of Body Temperature - cont’d • Heat Loss—cont’d – Normal body temperature is set by the body’s thermostat in the hypothalamus. – Heat is lost through sweating and vasodilation. Heat is conserved by vasoconstriction and produced by shivering. Slide 10

When Skin Is Burned • Physiological Effects – Short-term effects: fluid and electrolyte losses, shock, inability to regulate body temperature, infection – Long-term effects: scarring, loss of function, and cosmetic and emotional problems • Classification of Burns – Classified according to the thickness of the burn (partial, full); also first, second, and third degree. – The rule of nines is a way to evaluate burns. Slide 11

Introduction • Tissues are groups of cells similar to each other in structure and function. • Membranes are thin sheets of tissue that cover surfaces, line body cavities, and surround organs. Slide 12

Types of Tissue • Epithelial Tissue Types – Epithelial tissue covers surfaces, lines cavities, and engages in secretion/absorption and protective functions. – Epithelial tissue is classified according to cell shape (squamous, cuboidal, and columnar) and layers (simple and stratified). – The types and functions are summarized in Table 61. Slide 13

Types of Tissue - cont’d • Connective Tissue – The primary function of connective tissue is to bind together the parts of the body. Other functions include support, protection, fat storage, and transport of substances. – Connective tissue has an abundant intercellular matrix that fills spaces between cells. The intercellular matrix may be liquid, gel-like, or hard. The matrix often contains protein fibers that are secreted by the cells. – There are three types of loose connective tissue: areolar, adipose, and reticular. Slide 14

Types of Tissue - cont’d • Connective Tissue—cont’d – Dense fibrous connective tissue forms tendons, ligaments, capsules, and fascia, and is found in the skin (dermis). – Types of cartilage include: hyaline, elastic, and fibrocartilage. – Bone (osseous tissue) is connective tissue formed by osteocytes. Bone cells have a hard intercellular matrix that includes collagen, calcium salts, and other minerals. – Blood and lymph are types of connective tissue that have a watery intercellular matrix. Slide 15

Types of Tissue - cont’d • Nervous Tissue – Nervous tissue is found in the peripheral nerves, brain, and spinal cord. – The two types of nervous tissue are neurons, which transmit electrical signals, and neuroglia, which support and take care of the neurons. • Muscle Tissue – Muscle cells contract, thereby causing movement. – The three kinds of muscle are skeletal, smooth, and cardiac. Slide 16

Tissue Repair • Tissue Repair by Regeneration – Replacement of tissue by cells that undergo mitosis • Tissue Repair by Fibrosis – Formation of scar tissue Slide 17

Membranes • Epithelial Membranes – The cutaneous membrane is the skin. – Mucous membranes are epithelial membranes that line all body cavities that open to the exterior of the body. – Serous membranes are epithelial membranes that line the ventral body cavities, which are not open to the exterior of the body. – Serous membranes form two layers: a parietal layer that lines the wall of the cavity and a visceral layer that covers the outside of an organ. – The three serous membranes are the pleura, the pericardium, and the peritoneum. Slide 18

Membranes - cont’d • Connective Tissue Membranes – Synovial membranes are connective tissue membranes. – Other connective tissue membranes are listed in Table 6 -3. Slide 19