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Outline
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ANATOMY LECTURE SERIES
INTEGUMENTARY SYSTEM
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FUNCTIONS OF THE SKIN
  • The skin has 7 functions:
    • Covers underlying tissues to protect against dehydration, injury, and germ invasion
    • Regulates body temperature
    • Helps manufacture vitamin D
    • Serves as the site of many nerve endings
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FUNCTIONS OF THE SKIN
    • Temporarily stores fat, glucose, water, and salts
    • Screens out ultraviolet radiation
    • Absorbs certain drugs and chemical substances



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STRUCTURE OF THE SKIN
  • Layers of the skin:
    • Epidermis - the outermost covering of epithelial cells with no blood vessels
    • Dermis - true skin made of connective tissue and is vascular
    • Subcutaneous (hypodermal layer) lies under the dermis and consists of loose connective tissue
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STRUCTURE OF THE SKIN
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APPENDAGES OF THE SKIN
  • Hair
  • Nails
  • Sweat Glands
  • Sebaceous Glands
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THE INTEGUMENT AND ITS RELATIONSHIP TO
MICROORGANISMS
  • Most skin bacteria are associated with hair follicles or sweat glands where nutrients and moisture are present
  • The best way to prevent disease is by washing the hands
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REPRESENTATIVE DISORDERS OF THE SKIN
  • Acne vulgaris
  • Athlete’s foot
  • Dermatitis
  • Eczema
  • Impetigo
  • Psoriasis
  • Ringworm


  • Urticaria (hives)
  • Boils
  • Herpes
  • Genital herpes
  • Shingles (herpes zoster)
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SKIN CANCER
  • Basal cell carcinoma is the most common and least malignant skin cancer
  • Squamous cell carcinoma occurs in the epidermis and grows rapidly
  • Malignant melanoma is present in pigmented cells called melanocytes
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BURNS
  • Burns are the result of radiation from sun, heat, boiling water, steam, fire, chemicals, and electricity


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BURNS
  • Classification of burns
    • First degree burns
      • epidermis
    • Second degree burns
      • epidermis and  dermis
    • Third degree burns
      • destruction of epidermis, dermis, and subcutaneous
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SKIN LESIONS
  • Pressure Ulcers (Decubitus) are the result of constant pressure against an area of tissue that lies over a bone


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SKIN LESIONS
  • 4 Stages of pressure ulcers are:
    • Stage I - skin is red but unbroken
    • Stage II - blisters; broken or unbroken
    • Stage III - all layers of skin are broken
    • Stage IV - ulcerated area involves underlying muscles, tendons, and bones