What are the different types of skin markings?
friction ridges, flexion lines, freckles & moles, and hemangiomas
Friction ridges
fingerprints; unique pattern formed during fetal development that doesn’t change; allows manipulation of small objects
Flexion Lines
Flexor surfaces of the dights, palms, wrists, & elbows; marks sites where skin folds
Freckles & Moles
tan to black aggregation of melanocytes
Hemangiomas (birthmarks)
patches & discolored skin caused by benign tumors of dermal capillaries
What are the 3 types of hairs?
Lanugo, Vellus, Terminal
What is the function of hair?
warmth, sensation, protection from sun, signify sexual maturity, guard hair, eyelashes & eyebrows
Lanugo
fine, downy, unpigmented hair that appears on fetus in the last 3 weeks of development
Vellus
fine, replaces lanugo by birth; 2/3 of womens hair 1/3 of mens hair
Terminal
longer, coarser, and usually heavily pigmented
What are the 3 zones of hair?
Bulb, root, & shaft
What are the structures of hair & follicle?
medulla, cortex, and cuticle
Bulb
A swelling at the base where hair originates in dermis
Root
the remainder of the hair follicle
Shaft
the portion above the skin surface
Medulla
core of loosely arranged cells & alr spaces
Cortex
constitutes bulk of the hair;m consists of several layers of elongates keratinized cells
Cuticle
thin, scaly cells that overlap each other; free edges directed upward
What are the 3 stages of the hair cycle?
Anagen, Catagen, & Telogen
Anagen
growth stage; 90% of scalp follicles at any given time
Catagen
degenerative stage, mitosis in the hair matrix ceases & sheath cells below the bulge die
Telogen
resting stage
Alopecia
thinning of the hair or baldness
Hirsutism
excessive or undesirable hairiness in areas that are not usually hairy
male pattern baldness
the condition in which hair loss occurs from specific regions of scalp
What are the parts of the nail?
free edge, nail body, & nail root
What makes up fingernails & toenails?
stratum corneum packed with keratin
What are the different exocrine glands of the skin?
merocrine sweat , apocrine sweat, sebaceous, ceruminous, and mammary
Merocrine Sweat Glands
Simple tubular glands; watery perspiration that helps thermoregulation
Apocrine Sweat Glands
ducts that lead to nearby hair follicles; produce sweat that is thicker, milky, & contains fatty acids
sebaceous glands
sebum: oily secretion; glands with ducts opening into hair follicles
Ceruminous glands
produces ear wax; only in external ear canal
Mammary glands
milk producing glands that develop only during pregnancy & lactation
What are the 2 parts of a bone?
compact & spongy bone
What is the primary framework of the body?
skeletal system/ bones
Compact bone
dense or cortical bone; 80% of bone mass
Spongy Bone
cancellous or trabecular bone, located internal to the compact bone; appears porous; 20% of bone mass
What are the 2 types of cartilage
hyaline & fibrocartilage
What makes up hyaline cartilage?
attaches ribs to sternum, covers ends of some bones, within growth plates, model for bone formation
What makes of fibrocartilage?
weight-bearing that withstands compression; intervertebral discs, pubic symphysis, medisci of knee
Where is dense regular connective tissue used?
ligaments connect bone-bone, tendons connect muscle-bone
What are the functions of our bones?
support & protection, levers for movement, hematopoiesis, blood cell production, occurs in red bone marrow, storage of mineral & energy reserves, calcium & phosphate
What are the different classifications of bones?
long bones, short bones, flat bones, irregular bones
What is the gross anatomy of the long bone?
diaphysis, medullary cavity, epiphysis, metaphysis, epiphyseal plate
What is bone tissue (osseous)?`
connective tissue that consists of cells, fibers, & ground substances
What is the hardening process of bone called?
mineralization or calcification
What does the diploe do?
spongy layer in the cranium; absorbs shock & marrow spaces lined with endosteum
What makes up spongy bone?
spicules & trabeculae; filled with red bone marrow
Red bone marrow
hematopoietic, reticular CT, developing blood cells, & adipocytes, in children( spongy bone & medullary cavity, in adults/only in selected areas of axial skeleton
Yellow bone marrow
product of red bone marrow degeneration as children mature, fatty substance, may convert back
What are the 4 different bone cells?
osteogenic, osteoblasts, osteocytes, osteoclasts
Osteogenic Cells
stem cells found in endosteum, periosteum, & in central canals
Osteoblasts
bone forming cells
Osteocytes
osteoblasts that have become trapped in the matrix
Osteoclasts
bone-dissolving cells found on the bone surface(ruffled border)
What are the 2 types of bone development?
Intramembranous ossification & Endochondral Ossification
Intramembranous ossification
Produces flat bones of skull & clavicle
Endochondral Ossification
during infancy & childhood, the epiphysis fill with spongy bone; cartilage limited to the articular cartilage covering each joint surface, & growth plate
What type of growth widens and thickens bones?
appositional growth
appositional growth
bones increase in width throughout life
-deposition of new bone at the surface
-osteoblasts lay down matrix in layers parallel to the surface
-osteoclasts of endosteum enlarge marrow cavity
What percent of your bone are remodeled a year?
10%
What is bone remodeling?
repairs microfractures, releases minerals into blood stream, reshapes bones in response to use & disuse
Wolff’s Law
bone density determined by mechanical stresses placed on it & bones adapt to withstand those stresses
What happens during mineral deposition?
crystallization process, osteoblasts produce collagen fibers become encrusted with minerals
-osteoblasts neutralize calcification inhibitors in bone matrix
-first few crystals attract more calcium & phosphate from solution
What happens with abnormal calcification?
may occur in the lungs, brain, eyes, muscles, tendons, or arteries
-calculus: calcified mass in an otherwise soft organ such as lung
How does mineral resorption work?
the process of dissolving bone & releasing minerals into the blood
- performed by osteoclasts at the ruffled border
-hydrogen pumps secrete hydrogen into the space between the osteoclasts & bone surface
-acid phosphates enzyme digests the collagen
What is calcium homeostasis?
Phosphate is a component of DNA, RNA, ATP, phospholipids, & pH buffers
What is calcium needed for in the body?
Neuron communication, muscle contraction, blood clotting, exocytosis
What regulates calcium in the body?
calcitriol, calcitonin, & parathyroid hormone
What is hypocalcemia?
Vitamin D deficiency, diarrhea, underactive parathyroids, pregnancy & lactation, accidental removal during thyroid surgery
How much phosphate does the average adult have in their body?
500-800g
What lowers blood phosphate level by promoting its urinary excretion?
PTH
What are the 2 principle forms of phosphate?
HPO4-2 & H2PO4-
Why is their rapid growth during puberty & adolescence?
surges of growth hormone, estrogen, testosterone occur & promote ossification
Why do anabolic steroids cause growth to stop?
epiphyseal plate “closes” prematurely & results in an abnormally short adult stature
What are the 2 types of dwarfism?
achondroplastic & pituitary
Achondroplastic dwarfism
long bones stop growth in childhood; normal torso, short limbs
-failure of cartilage in metaphysis
-spontaneous mutation produces mutant dominant allele
Pituitary Dwarfism
lack of growth hormone; normal proportions with short stature
Rickets
soft bones due to deficiency of calcium salts
Osteogenesis Imperfecta
excessively brittle bones due to lack of protein & collagen
Stress fracture
break caused by abnormal trauma to a bone; ex. falls, athletics, & military combat
Pathological fracture
break in a bone weakened by some other disease; ex. bone cancer or osteoporosis
What are the 4 stages of healing bone fractures?
1: hematoma forms in the fracture
2: soft callus & new blood vessels form in the fracture
3: spongy bone forms & a hard callus surrounds
4: spongy bone converts to compact bone
When treating a fracture what is closed reduction?
procedure in which the bone fragments are manipulated into position without surgery
When treating a fracture what is open reduction?
Involves surgery to realign the bone with plates, screws, & pins
What is the most common bone disease?
osteoporosis
What is osteoporosis?
severe loss of bone density
What is the best treatment for osteoporosis?
estrogen replacement to slow bone resorption
What risks come along with starting estrogen replacement treatment?
increase risk of breast cancer, stroke, & heart disease