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EXSC 223: Exam 2

connective tissue functions
1. Bind and support 2. protection 3. Insulation  4. Transportation of substances/heat
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Properties of connective tissue
1. common origin (Mesenchyme) 2. extracellular matrix (majority is non-cellular) 3. degrees of vascularity (no uniformity)
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structural elements of connective tissue
1. ground substance 2. fibers  3. cells
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ground substance
Interstitial fluid between the cells; allows for diffusion between blood vessels and cells; Glycosaminoglycan (GAG), proteoglycan; cell adhesion proteins (laminin)
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collagen fibers
most abundant very tough tensile strength  tropocollagen activates collagen & creates cross-link to make tough like in tendons and ligaments
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elastic fibers
proteins that stretch and give  found where elasticity is needed (skin, lungs, blood vessels) contains a little bit of collagen
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reticular fibers
delicate, fine collagenous fibers supports soft tissue around organs  found in lymphatic system organs (spleen)
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cleavage lines
found in reticular layer of Dermis  collagen fibers arranged in bundles  where incisions are made (parallel) fibers run in a direction that makes flexion of joints easy
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sweat glands
eccrine, appocrine, sebaceous
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eccrine glands
most abundant function: thermoregulation; secretes sweat (mix of hypotonic blood, 99% H2O, NaCl, % waste) controlled by sympathetic nervous system  can adapt to exercise demands and routines
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appocrine glands
Location: axilary and anogenital  Function: secretes sweat mix of H2O & fat/oil  creates b.o. when oil breaks down  ducts empty into hair follicles
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sebaceous glands
oil glands that puke sebum by holocrine  stimulated by sex hormones and steroids.  Located everywhere but palms and soles cells die when they rupture
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sebum
secreted by sebaceous glands contains lipids and cell fragments function: lubrication, slows H2O loss in skin, brevets hair brittleness, bacterial function -stimulated by androgens
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acne
develops when hair follicles become plugged with sebum and when bacteria causes inflammation
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Function of skin
protection, body temp regulation, cutaneous sensation, metabolic function (chemical and vid D), blood reservoir, secretion
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cells in epidermis
keratinocytes, Langerhans, merkel cells, melanocytes
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keratinocytes
tough fibrous protein  most abundant produce keratin connected by desmosomes  eventually rise up to higher levels in skin  dead at surface (turn over 25-45 days)
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Langerhans
resident macrophage (WBC in skin but not blood)  activates immune system  activated when bruised or injured
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merkel cells
located at epidermal-dermal junction associated with sensory nerve endings receptor for touch
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melanocytes
synthesize melanin found in deepest layers  sectretes melanin --keratinocytes pick up melanin  melanin blocks UV light that damages DNA and minimizes damage to skin
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stratum basale
highly mitotically active cells produces lots of protein  close to nutrients supply includes keratinocytes, kernel cells, and melanocytes
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stratum spinosum
thickest layer  binding site of keratinocytes to blood supply  flat irregular shaped keratinocytes  desmosome attachements
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stratum cornaum
20-30 layers thick  very thin flat cells dead cells  glycolipids are between cells to keep water out of body by releasing oil (sebaceous glands)
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stratum lucidum
1-5 layers thick  only in bottom of feet and palms between granulosum and cornaum
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Dermis
Connective tissue proper 2 layers -papillary and reticular
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papillary layer of dermis
adjacent to epidermis  20% of dermis  loose ariolar connective tissue ridges between epidermis and papillary increase the surface area for friction and allow epidermis to stay attached to dermis --forms fingerprints
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reticular layer of dermis
80% of dermis = thickest layer dense irregular connective tissue  no distinct pattern lots of fibers and little open space
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which layer of the epidermis is the best nourished?
stratum basale
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outermost layer of hair shaft
cuticle
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what do eccrine glans help with?
thermoregulation
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which cell produces color for hair and skin?
melanocytes
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Hair stages
terminal -long hair, thick, coarse  vellus -peach fuzz, very fine, short, not growing  --vellus can be activated and grow and then regress back to a vellus hair
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alopecia
hair thinning  more hairs entering vellus phase than terminal  has a variety of causes
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baldness
genetically determines (maternal) male pattern baldness caused by follicular response to DHT ---DHT binds to receptor
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basal cell carcinoma
least malignant  stratum basal cells proliferate and invades dermis  sun exposed areas are most common  pit/ulcers in center
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squamous cell carcinoma
keratinocytes of the spinosum  ulceration-ulcers can be dark  grows rapidly, metastasizes, if caught early-good outcome
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melanoma
most dangerous/deadly  difficult to treat chemo resistant  affects the melanocytes  by the time it is visible, it has already metastasized  1/3 are from pre-existing moles  dark color  can move anywhere in the body and grow
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ABCD rule
Asymmetry Boarder irregularity  Color  Diameter -larger than 6 mm
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1st degree burns
only epidermis is damaged  localized redness, swelling, pain
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2nd degree burns
epidermis and upper dermis is damaged blisters
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3rd degree burns
complete destruction of epidermis and dermis burned area is white/gray/red/black no initial pain or adema hydration most important within first 24 hours
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Rule of nines
...
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Burns are critical if:
over 25% of body has 2nd degree  over 10% has 3rd degree  3rd degree on face, hands, or feet
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Hyaline cartilage
most abundant  provides flexible support -articular surfaces of joints (long bones) -rib cage -bronchial tubes  secretes ground substance for lubrication
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elastic cartilage
specialized hyaline  contains elastic fibers -earlobes and epiglottis  withstands repeated stretching
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fibrocartilage
compressible with high tensile strength  -pubic symphasis  -meniscus  -intervertebral discs tough padding
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appositional cartilage growth
how cartilage mostly grows  chondroblasts secrete new matrix on external force
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