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Chapter 4 Objectives Body membranes, which cover surfaces, line body cavities, and form protective (and often lubricating) sheets around organs, fall into two major groups. There are (1) epithelial membranes, which include the cutaneous, mucous, and serous membranes, and (2) connective tissue membranes, represented by synovial membranes. The cutaneous membrane, generally called the skin or integumentary system, will receive most of our attention in this chapter, but first we will consider the other body membranes. Objective Checklist Classification of Body Membranes List the general functions of each membrane type-cutaneous, mucous, serous, and synovial-and give its location in the body. Compare the structure (tissue makeup) of the major membrane types. Integumentary System (Skin) List several important functions of the integumentary system and explain how these functions are accomplished. When provided with a model or diagram of the skin, recognize and name the following skin structures: epidermis, dermis (papillary and reticular layers), hair and hair follicle, sebaceous gland, and sweat gland. Name the layers of the epidermis and describe the characteristics of each. Describe the distribution and function of the epidermal derivatives-sebaceous glands, sweat glands, and hair. Name the factors that determine skin color and describe the function of melanin. Differentiate between first-, second-, and third-degree burns. Explain the importance of the "rule of nines." Summarize the characteristics of basal cell carcinoma, squamous cell carcinoma, and malignant melanoma. Developmental Aspects of Skin and Body Membranes List several examples of integumentary system aging. Copyright © 1995-2007, Pearson Education, Inc., publishing as Pearson Benjamin Cummings Terms/concepts Classification of Body Membranes Epithelial Membranes Cutaneous membrane Dense connective tissue Keratinizing stratified squamous epithelium Mucous membranes Lamina propria (loose connective tissue) Stratified squamous epithelium Simple columnar epithelium Serous membranes Simple squamous epithelium Areolar connective tissue Parietal layer Visceral layer Serous fluid Peritoneum Pleura Pericardium Connective Tissue Membranes Synovial membranes Areolar connective tissue No epithelial cells Bursae Tendon sheaths Integumentary System (Skin) Cutaneous membrane Basic skin functions Integument Cornified Protection Mechanical damage Chemical damage Thermal damage Ultraviolet radiation Bacteria Insulation Cushion Regulating heat loss Excretory system Manufactures vitamin D Structure of the skin Epidermis Stratified squamous epithelium (keratinized) Strata Stratum Basale (stratum germinativum) Stratum spinosum Stratum granulosum Stratum lucidum Only on palms of hands and soles of feet Stratum corneum Avascular Keratinocytes Melanin melanocytes Dermis Dense connective tissue Papillary layer Dermal papillae Capillary loops Pain receptors Touch receptors (Meissner’s corpuscles) Reticular layer Blood vessels Sweat glands Oil glands Deep pressure receptors (Pacinian corpuscles) Phagocytes Collagen Elastic fibers Subcutaneous tissue (hypodermis) Adipose tissue Skin color Melanin Carotene Oxygen rich hemoglobin in the dermal blood vessels Cyanosis Erythema (redness) Pallor (blanching) Jaundice (yellow cast) Bruises (black and blue marks) Hematomas Appendages of the skin Cutaneous Glands Sebaceous glands Sebum Whitehead Blackhead Seborrhea Sweat glands (sudoriferous glands) Eccrine glands Sweat Apocrine glands Sweat + fatty acids and proteins Androgens Hairs and hair follicles Root Shaft Matrix Medulla Cortex Cuticle Hair follicles Epidermal sheath Dermal sheath Papilla Arrector pili Nails Free edge Body Root Nail folds Cuticle Nail bed Nail matrix Lanula Infections and allergies Athlete’s foot (tinea pedis) Boils and carbuncles Cold sores Contact dermatitis Impetigo Psoriasis Burns Circulatory shock Rule of nines First-degree burns (partial thickness burn) Second-degree burns (partial thickness burn) Third-degree burns (full thickness burn) Skin Cancer Basal cell carcinoma Squamous cell carcinoma Malignant melanoma ABCD rule Asymmetry Border irregularity Color Diameter