Burns Flashcards

Week 3 (22 cards)

1
Q

skin four primary tissue types

A
  1. Epithelial tissue – in the epidermis.
  2. Connective tissue – in the dermis and hypodermis.
  3. Muscle tissue – smooth muscle in arterioles and attached to hairs (arrector pili).
  4. Nervous tissue – sensory and motor nerves in all layers
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2
Q

Epidermis

A
  • Outermost epithelial layer
  • avascular (no blood vessels).
  • Receives oxygen/nutrients by diffusion from dermis.
  • Constantly renews itself: keratinocytes die and shed, replaced by new cells from the basal stem layer.
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3
Q

Keratinocytes

A

– produce keratin (waterproofing protein).

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4
Q

Melanocytes

A

– produce melanin (protects from UV damage).

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5
Q

Merkel cells

A

– tactile sensory receptors.

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6
Q

Langerhans cells

A

– immune cells that engulf pathogens

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7
Q

Dermis

A
  • Connective tissue layer beneath the epidermis.
  • Contains fibroblasts (produce collagen & elastin), macrophages, blood vessels, lymphatics, glands, nerves, and hair follicles
  • Provides strength, flexibility, and nourishment to the epidermis.
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8
Q

Hypodermis

A
  • Loose connective tissue and adipose (fat) tissue.
    Functions as:
  • insulation
  • shock absorption
  • anchors skin to underlying structures
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9
Q

Major functions of the skin

A
  • protection
  • sensation
  • metabolic function
  • blood reservoir
  • temperature regulation
  • excretion
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10
Q

Protection

A

Chemical barrier:
Physical barrier:
Biological barrier:

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11
Q

Chemical barrier:

A
  • Acidic pH (acid mantle) inhibits bacteria.
  • Defensins: destroy pathogens.
  • Melanin shields DNA from UV radiation.
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12
Q

Physical barrier:

A
  • Keratin, lipids, and tight junctions prevent water loss and block most substances.
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13
Q

Biological barrier:

A

Macrophages in dermis destroy microorganisms that penetrate the epidermis.

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14
Q

Sensation

A
  • Nerve endings detect pain, temperature, touch, pressure, and vibration.
  • Mechanoreceptors, nociceptors, thermoreceptors relay signals to the CNS.
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15
Q

Metabolic Function

A

Produces vitamin D precursor in response to sunlight.

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16
Q

Blood Reservoir

A

Stores ~5% of total blood volume; blood flow adjusted for temperature control.

17
Q

Excretion

A

Removes nitrogenous wastes and salts via sweat.

18
Q

Temperature Regulation

A

High temperature: Vasodilation & sweating release heat.
Low temperature: Vasoconstriction conserves heat by diverting blood away from skin surface.
Controlled by thermoreceptors and the thermoregulatory centre in the brain

19
Q

Skin repairs itself

A

Stage 1 – Inflammation.
Stage 2 – Organisation (Proliferation)
Stage 3 – Maturation (Remodelling)

20
Q

Stage 1 – Inflammation

A
  • Prepares wound for healing.
  • Damaged cells release inflammatory signals → vasodilation and permeability increase.
  • Macrophages remove debris and pathogens.
  • Clotting proteins form a scab to seal the wound and prevent infection.
  • Signs: redness, heat, swelling, pain.
21
Q

Stage 2 – Organisation (Proliferation)

A
  • Granulation tissue forms to restore blood supply.
  • Contains capillaries, fibroblasts (produce collagen), and macrophages.
  • Epidermal stem cells proliferate and migrate over granulation tissue to cover the wound
22
Q

Stage 3 – Maturation (Remodelling)

A
  • Collagen remodelled and contracts to close wound edges.
  • Granulation tissue replaced by scar tissue (fibrosis) — strong but lacks elasticity, glands, or hair.
  • Regeneration occurs if epidermal stem cells survive → new skin forms and scab falls off.
  • Fibrosis only leads to visible scar formation