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Title: Unit 3: Hematology: Blood NRS237, Physiology
Description: in the note answer this questions 1. Write the functions of blood? 2. Write the composition of blood? 3. Write the different types of White blood cells? 4. What is hemoglobin and its function? 5. What is the life span of RBC? 6. Write the functions of platelets? 7. Name the different types of blood groups in our body. 8. Name the antigens and antibodies present in blood group A, B, AB and O? 9. Name any 3 blood anticoagulants? 10. Name the plasma proteins found in blood with function? 11. Define blood coagulation? The property of blood to change from fluid to get state within a few minutes after it comes in contact with air is blood coagulation. 12. What is the role of vitamin K? Vitamin K is essential for the formation of blood clot.

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Unit 3: Integumentary System

Dr
...
Protection = skin protects against abrasion, UV light,
microorganisms, dehydration
2
...
Vitamin D production = skin produces a molecule
that can be transformed into vitamin D when
exposed to UV light
4
...
Excretion = small amounts of waste lost through
skin/gland secretions

2

Skin = Dermis + epidermis


Dermis = layer of dense connective tissue



Epidermis = (upon the dermis) layer of
keratinized stratified squamous epithelium
a
...
Dermis = house
c
...
Attaches skin to underlying bone and muscle
2
...
Not part of the skin
4
...
Padding & insulation
b
...
Site of subcutaneous injections

3

Hypodermis

Epidermis
2
...
Prevents water loss, injury, entrance of harmful
chemicals
b
...
Mitosis in deepest layers, pushing older cells to
surface where they slough off
ii
...
Deeper replicating cells replace cells lost from
the surface
c
...

• These cells are tightly connected by desmosomes
...

• Undergo continuous mitosis
...

• Those on the surface of the skin are dead
...

• Friction may lead to a thickening of the cells known
as a callus
...

Located at the deepest layer of the epidermis
...

Protects against UV damage
...

• Act as macrophages that activate the immune
system
...
Associated with
sensory receptors
...

• Thin skin has only 4
...


8

Stratum Basale
• Epidermis is stratified (strata = layer)
• Single layer cells on basement membrane
• Cuboidal or columnar cells – mitosis every 19 days

• Cell types in this layer
– Keratinocytes
• undergo mitosis to replace epidermis

– Melanocytes
• distribute melanin through cell processes
• melanin picked up by keratinocytes

– Merkel cells are touch receptors
• form Merkel disc
6-17

Stratum Spinosum
• Several layers of keratinocytes
– appear spiny due to shrinkage
during histological preparation

• Contains dendritic (Langerhans) cells
– macrophages from bone marrow
that migrate to the epidermis
– 800 cells/millimeter2
– help protect body against pathogens by “presenting”
them to the immune system

6-18

9

Stratum Granulosum
• 3 to 5 layers Flat keratinocytes
• Contain keratinohyalin granules
– combine with filaments of cytoskeleton
to form keratin

• Produces lipid-filled vesicles that release a
glycolipid by exocytosis to waterproof the skin
– forms a barrier between surface cells
and deeper layers of the epidermis
– cuts off surface strata from nutrient supply

6-19

Stratum Lucidum
• Thin translucent zone seen only in thick skin
• Keratinocytes are packed with eleidin, a
precursor to keratin
– does not stain well

• Cells have no nucleus or organelles

6-20

10

Stratum Corneum
• Up to 30 layers of dead, scaly,
keratinized cells
– surface cells flake off (exfoliate)

• 25+ layers of dead cells joined by desmosomes
• Calluses (hard skin) = increase in number of
layers in stratum corneum due to friction
• Corn = similar reaction as callus, just over a
bony prominence
6-21

Dermis
• Thickness = 0
...
Supply epidermis with nutrients
ii
...
Regulate body temperature
iv
...
Melanin (black) = group of pigments determining
color of skin, hair, and eyes
i
...
Melanocytes (black cell)
• Golgi bodies in melanocytes package
melanin into melanosomes, then
phagocytized by epithelial cells (Fig
...
4)

13

Melanin Transfer from Melanocyte to keratinocytes

Melanin






Large amounts of melanin in freckles, moles, genitalia,
nipples, areolas
Less melanin in lips, palms, soles
Racial variations – due to amount, kind, and
distribution of melanin
All races have ~same number of melanocytes
Melanin production determined by genetic factors, light
exposure, hormones

14

Melanocyte

Abnormal Skin Colors
• Cyanosis = blueness from deficiency of oxygen in
the circulating blood (cold weather)
• Erythema = redness due to dilated cutaneous
vessels (anger, sunburn, embarrassment)
• Jaundice = yellowing of skin and sclera due to
excess of bilirubin in blood (liver disease)

6-30

15

Abnormal Skin Colors
• Bronzing = golden-brown color of Addison disease
(deficiency of glucocorticoid hormone)
• Pallor = pale color from lack of blood flow
• Albinism = a genetic lack of melanin
• Hematoma = a bruise (visible clotted blood)

Pregnancy – darker nipples and areolas, genitalia,
cheekbones, forehead, chest, midline
Tattooing is a permanent coloration of the skin in which
a foreign pigment is injected into the dermis
...
Hemangiomas (birthmarks)
discolored skin caused by benign tumors of dermal
blood capillaries (strawberry birthmarks disappear in
childhood -- port wine birthmarks last for life)

2
...
Hair shaft = portion of hair above skin surface
b
...
Hair bulb = base of hair root
d
...
Cortex (bark) = surrounds the medulla
f
...
Hair follicle = extension of epidermis deep into dermis
i
...

6-40

20

Hair Color and Texture, Blond

Blond hair contain pheomelanin pigment, but little
6-41
eumelanin
...


21

Hair Color and Texture, Gray and White

White hair = air in medulla and lack of pigment in
cortex
...

6-43

Arrector Pili: Muscle
Arrector pili (that which
raises, hair) = contraction of
these muscles cause hair to
“stand on end”…
goosebumps 
a
...
Evolutionary advantage in
mammals – traps air (heat)
for insulation, also look
larger - intimidation

22

Hair Growth and Loss
Thinning or baldness = alopecia
Pattern baldness = genetic and hormonal
sex-influenced trait(dominant in males, recessive
in females); expressed only with high
testosterone levels
Hirsutism = excessive hair growth
hormone imbalance (ovary or adrenal cortex
problem)

Nails
• Derivative of stratum corneum
– densely packed cells filled with hard keratin

• Flat nails allow for fleshy, sensitive fingertips
• Growth rate is 1 mm per week
– new cells added by mitosis in the nail matrix
– nail plate is visible part of nail
• medical diagnosis of iron deficiency = concave nails

6-46

23

Fingernail Structure

6-47

Cutaneous Glands

6-48

24

Sebaceous Glands
a
...
Produce sebum – oily
substance lubricating
hair & skin surface,
preventing drying out
& bacterial infection

Sudoriferous (Sweat) Glands – 2 types
a
...
Simple, coiled tubular w/ ducts opening to skin
surface
ii
...
Produce sweat: slightly salty water-based
secretion
• Evaporative cooling
• Emotional stress produces sweat in palms,
soles, axillae (used in lie detector tests!)

25

Sudoriferous (Sweat) Glands – 2 types

Sudoriferous (Sweat) Glands – 2 types
b
...
Simple, coiled tubular with ducts opening into
hair follicles of axillae & genitalia
• Become active at puberty due to sex
hormone influence
ii
...
Protection
1
...
Prevents entry of microorganisms/foreign
substances (secretions & skin)
3
...
Protects against UV light damage (melanin)
5
...
Damage protection/defense (nails)

Physiology of the Integumentary System
B
...
Nervous receptors in dermis & epidermis (pain, heat, cold,
pressure)
C
...
Vitamin D precursor made in skin, modified by liver, sent
to kidney were becomes vitamin D
2
...
Temperature Regulation
1
...
Blood vessels (arterioles) in dermis dilate to lose heat,
constrict to keep it in
E
...
Removal of waste products from the body – small role
2
...


Most common type of cancer (UV radiation,
chemicals, radiation)
2
...
Treatment: surgery or radiation
3
...
Produce tumors – continue dividing, can be
fatal
4
...
Can be fatal (will metastasize)

Skin Cancer

Sqaumous cell carcinoma

Basal cell carcinoma

Melanoma

30


Title: Unit 3: Hematology: Blood NRS237, Physiology
Description: in the note answer this questions 1. Write the functions of blood? 2. Write the composition of blood? 3. Write the different types of White blood cells? 4. What is hemoglobin and its function? 5. What is the life span of RBC? 6. Write the functions of platelets? 7. Name the different types of blood groups in our body. 8. Name the antigens and antibodies present in blood group A, B, AB and O? 9. Name any 3 blood anticoagulants? 10. Name the plasma proteins found in blood with function? 11. Define blood coagulation? The property of blood to change from fluid to get state within a few minutes after it comes in contact with air is blood coagulation. 12. What is the role of vitamin K? Vitamin K is essential for the formation of blood clot.