Fingerlike projections of papillary dermis into epidermis; contain capillaries and sensory receptors; form friction ridges for grip.
What are cleavage lines and why are they important?
Lines in reticular dermis where collagen fibers run parallel; important for surgical incisions as cuts heal better when parallel.
What causes flexure lines in the skin?
Dermal folds near joints where skin is tightly secured to underlying structures, causing deep creases visible on hands and feet.
What is melanin and how does it affect skin color?
Pigment made by melanocytes from tyrosine; protects DNA from UV; amount and type determine skin color variations.
Name the three pigments that determine skin color.
Melanin, carotene (yellow-orange pigment), and hemoglobin (pinkish hue from blood).
What are the main functions of hair?
Senses insects, protects scalp from trauma and heat loss, shields skin from sunlight, filters particles in nose, and protects eyes with eyelashes.
What are the three parts of a hair shaft?
Medulla (core), cortex (flattened cells around medulla), and cuticle (outer overlapping cells).
What is the hair follicle and its key structures?
Extends from epidermis to dermis; includes hair bulb, hair matrix (growth zone), papilla (capillaries), and arrector pili muscle.
What are the two main types of sweat glands?
Eccrine (merocrine) glands for thermoregulation and apocrine glands in axillary and anogenital areas, secreting milky sweat.
What are sebaceous glands and their function?
Oil glands that secrete sebum; lubricate skin and hair; bactericidal; mostly associated with hair follicles.
What are the main functions of the skin?
Protection, body temperature regulation, cutaneous sensations, metabolic functions, blood reservoir, and excretion.
What are the three types of barriers the skin provides?
Chemical (acid mantle, antimicrobial secretions), physical (keratinized cells and glycolipids), and biological (immune cells like dendritic and macrophages).
What is the ABCD rule for recognizing melanoma?
A: asymmetry; B: border irregularity; C: color variation; D: diameter >6 mm; E: evolution or change over time.
How are burns classified by severity?
First-degree: epidermal damage; second-degree: epidermis and upper dermis with blisters; third-degree: full thickness, nerve endings destroyed.
What is the rule of nines in burn assessment?
Body divided into 11 sections each representing 9% of surface area to estimate fluid loss and burn extent.