Free Essay

Life in Med School

In:

Submitted By Lailungs
Words 1320
Pages 6
Dermis
Attachment of epidermis to dermis is enhanced by an increased interface between the two tissues.
The junction between the dermis and epidermis is seen in the light microscope as an uneven boundary except in the thinnest skin. Sections of skin cut perpendicular to the surface reveal numerous fingerlike connective tissue protrusions, dermal papillae, that project into the undersurface of the epidermis (see Figs. 15.1 and 15.2). The papillae are complemented by what appear to be similar epidermal protrusions, called epidermal ridges or rete ridges, that project into the der- mis. If the plane of section is parallel to the surface of the epi- dermis and passes at a level that includes the dermal papillae, however, the epidermal tissue appears as a continuous sheet of epithelium, containing circular islands of connective tissue within it. The islands are cross sections of true fingerlike der- mal papillae that project into the epidermis. At sites where in- creased mechanical stress is placed on the skin, the epidermal ridges are much deeper (the epithelium is thicker), and the dermal papillae are much longer and more closely spaced, creating a more extensive interface between the dermis and epidermis. This phenomenon is particularly well demon- strated in histologic sections that show both palmar and dor- sal surfaces of the hand, as in a section of a finger.
True dermal ridges are present in thick skin in addition to dermal papillae.
Dermal ridges tend to have a parallel arrangement, with the dermal papillae located between them. These ridges form a distinctive pattern that is genetically unique to each individ- ual and is reflected in the appearance of epidermal grooves and ridges on the surface of the skin. These patterns are the basis of the science of dermatoglyphics, or fingerprint and footprint identification.
The dermal ridges and papillae are most prominent in the thick skin of the palmar and plantar surfaces. Here, the basal surface of the epidermis greatly exceeds its free surface. The germinal layer is thus spread over a large area; assuming a near-constant rate of mitosis in the stratum germinativum, more cells per unit time enter the stratum corneum in thick skin than in thin skin. These additional cells are thought to account for the greater thickness of the cornified layer in thick skin.
Hemidesmosomes strengthen the attachment of the epi- dermis to the underlying connective tissue.
When studied with the transmission electron microscope (TEM), the basal surface of the basal epidermal cells exhibits a pattern of irregular cytoplasmic protrusions that increase the attachment surface between the epithelial cell and its sub- jacent basal lamina. A series of hemidesmosomes link the intermediate filaments of the cytoskeleton into the basal lam- ina. In addition, focal adhesions that anchor actin fila- ments into the basal lamina are also present. These specialized anchoring junctions are discussed on page 144.
The dermis is composed of two layers: The papillary layer and the reticular layer.
Examination of the full thickness of the dermis at the light microscope level reveals two structurally distinct layers.
• The papillary layer, the more superficial layer, consists of loose connective tissue immediately beneath the epidermis (Plate 43, page 517). The collagen fibers located in this part of the dermis are not as thick as those in the deeper portion. This delicate collagen network contains predominately type I and type III collagen molecules. Similarly, the elastic fibers are threadlike and form an irregular network. The papillary layer is relatively thin and includes the substance of the der- mal papillae and dermal ridges. It contains blood vessels that serve but do not enter the epidermis. It also contains nerve processes that either terminate in the dermis or penetrate the basal lamina to enter the epithelial compartment. Because the blood vessels and sensory nerve endings are concentrated in this layer, they are particularly apparent in the dermal papillae.
• The reticular layer lies deep to the papillary layer. Although its thickness varies in different parts

Hiatt
Dermis
-Located deep to the epidermis, and separated from it by a basement membrane, the dermis is derived from mesoderm and is composed mostly of dense irregular collagenous connec- tive tissue. It contains capillaries, nerves, sensory organs, hair follicles, sweat and sebaceous glands, as well as arrector pili muscles It is divided into two layers: a superficial papillary layer and a deeper ret

1. Papillary layer
(Thick skin): Is comprised of loose connective tissue containing capillary loops and terminals of mechanoreceptors. These dermal papillae interdigitate with the epidermal ridges of the epidermis. These interdigitations are very prominent in thick skin.

(Thin skin): The papillary layer is comprised of the same loose connective tissue as in thick skin. However, its volume is much reduced. The depth of the dermal/epidermal interdigitations is also greatly reduced.

2. Reticular layer
(Thick skin): Is composed of dense irregular collagenous connective tissue containing the usual array of connective tissue elements, including cells, blood, and lymphatic vessels.
Sweat glands and cutaneous nerves are also present and their branches extend into the papillary layer and into the epidermis.

(Thin skin): Same as in thick skin with the addition of.
Sebaceous glands and hair follicles along with their arrector pili muscles are observed.

----The dermis of the skin, lying directly deep to the epi- dermis, is derived from mesoderm. It is composed of dense, irregular collagenous connective tissue containing mostly type I collagen and numerous elastic fibers that assist in securing the skin to the underlying hypodermis.
• The dermis is subdivided into a loosely woven papil- lary layer (composed of primary and secondary dermal ridges), a superficial region that interdigitates with the epidermal ridges (and interpapillary pegs) of the epi- dermis, and
• a deeper, coarser, and denser reticular layer. The interface between the papillary and reticular layers is indistinct.
• Dermal ridges (as well as secondary dermal ridges) display encapsulated nerve endings, such as Meissner’s corpuscles, as well as capillary loops that bring nour- ishment to the avascular epidermis.

Moore
Dermis
The dermis develops from mesenchyme, which is derived from the mesoderm underlying the surface ectoderm (see Fig. 19-1A and B). Most of the mesenchyme that differentiates into the connective tissue of the dermis originates from the somatic layer of lateral mesoderm; however, some of it is derived from the dermatomes of the somites (see Chapter 14). By 11 weeks, the mesenchymal cells have begun to produce collagenous and elastic connective tissue fibers (see Fig. 19-1D). As the epidermal ridges form, the dermis projects into the epidermis, forming dermal ridges that interdigitate with the epidermal ridges (see Fig. 19-2). Capillary loops (endothelial tubes) develop in some of these ridges and provide nourishment for the epidermis. Sensory nerve endings form in others. The developing afferent nerve fibers apparently play an important role in the spatial and temporal sequence of dermal ridge formation. The development of the dermatomal pattern of innervation of the skin is described in Chapter 16.
The blood vessels in the dermis begin as simple, endothelium-lined structures that differentiate from mesenchyme. As the skin grows, new capillaries grow out from the primordial vessels (angiogenesis). Such capillary-like vessels have been observed in the dermis at the end of the fifth week. Some capillaries acquire muscular coats through differentiation of myoblasts developing in the surrounding mesenchyme and become arterioles and arteries. Other capillaries, through which a return flow of blood is established, acquire muscular coats and become venules and veins. As new blood vessels form, some transitory ones disappear. By the end of the first trimester, the major vascular organization of the fetal dermis is established.

Langman's

The dermis is derived from the mesenchyme. During the 3rd and 4th months this tissue, the corium, forms many irregular papillary structures, the dermal papillae, which project upward into the epidermis. These papillae usually contain a small capillary or a sensory nerve end organ. The deeper layer of the dermis, the subcorium, contains large amounts if fatty tissue.

Similar Documents

Premium Essay

Foster Care

...for you. http://www.nrcyd.ou.edu/psych-med-youth-guide a Making Healthy Choices: A Guide on Psychotropic Medications for Youth in Foster Care 2012 The contents of this guide are for informational purposes only and do not substitute for professional medical advice. DOING WHAT YOU CAN TO FEEL YOUR BEST Everyone can benefit from learning what to do to be healthy. Young people in foster care have a lot of stressful things to deal with in their lives. Often they hurt a lot inside. Sometimes their coping skills are overwhelmed. They may need extra help in figuring out how to handle their feelings and improve their health. Teens who are sad or angry may feel better if they talk to someone they trust, do a favorite hobby, or exercise or play sports. Youth who feel really bad or act in unexpected ways often need help and support from other people. Sometimes, they need therapy and/or medication that can help them control their emotions and behaviors. When you’re hurt, there are often several things you can do to feel better. Imagine you fall and hurt your ankle—you can take a pain reliever, avoid walking on it, and/or apply ice. In the same way, when you hurt a lot inside, you can take medication, avoid activities that make the condition worse, and/or look for positive activities that help you balance your feelings. I can lp. Get H e EEL I CAN F . t my B es http://www.nrcyd.ou.edu/psych-med-youth-guide WHAT’S IN THIS GUIDE...

Words: 6359 - Pages: 26

Premium Essay

Becoming A Assistant

... Becoming a surgeon is tough with a fast paced working environment. It takes a lot of schooling, 4 years of regular school, 4 years of med school, and 4-8 years of hospital residency. But the salary is great with $512,000 a year. To become a surgeon, you need to be on the ball at all times. You need to know almost every surgery in your area. Say if you are a cardiothoracic surgeon, you need to know how to do a valve repair, a thoracotomy, and etc. You need to handle situations carefully, but also be quick about it. In the middle of surgery, you can’t forget a part or you might kill the patient! If the patient goes into b-fib, you have to know what to charge the paddles to. If you charge them at a low number, chances are that person is going to die. That’s why you go into 8 years of schooling....

Words: 523 - Pages: 3

Premium Essay

Med's Monologue

...I feel very raw right now. This past week has been rough. I have depression and over the last year the anxiety has crept in and if you have ever had anxiety you wouldn't wish it on you worst enemy. I take my "MED'S" like a good productive adult so I can be "normal". But the meds helped with my depression but the anxiety still took over. So me this normal mother of two amazing boy and a husband who loves me more than words could ever describe. I started smoking pot.... I'm not ashamed I'm not this horrible person I didn't do it to hurt anyone. But I will tell you I have never been judged more from people and friends for being honest about what I was doing. And I have become very angry with family and friends who thought I was just...

Words: 369 - Pages: 2

Premium Essay

Nursing Is

...Nursing Is… There was never a time in my life I didn’t know I wanted to be a nurse. From a young age I feel I have taken the necessary steps to prepare myself for a career in the growing field. My dream on becoming a nurse was highly influenced by my mother who worked in labor and delivery for most of her career. Growing up I would often say “I wanted to be just like her”. At that age I was very clueless as to what a nurse entailed but my desire for nursing grew with the experiences I have encountered during the years. I attended a Technical High School, and chose Health Occupations as my Vocational Major. Throughout my 4 years at Whittier I experienced the fundamentals of the health care industry, participated in the Nurse’s Aide Training Program, obtained my credentials as a Certified Nursing Assistant.. I graduated in 2007 among the top 20 in my class of 350 students, with a 3.54 GPA. I thoroughly enjoyed my time and feel it provided me with a concrete foundation for which I could build upon. Out of high school I continued working as a CNA in a nursing home / rehabilitation facility, where I worked with the Registered Nurses on staff to monitor, treat and care for patients. I enjoyed working closely with the patients and took an immense amount of pride in the job I did. Currently I work in Boston. I float to various floors in the hospital expanding upon my knowledge and skill level. Working here I’ve surrounded myself competent and powerful nurses that exceed...

Words: 898 - Pages: 4

Premium Essay

Vocabulary

...OG at blive BETYDNING TERM at modtage to receive (a letter, an invitation, a present) at opnå to obtain (a goal) to win (a prize, recognition) to gain (importance) at udvikle over tid to acquire (a reputation, a skill) to develop (a taste) at tjene to earn (money) at føde et barn to give birth (to a baby) to bear (a child) at straffes to be given (a sentence) to be sentenced (to life imprisonment) to be punished (by one’s mother) at erhverve to buy (a dress) to come by/across (a painting) to pick up (good furniture) at spise/drikke to eat, to drink to have a bite to eat, to have a drink at få succes to succeed (in life) at få arbejde to find (work) at få fri to finish (work, school) at få lov to be allowed (to eat candy) to be permitted (to watch a movie) at få magt to attain power (over the rebellions) at få sin vilje to have one’s own way/head (in the end) to have one’s will (of a woman) Page 1 of 2 VERBERNE at få OG at blive at have at gøre med to deal with (a law firm) at få/have ondt to feel pain (in the stomach) at få fortalt/finde ud af to learn (about human anatomy) to know (the truth) to be told, informed (about the earth quake in China) to find out (about a friend’s infidelity) at fjerne to remove (all traces of a crime, nail polish) to take away/out (the spot, the trash) to eliminate (an enemy) at ægte to marry (a woman) to be...

Words: 395 - Pages: 2

Premium Essay

Med-A Character Analysis

...Ralph was a proud man and a good student. He needed someone to understand why he was having a difficult time concentrating, and why his answers didn't always match their questions. Ralph needed someone to help him back up rather than keep him down, but that someone was nowhere to be found on Med-A. In comparison to Frankie Moore, Ralph's problems were minimal. After the first few days on the rotation, we learned Frankie had missed six months during his third year because of a nervous breakdown. Frankie spent a considerable amount of that time in an inpatient facility in the southern part of the state, after which he started outpatient psychotherapy at Keystone before returning to his third-year rotations. Frankie still required hefty doses of major tranquilizers, but his psychiatrist felt he was ready to return to the battlefield. I could only assume our team leaders were either unaware of Frankie's condition or unsympathetic to it because they seemed to go out of their way to make things tough for him. Frankie could do no right...

Words: 1755 - Pages: 8

Free Essay

My Journey

...1992 NBA Finals, I was eight years old and from that moment on I breathed basketball. Everyday after school I ran in the house completed my choirs and ran back out the door to play basketball. That was my life for next seven years. During middle school there was a bit of a buzz in my neighborhood about how good I had become and a lot people wanting to see play at the high school level. I don’t want to toot my own horn but I excelled at that level as well my freshman and sophmore years then my attention began shift. Basketball was no longer my first love, I really started to pay more attention to the ladies. My junior and senior year I made the team but quit both times my focus was elsewhere, if I could do it all over again I would marry my basketball. ​After high school I immediately starting working for a steel mill company, it wasn’t hard work but working in the elements the heat, cold, etc it takes a toll on you day in and day out. One year later I found myself in an Airforce recruiter’s office inquiring about joining the military. The recruiter denied me because of medical reasons, so over the next 4 years I worked for three different companies as a forklift operator. I found very little pleasure in being a forklift operator but I did enjoy all the learning and life experiences along the way. I got to a point where I had had enough didn’t like my job, personal life was a mess, so I decided I needed a change of scenery. I found myself in a familiar place again, a recruiter’s...

Words: 1083 - Pages: 5

Free Essay

Danish Foorno

...skal skrive hvilket spørgsmål, I svarer på, og I skal svare på det rigtige antal spørgsmål. 2. Spørgsmålenes længde. * Hold dig til den ordgrænse der opgives! 3. Citater. * Husk at citere fra teksterne for at underbygge din tolkning og analyse og for at underbygge den redegørelse og diskussion. * Du skal være opmærksom på, at dine citater ikke bliver for lange – det er jo dit sprog censorerne skal vurdere * Anførselstegn skal være korrekte ”…..”, og der skal angives linjehenvisning i enten parentes (bagved citatet) eller nederst på siden som en fodnote. 4. Layout. * Der skal være margin. * Afsnittene adskilles ved linjeskift – lad være med at lave for meget luft imellem afsnittene. Hvis delopgaverne skal besvares separat, skal dette selvfølgelig tydeliggøres. * SKRIV MED 1 ½ LINJEAFSTAND. SPROG. * Du skal bruge dit eget sprog og ikke tekstens sprog!!! Enkelte gloser fra teksten må man selvfølgelig gerne bruge, men pas på. Det er dit sprog man gerne vil have et indtryk af – ikke tekstens. * Dit sprog skal være sammenhængende og bestå af både hoved- og bisætninger. Løse bisætninger, der står og flakser uden hovedsætning, er forbudt. * Husk også at bruge det gode gamle punktum, hvis der ikke er bindeord mellem sætningerne: f.eks. Suddenly everything changed. She had to leave him : punktum eneste løsning. Men man kunne sætte en konjunktion (bindeord) ind og så bruge komma: Suddenly everything changed, and she had to leave him ...

Words: 1667 - Pages: 7

Free Essay

Resume

...am a student athlete looking to pursue a career in the physician’s assistant field. Throughout my life and the experiences that continue to come along with it, I have acquired the skills needed to accomplish any job or task at hand. Professional Experience New York Sports Club – Commack, New York June 2012 to Current Front Desk * Welcoming and checking in members and guests * Providing a welcoming environment * Answering telephone calls, communication skills * Providing help and assistance with any questions/problems. * Client relations * Pays attention to detail * Dependability * Strong clinical judgment Island East Finishing – Shirley, New York May 2011 to Current Workers Assistant * Assistance in general construction and home renovations * Hard worker * Prioritizing/managing deadlines * Always prepared * Outstanding attitude Education Harborfields High School Greenlawn, New York High School Advanced Regents Diploma, Graduated 2009 * Best Buddies Club * Future Teachers Club * Highest Team Academic Average in New York State (2008 & 2009) * All-League High School Baseball (11th & 12th Grade) * Senior Athletic Award (12th Grade) * Athletes Helping Athletes * Helping Hands Community Service Dowling College Oakdale, New York Attended 2009-2012, Pre-Med * 2 years of play, competing at Division 2 level * Make a Wish community service ...

Words: 315 - Pages: 2

Premium Essay

Econ Project 1

...finished a course in Business Economics my niece Jenny has asked me advice on if she should become a doctor she felt I was the best person to ask advice about whether or not to pursue her career choice in becoming a doctor. She also wanted to get my opinion if she did become a doctor what demographic location in my experience should she look into. I wanted to provide her with the best possible information possible. This is the research I have found on this matter. This information should help guide her in the decision if she chooses her career path in this profession or chose another profession. Relevant Economic Principles: Determinants of Demand, Supply, etc. and Relevant Data [pic] Source: More Minorities Apply and Enroll to Med School. University Business, Dec2004, Vol. 7 Issue 12, p20-20, 2/5p, 1 Graph Graph; found on p20...

Words: 1714 - Pages: 7

Free Essay

Stx. B

...Engelsk Delprøve 1 A 1) The girl showed very clear signs that she had been deeply hurt by her brother’s remarks. Når man på engelsk burger dated eller før datid skal man ændre verber til at være ”to have” 2) “The trailer for Sex and the City 2 was released this week, and it’s rather bad, I’m afraid,” he said. Vi har at gøre med et subjekt i ental og det skal derfor være was. 3) A man, who turns out to be his old friend from school, disturbs Gordon’s quiet evening. Vi skal bruge det pronomen man burger når man henviser til personer 4) The last thing he said was “I look forward to seeing you next Thursday!” Når man bruger ord såsom “look” skal det atlid følges op med af ing-formen. Altså seeing. 5) She had a lot of money and was very generous with it. Penge er et utælleligt substantiv man skal derfor sige it og ikke them. 6) Living in a cottage was very typical of people in the beginning of the 17th century Man bruger “typical” I sammenhæng med et adjektiv. 7) “I didn’t think that I’d get caught,” the journalist said at the hearing. Man kan ikke have to verber stående I datid og “didn’t” angiver at der er tale om datid. B ------------------------------------------------- Adjektiv Verbum Substantiv ------------------------------------------------- Difficult ...

Words: 979 - Pages: 4

Premium Essay

Medical Field Career Analysis

...been hit by the sickness of my grandmother this had been a difficult time in my high school career. Prior to what i have known about being a doctor i never had the experience to follow a doctor and get more in depth about the medical field. On the daily basis where i would go into the hospital and watch my grandmother in the icu unit i would watch and observe. Weather it had been vital signs or coughing and her oxygen levels going up and down ventilator i would always call out the nurse when something alerted me to be wrong. During my time spent and beaumont royal oak watching and waiting for progression on my grandmother my passion for the medical field had deepened. Throughout the whole 3 month long stay at beaumont i had...

Words: 511 - Pages: 3

Premium Essay

Mega

...(Last updated April 2010) Königinstraße 5 80539 München Tel.: (089)2888-0 http://munich.usconsulate.gov DOCTORS AND MEDICAL SERVICES – MUNICH The U.S. Consulate General Munich, Germany, assumes no responsibility or liability for the professional ability or reputation of, or the quality of services provided by, the following persons or clinics. Inclusion on this list is in no way an endorsement by the Department of State or the U.S. Consulate. Names are listed alphabetically, and the order in which they appear has no other significance. The information in the list on professional credentials, areas of expertise and language ability are provided directly by the physicians. You may receive additional information about individuals by contacting the local medical association (or its equivalent) or the local licensing authorities. NOTE: Medical service in Germany is of a high standard. Charges for private patients can be approximately the same as those assessed in the United States but vary from physician to physician. University professors are likely to charge higher fees than other doctors on the list. These fees, however, in view of the physicians’ standing in the medical community are not considered excessive. Tourists should be prepared to pay in cash when they visit a doctor. For hospital admittance, except in emergency cases, a deposit is usually required to cover a five day stay. All cities, town and rural areas in Bavaria will have University, City...

Words: 7722 - Pages: 31

Free Essay

My Disorder

...enjoy it! And here is my profile on the NJCTS website. It’s hard for me to talk about my life with Tourette. For years, I shut everyone out and became enraged if my family even said that word out loud. I know my mom was always trying to help — all the times she tried to show me the stories on TV and the movies about kids with Tourette. She’d talk about the soccer player and the drummer and other people who had my disorder and accomplished things. She’d try to introduce me to others who had Tourette, which only made me rage more because I wanted no part of it. It was always in my face growing up, and all I wanted to do was slam the door shut and never come out. I made noises all the time. I made terrible noises such as barking like a dog and snorting like a pig. I couldn’t stop, and people noticed. Bullies made fun of me at the playground, and I never wanted to go back. My tics ruled my life growing up. I couldn’t stop moving and twitching, and I was totally aware of everything my body was doing — and all the people who could see me. I was so angry that there was nothing I could do about it that I would rage all over my mom when I got home. She would be so nice to me, and all I would do was rage. She raised me and my brother alone and had no one to lean on, and all I would do was rage on her. Afterward, the feelings of guilt for how I treated her would eat away at me. That was my life growing up. Even hiding inside didn’t change anything. The tics were like my shadow...

Words: 811 - Pages: 4

Premium Essay

Pepper Corn Hastle

...leading to increased morbidity and mortality. The unique combination of various risk factors necessitates research studies to make appropriate risk assessment tools to control this diabetes pandemic. Better understanding of aetio-pathological genetic and environmental factors are suggesting prevention should begin much before the start of disease process and interventions in high-risk subjects alone will not be sufficient. It is necessary to initiate population based programmes for primary prevention of diabetes including a range of activities targeted at different age groups from fetal life to old age. Synchronized and coordinated efforts from public and private sectors are needed to combat this mammoth health and economic issue. Key words: Diabetes, Pakistan, Introduction: Escalation in rates of diabetes, especially type 2 diabetes in Pakistan is posing threats to the economy and quality of life of people due to poor glycemic control and very high rates of complications (1-6). Cost of care is estimated to be very high. Resource constraints society, lack of medical reimbursement and insufficient allocation of health budget are barriers to quality care. Most often the patient is unable to afford the high cost of treatment (7-9). This review was conducted to study research evidence...

Words: 7881 - Pages: 32