ANATOMY AND PHYSIOLOGY LAB. EXERCISE
DAVAO CENTRAL
COLLEGE, INC.
Juan Dela Cruz St., Toril, Davao City
ANATOMY AND PHYSIOLOGY
Name: April G. Datahan Date: February 20, 2014
Year
and Course: BSED-III Rating:
Laboratory Exercise
No. 1
The Integumentary
System
I.
Objective:
a.
To
be able to identify the functions, parts, role, structures and layers of the
skin
b.
To
be able explain the development of fingerprints and the effect of excessive
exposure to the sun
c.
To
be able to draw and label the structure of the skin
d.
To
be able to reflect on the significance of the integumentary system on the human
body
II. Introduction:
Integumentary? That's a big word to describe
something as simple as your skin.
First, the skin is not all that simple. Second, integumentary systems take a
wide variety of forms in animals across the world. Just think about the
differences in the skin of a fish, a frog, a lizard, a bird, and a mammal.
Scales, slime, feathers, and hair are all parts of the integumentary systems
for animals. Your parts include the basic types of skin, hair, fingernails,
oil, and sweat glands. They are found in integument layers called the epidermis,
dermis, and subcutaneous.
III.
Drawing with label:
IV.
Questions and
Answers:
1. 1. Explain
the structure of the skin: cell types, layers of the epidermis, and zones of
the dermis.
Cell Types:
Keratinocytes: The most numerous cells are the keratinocytes which produce
keratin, a fibrous protein responsible for protective properties of the
epidermis. They arise from the deepest part of the epidermis from cells
undergoing almost continuous mitosis. The keratinocytes are organized into 4-5
cell layers depending on body location. By the time the cells reach the surface
of the skin, they are dead, scale-like structures. Every 35-45 days a totally
new epidermis occurs. In areas of highest friction ( hands, feet) both cell
production and keratin formation is accelerated.
Melanocytes: located at the base of the epidermis. Specialized cells that
synthesize the pigment melanin. Melanin protects the cell nucleus from the
destructive effects of UV radiation. Since all humans have the same relative
number of these cells, individual and racial differences in skin coloring are
probably due to differences in melanocyte activity.
Langerhans cells: arise from the bone marrow and migrate to the epidermis and other
areas of the body containing stratified squamous epithelial tissue. They are macrophages and cooperate with T helper cells to assist in the immune
response.
Merkel cells: present in small numbers at the epidermal-dermal junction.
Associated with a disc-like ending of a sensory nerve fiber, called a Merkel
disc, which functions as a sensory receptor.
Layers of the Epidermis:
In thick skin (palms, fingertips, soles of feet) the epidermis consists of five layers or strata: (from deep to superficial) stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, stratum corneum. Thin skin, which covers the rest of the body has only 4 layers, with the stratum lucidum absent.
Stratum basale: single layer of cuboidal to columnar shaped cells. It is separated
from the dermis by the basement membrane. Some cells move toward the surface
while others migrate into the dermis and gives rise to sweat and oil glands.
Many mitotic cells are seen. About 25% of the cells in this layer are
melanocytes.
Stratum spinosum: contains 5-10 rows of cells fitted closely together. The surface
of the cells display minute spiney projections. Mitosis occurs here but not as
frequently. Langerhans cells are scattered among the keratinocytes. Because
cells superficial to this layer do not receive adequate nutrients, they become
less viable and finally begin to die.
Stratum granulosum: thin zone consisting of 3-5 layers of flattened cells.
Keratinization begins in this third epidermal layer. The plasma membranes of
these cells also thicken so that they become more resistant to destruction.
Langerhans cells are also found in this layer. At the upper border of this
layer, the cells die and lysosomes begin to digest their organelles.
Stratum lucidum (clear
layer): translucent band just above the S. granulosum. Consists of a few
rows of flattened dead keratinocytes with indistinct boundaries. Present only
in thick skin.
Stratum corneum: outermost layer; a broad
zone 20-30 cell layers thick. Accounts for about 3/4 of the epidermal
thickness. The shingle-like dead cells are remnants, completely filled with
keratin fibrils, and are referred to as cornified or horny cells. Keratin
provides a durable abrasion resistant and water-repellent "overcoat"
protecting deeper cells from the environment.
Zones of the Dermis:
Papillary: Thin superficial layer of loose connective tissue fibers. Forms a
loosely woven mat that is heavily invested with blood vessels. Its superior
surface is thrown into nipple-like projections called dermal papillae, that
indent the epidermis above. Many dermal papillae contain capillary loops;
others house free nerve endings and touch receptors (Meissner's corpuscles). On
the ventral aspect of the hands and feet, the papillae are arranged in definite
patterns that are reflected in the conspicuous looped and whorled ridges which
enhance the gripping ability of the fingers and feet.
Reticular: accounts for about 80% of the dermis and is a typical dense irregular connective tissue. It
contains bundles of interlocking collagen fibers that run in various planes
parallel to the skin surface. The fibers interlace in a netlike manner with the
spaces between the fibers occupied by a small amount of adipose tissue, hair
follicles, nerves, oil glands and ducts of sweat glands. The connective tissue
fibers of the dermis give skin its strength and resiliency. Collagen binds
water, thus helping to maintain the hydration of the skin. The reticular region
is attached to underlying organs (bones, muscles) by the subcutaneous layer.
2.
Explain each of the functions of the skin
The
integumentary system has many functions, most of which are involved in
protecting you and regulating your body’s internal functions in a variety of
ways:
·
Protects
the body's internal living tissues and organs
·
Protects
against invasion by infectious organisms
·
Protects
the body from dehydration
·
Protects
the body against abrupt changes in temperature
·
Helps
dispose of waste materials
·
Acts
as a receptor for touch, pressure, pain, heat, and cold
·
Stores
water and fat
In summary, our skin provides sensation,
protection, thermoregulation and secretion of wastes.
3.
List the organs/derivatives of the integumentary system
Hair: functions include protection
& sensing light touch.
Hair is composed of columns of dead, keratinized cells bound together by extracellular proteins. Hair has two main sections: The shaft- superficial portion that extends out of the skin and the root- portion that penetrates into the dermis. Surrounding the root of the hair is the hair follicle. At the base of the hair follicle is an onion-shaped structure called the bulb Papilla of the hair and the matrix within the bulb produce new hair.
Hair is composed of columns of dead, keratinized cells bound together by extracellular proteins. Hair has two main sections: The shaft- superficial portion that extends out of the skin and the root- portion that penetrates into the dermis. Surrounding the root of the hair is the hair follicle. At the base of the hair follicle is an onion-shaped structure called the bulb Papilla of the hair and the matrix within the bulb produce new hair.
Nails: participate in the
grasp & handling of small things.
Nails are plates of tightly packed, hard, keratinized epidermal cells.
The nail consists of:
Nails are plates of tightly packed, hard, keratinized epidermal cells.
The nail consists of:
- nail root: -the portion of the nail under the skin,
- nail body: -the visible pink portion of the nail, the white
crescent at the base of the nail is the lunula, the hyponychium secures
the nail to the finger, the cuticle or eponychium is a narrow band around
the proximal edge of the nail and
- free edge: -the white end that may extend past the finger.
Glands: participate in
regulating body temperature.
There are three main types of glands associated with the integument:
There are three main types of glands associated with the integument:
- Sebaceous - Oil glands. Located in the dermis, and secrete
sebum.
- Sudoriferous - Sweat glands. Divided into two main types:
- Eccrine - Most common, main
function is regulation of body temperature by evaporation, and
- Apocrine - Responsible for
“cold sweat” associated with stress.
- Ceruminous – Lie in subcutaneous tissue below the dermis,
secrete cerumen (ear wax) into ear canal or sebaceous glands.
4.
Explain the role of dermis in relation to the epidermis
The dermis is a layer of skin between the epidermis (with which it makes up the cutis) and subcutaneous tissues, that consists of connective tissue and cushions the body from stress and strain. It is divided into two layers, the superficial
area adjacent to the epidermis called
the papillary region and a deep thicker area known as the reticular dermis. The dermis is tightly connected to the epidermis through a basement membrane. Structural
components of the dermis are collagen, elastic fibers, and extra fibrillar
matrix. It also contains Mechanoreceptors that provide the sense of touch and heat, hair follicles, sweat glands, sebaceous glands, apocrine glands, lymphatic vessels and blood vessels. Those blood vessels provide nourishment and waste removal for both dermal and epidermal cells.
5.
Differentiate between the structure and function of each of the
following types of glands in the skin:
Eccrine sweat glands are coiled tubular glands derived leading
directly to the most superficial layer of the epidermis (out layer of skin) but
extending into the inner layer of the skin (dermis layer). They are distributed
over almost the entire surface of the body in humans and many other species,
but are lacking in some marine and fur-bearing species. The sweat glands are
controlled by sympathetic cholinergic nerves which are controlled by a center
in the hypothalamus. The hypothalamus senses core temperature directly, and
also has input from temperature receptors in the skin and modifies the sweat
output, along with other thermoregulatory processes.
On the other hand, Apocrine sweat glands only develop during early- to mid-puberty
(approximately age 15) and release more than normal amounts of sweat for
approximately a month and subsequently regulate and release normal amounts of
sweat after a certain period of time. Apocrine
sweat glands produce
sweat that contains fatty materials. These glands are mainly present in the
armpits and around the genital area and their activity is the main cause of
sweat odor, due to the bacteria that break down the organic compounds in the
sweat from these glands. Emotional stress increases the production of sweat
from the apocrine glands, or more precisely: the sweat already present in the
tubule is squeezed out. Apocrine sweat glands essentially serve as scent
glands.
The sebaceous glands are glands found in the
skin of mammals. They secrete an oily substance called sebum (Latin, meaning fat or tallow) that is made of fat (lipids) and the debris of dead
fat-producing cells. These glands exist in humans throughout the skin except in
the palms of the hands and soles of the feet. Sebum acts to protect and
waterproof hair and skin, and keep them from becoming dry, brittle, and
cracked. It can also inhibit the growth of microorganisms on skin. It can
usually be found in hair-covered areas where they are connected to hair
follicles to deposit sebum on the hairs, and bring it to the skin surface along
the hair shaft. The structure consisting of hair, hair follicle and sebaceous
gland is also known as pilosebaceous
unit.
Sebaceous glands are also found in non haired areas of lips, eyelids, penis,
labia minora and nipples; here the sebum reaches the surface through ducts. In
the glands, sebum is produced within specialized cells and is released as these
cells burst; sebaceous glands are thus classified as holocrine glands, while
the earwax, also known by the medical term cerumen or the cerumen
gland, is a yellowish, waxy substance secreted in the ear canal of
humans and many other mammals. It plays a vital role in the human ear canal,
assisting in cleaning and lubrication, and also provides some protection from
bacteria, fungus, and insects. A comprehensive review of the physiology and
pathophysiology of cerumen can be found in Roeser and Ballachanda. Excess or
impacted cerumen can press against the eardrum and/or occlude the external
auditory canal and impair hearing.
And lastly the mammary glands are the organs that, in the female mammal, produce milk for the
sustenance of the young. These exocrine glands are enlarged and modified sweat
glands and are the characteristic of mammals which gave the class its name. The
basic components of the mammary gland are the alveoli (hollow cavities, a few
millimetres large) lined with milk-secreting epithelial cells and surrounded by
myoepithelial cells. These alveoli join up to form groups known as lobules, and each lobule has a lactiferous duct that drains into openings in the nipple. The myoepithelial cells
can contract, similar to muscle cells, and thereby push the milk from the alveoli
through the lactiferous ducts towards the nipple, where it collects in
widenings (sinuses) of the ducts. A suckling baby essentially squeezes
the milk out of these sinuses.
6. Name the layers of the
skin where most of the accessory glands are located in adult.
Glands in the Skin – The skin contains
a number of exocrine glands
1. Sebaceous glands
a.
Holocrine glands which
discharge an oily secretion called sebum.
b.
The gland cells
originate in the periphery of the gland. As they mature, the cells manufacture sebum,
a mixture of triglycerides, cholesterol, proteins and electrolytes.
c.
As the cells reach the
opening or lumen of the gland, they rupture releasing their product (holocrine
secretion).
d.
There are two types of
sebaceous glands:
i. Simple branched alveolar glands – empty their secretion into the follicle of a hair.
ii. Sebaceous follicles – large sebaceous glands that are connected directly to the epidermis and are not associated with a hair. They are found in the skin of the face, back, chest and nipples.
i. Simple branched alveolar glands – empty their secretion into the follicle of a hair.
ii. Sebaceous follicles – large sebaceous glands that are connected directly to the epidermis and are not associated with a hair. They are found in the skin of the face, back, chest and nipples.
e.
Sebum functions by
lubricating the skin and retarding the growth of bacteria.
2. Apocrine glands
a.
Located in the armpits,
groin and around the nipples.
b.
They produce a sticky,
cloudy, odorous secretion into a hair follicle.
c.
These secretions become intensified
at the time of puberty under the influence of the nervous and endocrine
systems.
3. Merocrine (eccrine) sweat glands
a.
Very numerous. In the
adult, the skin may contain 2 to 5 million merocrine glands per square inch.
Palms and the soles of the feet have the highest concentration.
b.
Merocrine glands are
smaller than the apocrine glands.
c.
They produce a watery
sweat containing electrolytes, lysozymes, antibodies and other ingredients.
d.
The functions of these
glands include:
i.
Removing heat from
body’s surface to lower body temperature. During periods of extreme sweating,
the rate of perspiration may exceed 1 gallon of water / hour.
ii. Excretion of water, electrolytes and nitrogenous wastes.
iii. Protection from chemical and microbial
ii. Excretion of water, electrolytes and nitrogenous wastes.
iii. Protection from chemical and microbial
7.
Explain the role of the hypodermis/superficial
fascia/ subcutaneous layer.
The hypodermis is the innermost and thickest layer of the skin. It
invaginates into the dermis and is attached to the latter, immediately above
it, by collagen and elastin fibres. It is essentially composed of a type of
cells specialised in accumulating and storing fats, known as adipocytes. These
cells are grouped together in lobules separated by connective tissue. The
hypodermis acts as an energy reserve. The fats contained in the adipocytes can
be put back into circulation, via the venous route, during intense effort or
when there is a lack of energy providing substances, and are then transformed
into energy. When we speak of "burning up calories", we are burning
up fats in particular. The hypodermis participates, passively at least, in
thermoregulation since fat is a heat insulator.
Superficial fascia is found in the subcutis in virtually all regions of the body, blending with the
reticular layer of the dermis. It is present on the face, over the upper portion of the sternocleidomastoid, at the nape of the neck, and overlying the sternum. It is mainly loose areolar connective tissue and adipose and is the layer that primarily determines the shape of a
body. In addition to its subcutaneous presence, this type of fascia surrounds organs and glands, neurovascular
bundles, and is found at many other locations where it fills otherwise
unoccupied space. It serves as a storage medium of fat and water; as a passageway for lymph, nerve and blood vessels; and as a
protective padding to cushion and insulate.
The
Subcutaneous layer is made up of subcutaneous tissue. It is the deepest
layer of the skin, mainly consisting of fat cells called adipose. Loss of
Subcutaneous layer causes facial sagging, leading to the formation of deep
wrinkles associated with old age and the process of aging. The fat cells work
as shock absorbers and they protect the body from mechanical trauma. They also
act as heat insulators and help in stabilizing the body temperatures stable.
8.
Using specific examples correlate the structure
of the skin with its function.
The skin helps our body moist and allows also
secretion of sweat. Even though when we are in extraneous work out our skin
does not become floppy because it is designed to become flexible but rigid in
nature for protection. When we have cuts our skin is the one that protects our
organs that is why it is the very external part of our body that protrudes
various kinds of infections or diseases in air. Both the structure and function
of the skin is designed to correlate and play important roles in our body. This
is the very significance of the skin.
9.
List, in order from the bottom, the layers of the
epidermis and distinguish each layer according to its structure and function.
Layers of the Epidermis:
In thick skin (palms, fingertips, soles of feet) the epidermis consists of five layers or strata: (from deep to superficial) stratum basale, stratum spinosum, stratum granulosum, stratum lucidum, stratum corneum. Thin skin, which covers the rest of the body has only 4 layers, with the stratum lucidum absent.
Stratum basale: single layer of cuboidal
to columnar shaped cells. It is separated from the dermis by the basement
membrane. Some cells move toward the surface while others migrate into the
dermis and gives rise to sweat and oil glands. Many mitotic cells are seen.
About 25% of the cells in this layer are melanocytes.
Stratum spinosum: contains 5-10 rows of
cells fitted closely together. The surface of the cells display minute spiney
projections. Mitosis occurs here but not as frequently. Langerhans cells are
scattered among the keratinocytes. Because cells superficial to this layer do
not receive adequate nutrients, they become less viable and finally begin to
die.
Stratum granulosum: thin zone consisting of
3-5 layers of flattened cells. Keratinization begins in this third epidermal
layer. The plasma membranes of these cells also thicken so that they become
more resistant to destruction. Langerhans cells are also found in this layer.
At the upper border of this layer, the cells die and lysosomes begin to digest
their organelles.
Stratum lucidum (clear layer): translucent band just above the S. granulosum. Consists of a few
rows of flattened dead keratinocytes with indistinct boundaries. Present only
in thick skin.
Stratum corneum: outermost layer; a broad zone 20-30 cell layers thick. Accounts for about 3/4 of the epidermal
thickness. The shingle-like dead cells are remnants, completely filled with
keratin fibrils, and are referred to as cornified or horny cells. Keratin
provides a durable abrasion resistant and water-repellent "overcoat"
protecting deeper cells from the environment.
10. Explain why the cells in the upper layers of
the epidermis die
-The upper layers of the epidermis die because of
the loss of nutrient supply as they get closer and closer to the surface of the
skin, and build up keratin inside them that leaks out into the area outside the
cells.
11. Explain the anatomical and physiological
differences between thick and thin skin.
- The terms thick and thin refer to the thickness
of the epidermis. Most of the body is covered by thin skin, which is 0.003
inches (0.08 millimeters) thick. This skin contains hair follicles, sebaceous
glands, and arrector pili muscles. The epidermis in thick skin may be six times
thicker than the epidermis that covers the general body surface. Thick skin
does not have hair, smooth muscles, or sebaceous glands. Thick skin on the
palms of the hands, the fingertips, and soles of the feet may be covered by many
layers of keratinized cells that have cornified.
12. Explain why the skin is a membrane and name
the type of membrane that it is.
Membranes are
thin layers of epithelial tissue usually bound to an underlying layer of
connective tissue. Membranes cover, protect, or separate other structures or
tissues in the body. The four types of membranes are: 1) cutaneous membranes;
2) serous membranes; 3) mucous membranes; and 4) synovial membranes.
The cutaneous membrane is skin. Skin
consists of a layer of stratified squamous epithelium (epidermis) firmly
attached to a thick layer of dense connective tissue (dermis). It differs from
other membranes because it is exposed to air and is dry.
The serous membranes (or serosae) consist
of simple squamous epithelium (a mesothelium) supported by a layer of
connective tissue (areolar). These moist membranes line the closed, internal
divisions of the ventral body cavity. The three types of serous membranes are:
1) the pleura, lining the pleural cavities and covering the lungs; 2) the
peritoneum, lining the peritoneal cavity and covering the abdominal organs; and
3) the pericardium, lining the pericardial cavity and covering the heart.
The mucous membranes (or mucosae) consist
of epithelial tissue (usually stratified squamous or simple columnar epithelia)
on a layer of loose connective tissue called the lamina propria (from the
Latin, meaning "one's own layer"). The mucosae line the body cavities
that open to the exterior, such as the digestive, respiratory, reproductive,
and urinary tracts. These membranes are kept moist by bodily secretions.
Synovial
membranes are composed of connective tissue. They surround the cavity of
joints, filling the space with the synovial fluid that they make. The synovial
fluid lubricates the ends of the bones allowing them to move freely.
13. Explain how fingertips develop.
Fingerprints follow
us our entire lives. Each little smudge singles us out as distinct individuals
among billions of other human beings -- or at least that's what we've always been
told.
Fingerprint ridges are formed during to the third or fourth month of
fetal development. A friction ridge is a raised portion
of the epidermis on the digits (fingers and toes),
the palm of the hand or the sole of the foot, consisting of one or
more connected ridge units of friction ridge skin. These are sometimes known as
"epidermal ridges" which are caused by the underlying interface
between the dermal
papillae of
the dermis and the inter-papillary (rete) pegs of the epidermis. These
epidermal ridges serve to amplify vibrations triggered, for example, when
fingertips brush across an uneven surface, better transmitting the signals to sensory nerves involved in fine texture perception. These ridges may also assist in
gripping rough surfaces and may improve surface contact in wet conditions.
Impressions
of fingerprints may be left behind on a surface by the natural secretions of
sweat from the eccrine
glands that
are present in friction ridge skin, or they may be made by ink or other
substances transferred from the peaks of friction ridges on the skin to a
relatively smooth surface such as a fingerprint card. Fingerprint records normally contain
impressions from the pad on the last joint of fingers and thumbs, although
fingerprint cards also typically record portions of lower joint areas of the
fingers.
14. Explain the effect of excessive exposure to
the sun on the skin.
Skin Cancer
Each year, more new
cases of skin cancer are diagnosed in the U.S. than new cases of breast,
prostate, lung, and colon cancer combined. One in five Americans will develop
skin cancer in their lifetime. One American dies from skin cancer every hour.
Unprotected exposure to UV radiation is the most preventable risk factor for
skin cancer.
Melanoma
Melanoma, the most
serious form of skin cancer, is now one of the most common cancers among
adolescents and young adults ages 15-29. While melanoma accounts for about
three percent of skin cancer cases, it causes more than 75 percent of skin
cancer deaths. UV exposure and sunburns, particularly during childhood, are
risk factors for the disease. Not all melanomas are exclusively
sun-related—other possible influences include genetic factors and immune system
deficiencies.
Nonmelanoma Skin Cancers
Non-melanoma skin
cancers are less deadly than melanomas. Nevertheless, they can spread if left
untreated, causing disfigurement and more serious health problems. There are
two primary types of non-melanoma skin cancers: basal cell and squamous cell
carcinomas. If caught and treated early, these two cancers are rarely
fatal.
·
Basal cell carcinomas are
the most common type of skin cancer tumors. They usually appear as small,
fleshy bumps or nodules on the head and neck, but can occur on other skin
areas. Basal cell carcinoma grows slowly, and it rarely spreads to other parts
of the body. It can, however, penetrate to the bone and cause considerable
damage.
·
Squamous cell carcinomas are
tumors that may appear as nodules or as red, scaly patches. This cancer can
develop into large masses, and unlike basal cell carcinoma, it can spread to
other parts of the body.
Premature Aging and Other Skin Damage
Other UV-related skin
disorders include actinic keratoses and premature aging of the skin. Actinic
keratoses are skin growths that occur on body areas exposed to the sun. The
face, hands, forearms, and the “V” of the neck are especially susceptible to
this type of lesion. Although premalignant, actinic keratoses are a risk factor
for squamous cell carcinoma. Look for raised, reddish, rough-textured growths
and seek prompt medical attention if you discover them.
Chronic exposure to the
sun also causes premature aging, which over time can make the skin become
thick, wrinkled, and leathery. Since it occurs gradually, often manifesting
itself many years after the majority of a person’s sun exposure, premature
aging is often regarded as an unavoidable, normal part of growing older.
However, up to 90 percent of the visible skin changes commonly attributed to
aging are caused by the sun. With proper protection from UV radiation, most
premature aging of the skin can be avoided.
Cataracts and Other Eye Damage
Cataracts are a form of
eye damage in which a loss of transparency in the lens of the eye clouds
vision. If left untreated, cataracts can lead to blindness. Research has shown
that UV radiation increases the likelihood of certain cataracts. Although
curable with modern eye surgery, cataracts diminish the eyesight of millions of
Americans and cost billions of dollars in medical care each year.
Other kinds of eye
damage include pterygium (tissue growth that can block vision), skin cancer
around the eyes, and degeneration of the macula (the part of the retina where
visual perception is most acute). All of these problems can be lessened with
proper eye protection. Look for sunglasses, glasses or contact lenses if you
wear them that offer 99 to 100 percent UV protection.
Immune Suppression
Scientists have found
that overexposure to UV radiation may suppress proper functioning of the body’s
immune system and the skin’s natural defenses. For example, the skin normally
mounts a defense against foreign invaders such as cancers and infections. But
overexposure to UV radiation can weaken the immune system, reducing the skin’s
ability to protect against these invaders.
V.
Reference/s:
Biology4kids.com.
Retrieved on February 20, 2014 from http://www.biology4kids.com/files/systems_integument.html
Retrieved on February
20, 2014 from http://sciencenetlinks.com/student-teacher-sheets/integumentary-system/
Retrieved on February
20, 2014 from http://sciencenetlinks.com/student-teacher-sheets/integumentary-system/
Retrieved on February
20, 2014 from http://www.augustatech.edu/anatomy/chapter5.html
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