2.1 Flashcards

1
Q

Tissue healing begins soon and occurs by

A

Regeneration and Repair

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2
Q

Regeneration

A

Regrowth of original tissue

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3
Q

Repair

A

Formation of connective tissue scar

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4
Q

Inflammatory cells begin healing by

A

Breaking down and removing necrotic tissue

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5
Q

With Fibronectin, Formation of a scaffold provides

A

Tensile strength and glue of other substances

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6
Q

Fibronectin provides

A

Structural support

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7
Q

Fibronectin binds to and stabilizes

A

Fibrin (blood clots)

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8
Q

Fibronectin attracts

A

Fibroblasts and macrophages

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9
Q

Fibronectin binds to _____________ and _________ healing tissue

A

Proteoglycans and collagen stabilizing

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10
Q

Proteoglycans are secreted by

A

Fibroblasts

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11
Q

Proteoglycans bind to

A

Fibronectin and collagen for stabilization

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12
Q

Proteoglycans hold

A

Water and hydrate tissue

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13
Q

Elastin is secreted by __________ and provides __________

A

Fibroblasts and provides tissue elasticity

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14
Q

Type I Collagen

A

mature scars, tendons and bones

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15
Q

Type II Collagen

A

Hyaline cartilage, growth plate

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16
Q

Type III Collagen

A

Vascular and visceral structures, fresh scars

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17
Q

What are the 4 phases of healing

A

hemostasis and degeneration, inflammation, proliferation and migration, remodeling and maturation

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18
Q

In hemostasis, the body tries to stop bleeding by initiating

A

Coagulation

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19
Q

Platelets release

A

Bioactive protein chemical messengers

20
Q

Growth factors stimulate proliferation and migration of

A

Epithelial cells, fibroblasts, and vascular endothelial cells

21
Q

Degeneration phase is characterized by

A

formation of a hematoma
necrosis of dead cells

22
Q

Tissue repair begins within __________ with the migration of _________ from margins of viable tissue

A

24 hours, fibroblasts

23
Q

Goal of Inflammation

A

replace injured tissue with healthy regenerated tissue, a fibrous scar, or both

24
Q

Inflammation begins when

A

Blood clot forms

25
Key molecular bioregulators of inflammatory phase
Growth factors, cytokines, chemokines
26
Temporary repair is initiated by
Coagulation and short term decreased blood flow
27
_________ occurs after cells have been injured or destroyed
Necrosis
28
In inflammation, oxygen is delivered via
Increased blood flow
29
Permanent repair is facilitated by
Creating a clean wound
30
Inflammation time frame
Day of injury to approximately day 10
31
Goal of proliferation and migration
To cover and impart strength to the injury site
32
Proliferation and migration time frame
Day 3 to approximately day 20
33
Angiogenesis
New blood vessel growth into the wound bed
34
Granulation tissue formation
New connective tissue and blood vessels that form on the surfaces of a wound
35
Wound Contraction
Existing tissue migrates, pulling the wound edges toward the center of the wound
36
In wound contraction, fibroblasts are transformed to
Myofibroblast
37
Epithelization
When epithelial cells meet at the center of the wound, the wound is covered with new skin, migration ends
38
Mature scars change from
Red to pink to white and from raised and rigid to flat and flexible
39
Remodeling and Maturation time frame
Approximately day 9 of injury up to 2 years
40
In remodeling and maturation, scar tissue is
Reduced and remodeled
41
Inflammatory Reactions Goals of inflammation
Subdue any infection Remove necrotic debris resulting from the original injury Restore normal function
42
Exudate
An extravascular fluid that contains a high protein and cellular debris
43
Events of Inflammatory reactions
Vasodilation (after transient vasoconstriction) Increased vascular permeability Movement of WBCs from blood vessels into soft tissue at the site of inflammation
44
Acute inflammation characteristics
Exudation and neutrophils
45
Acute inflammation functions
Prevent excessive blood loss Destroy or eliminate causative agents such as bacteria Eliminate Debris
46
Chronic inflammation involves
Lymphocytes and macrophages