2.4 Acute inflammation Flashcards
Cardinal signs of inflammation:
- reddening - increased blood flow to the area
- swelling - exudation of fluid from dilated blood vessels into the inflamed tissue
- increased heat - increased blood flow: the temp of the inflamed portion approximates to internal body temp
- pain - due to chemical mediators released into damged tissue, and by local pressure on nerve endings from the exudate
- loss of function - reluctance to use the inflamed portion
___ and ___ are the underlying mechanism in acute inflammation
vascular permeability and migration of white blood cells
____ is important in inflammation?
white blood cells, particularly macrophages
Inflammation can result from?
an immune response
ex: injury to tissues could arise from the mechanisms designed to protect them from irritant agents
Causes of inflammation:
- microorganisms and parasites
- Trauma: mechanical, chemical, and thermal insult
- Aberrant immune response: hypersensitivity and autoimmune disease
- malignant neoplasms
Classification of inflammation:
- acute
- chronic
**but with some overlap
acute:
sudden onset and may last for a few hours to a few days; vascular, humoral, and cellular alterations cause the 5 cardinal signs of inflammation as a result of exposure of tissues to injurious sunstances
sequelae:
- death
- resolve by regeneration in association with host defense mechanisms ( may be assisted by therapeutic measures)
- undergo repair by fibrosis
- become chronic - (goes through a subacute phase first), depending upon the persistence of the agent and the amount of damage
stages of acute inflammation Stage 1: vascular phase
- initial phase: transient (secs)
- arteriole constriction (white line)
- smooth muscle response - Hyperaemia = (mins - days)
- arteriole and capillary dilation
- chemical mediators
Normal Capillary bed =
- closed precapillary sphincter
- empty capillaries
Capillary bed in acute inflammation: chemical mediators
- damaged tissue and plasma cause the open precapillary sphincter
- most capillaries are full
- dilation
acute inflammation: chemical mediators leads to what?
Phase 2: exudative phase
- mast cells
Exudative phase: increased vascular permeability is due to?
endothelial cell contraction
Stage 2: exudative phase
- endothelial cell contraction is caused by histamine released by mast cells
- also direct endothelial injury:
- physical damage
- toxic agents
-infection - enzymes
- oxygen free radicals
exudative phase result:
escape (exudation) of protein-rich fluid from blood into surrounding tissue