4- Injury, Inflammation, & Healing Flashcards
Define Ischemia
lack of blood supply to organ or tissue
most vulnerable tissue to ischemia
Brian (stroke)
brain uses about ____% of blood O2
20
Myocardium (heart muscle) ischemia leads to
Myocardial infarction
least vulnerable tissue to ischemia is
liver
what type of tissues is very vulnerable to ionizing radiation
Tissue with high mitotic rates (liable tissue)
liable tissue includes
Blood cells, gonads, hair follicles, & epithelial cells
Radiation effect on blood cells
can lead to leukemia
define leukemia
cancer that produces immature WBC’s or abnormal mature WBC’s which, stop the bone marrow from producing normal blood
Most vulnerable tissue to radiation is
GI tract
attraction of cells to a particular virus is called
Tropism
Viruses are (Extracellular/intracellular)
intracellular
HIV attacks which cells?
CD4 receptor cells
CD4 receptor cells includes
T-helper, Macrophages
Polio virus aka
Poliomyelitis
Polio virus (Poliomyelitis) – resides in
Anterior horn of the spinal cord
Polio virus (Poliomyelitis) effect on the area it hits
interrupting motor and trophic functions
Rabies is Transferred via
Animal bite
Rabies only cure is
vaccination
Rabies is associated with
Fear of water (Hydrophobia)
Acute Inflammation signs and symptoms:
• Rubor (redness) • Calor (heat) • Dolor (pain) • Tumor (swelling)
what did Galen add later to the inflammation symptoms
Functio Laesa – loss of function
describe the pathway of Micro-circulation
Arterioles -> Capillaries -> Post-capillary venules
Between Arteriole and Capillaries, there is a
pre-capillary sphincter
the only region of the body where there is an exchange between the interstitial fluid and blood is
Capillaries
the ONLY location where gas exchange happens is
Capillaries
Capillary anatomy includes (2 layers)
Basement membrane, and Endothelial cells with gaps between them
Locations of Inflammation:
which vessels
- Capillaries
* Post capillary venules
3 Types of Blood Protein are
- Albumin 55%
- Globulin-antibodies 40-45%
- Fibrinogen 5%
Albumin function
maintains oncotic pressure within capillaries
Fibrinogen function
prevent blood loss - clotting
Def: response to mild injury in which only fluid is allowed to escape to interstitial fluid
Serous (mild) inflammation
Def: presence of fibrin (clotting factor), creating thick strands within exudate; increasing the seriousness of the inflammation
Fibrinous inflammation
example of Fibrinous inflammation
Rheumatic pericarditis
Describe Rheumatic pericarditis
occurs between the visceral and parietal pericardium, increasing friction
Def: pus exudate with dead bacteria and low in blood cells; bacterial death promotes tissue destroying enzymes
Supprative (purulent) inflammation
examples of Supprative (purulent) inflammation
Abscess, Cellulitis & Empyema
Abscess is localized accumulation of
Pus
Abscess develops at a focus when
an agent of injury is not quickly removed
Abscess can destroy
blood vessels leading to Perfuse Hemorrhage
Empyema is a collection of pus within
an existing cavity (plural, subdural)
Components of Inflammation can be divided into
Vascular & cellular
Vascular includes
Hyperemia, and Increased permeability of blood vessels
Describe the cellular component of inflammation
Escape of blood cells into the tissue
leakage of fluid portion of blood into the tissues at the site of injury is called
Exudate
Exudate Specific gravity
1.020 +
Exudate contains
Protein, WBC and tissue debris
Exudate provide space for
healing the damaged tissue
perfusion of fluid, little to no cells or protein, into the tissue is called
Transudate
Transudate Specific gravity
1.012
Exudate is benefits
➢ Dissolution of toxins
➢ Promotion/accumulation of antibodies (if premade)
➢ Stimulation of nociceptors (pain sensation), due to swelling
➢ Promotion of phagocytosis
➢ Prevent infection and heal body
WBC’s flows in ______ of the vessel
center
RBC’s flows in ______
peripheral
Platelets flow is _________
most peripheral
plasma portion of blood decrease _____ (plasma function)
friction
When injury occurs there is an interruption/impairment of
axial blood flow
Steps of Inflammation:
- Vascular-
1) Hyperemia
2) Increased permeability of vessels - Cellular-
3) Margination
4) Pavementing
5) Leukocyte emigration
Hyperemia is the First reaction to injury of blood vessels to
interruption of axial blood flow
Hyperemia causes _____ of arteriole sphincters
vasoconstriction
in Hyperemia , vasoconstriction is Immediately followed by
vasodilation of capillaries
vasodilation causes fluid to pushed out of the cell forming
exudate
in Hyperemia , Blood viscosity increases, slowing flow causing
stasis ( halting movement of blood in capillaries and post capillary venules)
2) Increased permeability of vessels
Contraction of endothelial cells, which create:
large gaps
2) Increased permeability of vessels
Protein can increase outside blood vessels increasing
tissue osmotic pressure
2) Increased permeability of vessels
The increase in osmotic pressure pulls fluid into
the tissue from the blood vessels
3) Margination:
WBC’s are pushed to
the peripheral endothelial walls of the vessels
Margination occurs during
vasoconstriction when RBC’s adhere to each other
3) Margination
RBC’s adhere to each other to
increasing there size to move to the center of the vessel
4) Pavementing: WBC’s adhere to
endothelial surfaces
5) Leukocyte emigration
outpouring WBC’s from the blood, most commonly (which cells)
Neutrophils, Monocytes
Leukocyte emigration ONLY occurs in
post capillary venules
passive escape of red blood cells is called
diapedesis
Neutrophils characteristics
– 55-60%
– multi lobed (2-5)
– multinucleated – granules
Neutrophilia increase when there’s _______ infection
Bacterial
Eosinophils characteristics
– 2-4%
– bi-lobed
– multinucleated
– pink granules
Eosinophils increase when there’s _______
Allergic reaction,
Parasitic infection
Basophils characteristics
– 0.5-1%
– bi-lobed
– multinucleated
– purple granules
Lymphocytes characteristics
– 20-25%
– B & T cells
– monogranular
– mononucleated
Lymphocytes increase when there’s _______
Viral infection
Monocytes characteristics
– 4-8% – largest – monogranular – mononucleated – 30+ year life
Monocytes increase when there’s _______
Chronic Bacterial infection
when Monocytes leaves the blood stream and enter a tissue, it’s called:
Macrophages
Macrophages characteristics
– directly kill/destroy intruders
– Antigen presenting cells
– determinant to immune specific cells
Phagocytosis 2 main steps
Recognition and Attachment:
Ingestion (Kill/Degradation)
Recognition and Attachment includes
chemotaxis
Pseudopod projections
define chemotaxis
Finding locating intruder cell
Ingestion includes
Engulfing
Lysosomes
Exocytosis
Phagocytic Cells are
name the cells
➢ Neutrophils
➢ Monocyte/Macrophage
➢ Eosinophils