9.21 Injury, Inflammation, Healing 7 Flashcards

1
Q

steps of vascular alterations after injury

A
  • initial vasoconstriction
  • vasodilation
  • clot formation (if vessel disruption)
  • transudation (if vessel not disrupted)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

initial vasoconstriction

A
  • chemically mediated

- 5-10 mins after injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Initial vasoconstriction is chemically mediated by this hormone

A

norepinephrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why does the body undergo initial vasoconstriction?

A

to stop bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

vasodilation is chemically mediated by these

A
  • histamine
  • Hageman factor
  • bradykinin
  • prostaglandins
  • complement fractions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When does vasodilation occur?

A
  • after initial vasoconstriction

- 1 hour after injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If the vessel is disrupted, what happens after vasodilation?

A

aggregation of platelets forms a clot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Transudation: vessel not disrupted

A
  • NEURALLY mediated arterial constriction is followed by vasodilation
  • protein-poor fluid forced into injured tissue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

transudate composition

A
  • dissolved electrolytes

- water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

exudate composition

A
  • plasma proteins
  • lipids
  • cellular debris (cloudy)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

pus composition

A
  • neutrophils
  • digested tissue
  • fluid
  • bacteria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the types of transudate?

A
  • transudate
  • exudate
  • pus
  • blood
  • effusion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is effusion?

A

swelling within a cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

types of effusion

A
  • joint effusion
  • pleural effusion
  • ascites
  • peritoneal effusion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ascites

A

abdominal effusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Any time there’s this, it is called transudation

A

leakage into interstitial tissue

17
Q

Transudation is fine as long as we don’t continue to lose these

A

proteins

18
Q

How do you distinguish hemarthrosis from swelling?

A
  • surrounding the joint
  • warm
  • fluctuant
19
Q

fluctuant

A

push out on one side, the other side balloons out

20
Q

How does exudation affect blood flow?

A

leads to stasis (slowing or cessation of flow in vessels)

21
Q

Leukocytes accumulate here, adhere, here, then migrate here

A
  • accumulate at injury site
  • adhere to endothelial cells
  • migrate to interstitial space
22
Q

Of the leukocytes, these predominate

A

neutrophils

23
Q

What do neutrophils release?

A
  • lactoferrin (bacteriostatic)

- defensin (cytotoxic to other microbes)

24
Q

neutrophil life cycle

A
  • usu die within 24 hours

- can persist in certain infections

25
Q

neutrophils are replaced by

A

monocytes (macrophages)

26
Q

Depending on the source of inflammation, these may engage as well as leukocytes

A

other WBCs

27
Q

Function of lactoferrin and defensin?

A

good at getting appropriate infection control started quickly