acute and chronic inflammation Flashcards

understand

1
Q

what is acute inflammation

A

series of protective changes occurring in living tissue as a response to injury

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2
Q

characteristics of acute inflammation

A

it is a dynamic homeostatic mechanism that occurs in higher beings with a living tissue.

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3
Q

what are the cardinal signs of inflammation

A

redness
heat
swelling
pain
loss of function

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4
Q

what are the causes of acute inflammation

A

1.microorganisms such as bacteria and fungi
2.mechanical such as trauma injury to tissue
all injury even sterile injuries such as surgery might cause injury.
3.chemical causes such as acid and alkali , bile and urine example in the peritoneum.
4.weather conditions which might cause stress on the body.These conditions include ; heat , cold, and ionising radiation.
5.hypersensitivity for example allergic reactions.
6.dead tissue which is caused by necrosis and irritates adjacent tissue.

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5
Q

what is microcirculation

A

this is capillary beds that are fed by arterioles and drained by venules.

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6
Q

extracellular compartment has fluid which is drained into the

A

lymphatic system

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7
Q

what is the dynamic balance of the microcirculation capillaries

A

hydrostatic( blood pressure ) and colloid osmotic pressure ( pressure exerted by the plasma proteins)

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8
Q

steps in acute inflammation

A

1.changes in vessel radius - flow
2.change in the permeability of the vessel wall – exudation of fluid
3.movement of neutrophils from the vessel to the extravascular space - emigration

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9
Q

results of increased diameter of the blood vessels

A

for increased flow of the blood ; there is always reduced resistance with the increased diameter.

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10
Q

triple response

A

flush , flare , wheal

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11
Q

rapid local changes in vessel radius and blood flow. response.

A

1.few moments after injury there is constriction as a protective measure .
2.there is dilation of the artery .
3.relaxation of the smooth muscle- this is the flush flare wheal.

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12
Q

benefits of endothelial permeability

A

1.movement of materials such as plasma from the extravascular space and this is known as exudation.
2. the rate of flow slows and there is a change in the flow of blood.

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13
Q

what is exude ?

A

this is fluid that is rich in protein and plasma

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14
Q

effects of exudation

A

oedema is formed and there is accumulation of fluid in the extravascular space.

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15
Q

describe the normal laminar flow

A

the erythrocytes on the periphery, the neutrophils on the innermost.

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16
Q

what changes are seen in the capillary blood flow during inflammation

A

there is neutrophil pavementation and adhesion on the endothelial lining .
the red cells aggregate in the centre.

17
Q

phases of migration of the neutrophils

A

movement to the periphery of the vessel,
adhesion to the surface that is pavementation.
movement out of the vessel that is called emigration

18
Q

examples of acute inflammation

A

pleural inflammation
appendicitis
acute pyelonephritis
bacterial endocarditis

19
Q

what are the outcomes of acute inflammation

A

nciting agent isolated and destroyed​

macrophages move in from blood and phagocytose debris; ​

then they leave​

epithelial surfaces regenerate​

inflammatory exudate filters away​

vascular changes return to normal​

inflammation resolves​

20
Q

what are the benefits of acute inflammation

A

apid response to non-specific insult​

cardinal signs and loss of function​

transient protection of inflamed area​

neutrophils destroy organisms and denature antigen for macrophages to phagocytose​

plasma proteins localise process​

resolution and return to normal​

21
Q

what are the names of inflammation on different sites in the body

A

structure”-itis​

	peritoneal cavity 		-peritonitis ​

	meninges 			-meningitis​

	appendix 			-appendicitis​

lungs -pneumonia​

pleural cavity -pleurisy​

22
Q

what do neutrophils

A

phagocytosis - they recognise the foreign antigen and they move to it through chemotaxis.
direct killing of the cells - there granules contain enzymes and oxidants such as sodium peroxide that cause degradation of the foreign materials.

23
Q

what is pus

A

a collection of dead neutrophils ,bits of cells, organisms and endogenous proteins

24
Q

what is the role of plasma proteins in inflammation

A