Acute Inflammation Flashcards

1
Q

What is acute inflammation

A

Response to maintain integrity of organism
Protective changes in living tissue in response to injury

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2
Q

What are some cardinal signs of inflammation

A

Rubor-redness
tumor-Swelling
Calor-heat
dolor- pain
loss of function

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3
Q

What is the aetiology (causes) of inflammation

A

micro-organisms
mechanical- trauma
chemical- pH
physical- heat/burn/cold

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4
Q

what is the pathogenesis of acute inflammation

A

Changes in vessel radius
Changes in vessel wall permeability
Neutrophil movement vessel->extravascular space

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5
Q

What is the effect of increased arteriolar radius?

A

Increased local tissue blood flow

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6
Q

What is the Triple Response

A

Transient arteriolar constriction (flush)
Local arteriolar dilation (flare)
Relaxation of vessel smooth muscle (wheal)

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7
Q

What is the effect of increased permeability

A

Plasma moves from capillaries-> extravascular space
Process called Exudation
Leaks ‘Exudate’

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8
Q

What is exudate

A

Fluid rich in protein- Plasma

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9
Q

What is the effect of exudation

A

Oedema formation

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10
Q

What are the phases of neutrophil emigration

A

Margination:- neutrophils->endothelial lumen
Pavementing:- Neutrophils adhere to endothelium
Emigration:- Neutrophils move to extravascular tissues

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11
Q

What are the benefits of acute inflammation

A

Rapid response
Cardinal signs + loss of function
Neutrophils destroy organisms & denature antigen
Plasma proteins localise process

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12
Q

How do you know the locations of inflammation

A

“structure” -itis
E.g Peritoneal cavity -> peritonitis
meninges -> meningitis

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13
Q

What do neutrophils do

A

Mobile phagocytes
release granule contents
Phagocytose/destroy antigen

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14
Q

What are the roles of plasma proteins in inflammation

A

Fibronogen- forms fibrin & clots exudate
Immunoglobulins- humoural immune response

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15
Q

What are the different mediators of acute inflammation

A

Molecules on endothelial cell surface membrane
Molecules released from cells
Molecules in plasma
Molecules inside cells - signalling

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16
Q

What are the collective effects of mediators

A

Vasodilatation
Increases permeability
Neutrophil adhesion
Chemotaxis
Itch and pain

17
Q

What are the immediate systemic effects of inflammation

A

Pyrexia- raised temp
Feel unwell- malaise
Neutrophilia- Raised WBC

18
Q

What are the long term effects of inflammation

A

Lymphadenopathy
Weight loss
Anaemia

19
Q

What are the outcomes of acute inflammation

A

Suppuration- pus formation
Organisation- Healing and repair
Dissemination- spread to bloodstream

20
Q

What is granulation tissue

A

Repair kit for all tissue damage

21
Q

What does it mean if patient septic

A

Spread of substance to blood
Eg. Bacteraemia- bacteria in blood
Septicaemia- growth of bacteria in blood

22
Q

What are the effects of systemic infection

A

Shock- inability to perfuse tissues

23
Q

What is the pathogenesis of septic shock

A

Systemic release of chemical mediators into plasma
Bacterial endotoxin released
Coagulate activation

24
Q

What is the outcome of septic shock

A

Fatal
Tissue hypoxia
Haemorrhage
Urgent intervention and support needed