Acute Inflammation Flashcards
Define Acute inflammation
Series of protective changes occurring in living tissue as a response injury
What is a cutaneous abscess?
An abscess in the surface of the skin
What is rubor
Redness for white people
Darkenning for coloured
What is calor?
Heat
What is a tumor?
Swelling
What is dolor?
Pain
What causes acute inflammation?
Microbes - pathogens
Mechanical - trauma injury to tissue
Chemical- upset stable environment pH changes
Physical - extreme condition
Dead tissue- cell necrosis irritates adjacent tissue
Hypersensitivity - several classes of reaction
Where does the process of acute inflammation?
Localised to affect tissue
Take place in micro circulation
What is microcirculation?
It is a system of capillaries arterioles and venules
Drained by the lymphatic system
Relaying on hydrostatic and osmotic pressure for movement
What is exudation?
Change in vessel wall permeability
What are the steps in acute inflammation?
Change in vessel radius
Change in vessel permeability
Movement of neutrophils
Why does inflammation have observed reedness and heat?
Increased arteriolar radius increases local tissue blood flow
How does the radius of arterioles change during inflammation?
Transcient arteriolar constriction
Local arteriolar dialation
Relaxes smooth muscles in vessel
What does transient arteriolar constrcition mean?
Arterioles construct for a few moments due to mechanical pressure and as a protective mechanism
What is the triple response?
Flush
Flare
Wheal
What is increased permeability?
Localised vascular response
Microvascular bed
Endothelial leak
Locally produced chemical mediator
What is leaked in exudate?
Fluid rich protein in plasma including immunoglobulin and fibrinogen
What are the effects of exudation?
1) Oedema is formed
Accumulates and causes swelling
Swelling causes pain and reduced function
2) fluid loss increases viscosity
Flow rate reduces
How does normal laminar flow look?
Plasma
With white blood cells (neutrophils) in the middle surrounded by erythrocytes
How is the flow during inflammation?
Erythrocytes clump in the centre
White blood cells moves to the outsides (margination )
What is margination of white blood cells?
White blood cells move to the endothelial aspect of lumen
What are the phases of emigration?
Margination
Pavementing
Emigration
What is diapedesis?
Red blood cells follow the neutrophils out as a passive flow
What is emigration?
Neutrophils squeeze between endothelial cells (active process)
What is pavementing?
Neutrophils adhere to endothelium
How is inflammation resolved?
Inciting agents isolated
Macrophages eat debris
Epithelial suurfae regenerated
Exudate filters away
Vascular changes return to normal
Inflammation resolved
What are the outcomes of acute inflammation?
Resolution
Suppuration
Organisation
Chronic inflammation
What do neutrophils do?
Recognise forgiegn organism and move towards it via chemotaxis and adhere to it
Releases granules contains oxidants and enzymes like H2O2
DESTROY AND PHAGOCYTOSE