Acute inflammation Flashcards
What are the causes of acute inflammation
- Infection
- Allergy
- Physical - foreign body
- Chemical - strong acid
What is the vascular phase of acute inflammation
Small vessels dilate, vascular endothelium cells contract thus making spaces between them
What is the exudative phase of AI
Fluid and protein leaking through capillary walls, cells through venules
What is transudate
Passive outflow of fluid when balance of osmotic and hydrostatic pressure change - mostly water and ions
What does tissue damage activate
Resting macrophages to produce:
- Chemokines and IL-1 which stimulate adhesion molecules on endothelium and white cells
- TNF which stimulates vascular permeability
What is an abscess
Pus enclosed by fibrin and connective tissue
What is pus
Inflammatory exudate rich in neutrophils, organisms and dead tissue
What is empyema
Pus enclosed in an existing body cavity
What are the sub types of acute inflammation
- Serous
- Membranous
- Suppurative
- Haemorrhagic
- Fibrinous
- Catarrhal
What are the beneficial effects of acute inflammation
- Dilution of toxins
- Effector cells and antibodies get to the area
- Fibrin helps to “wall-off” further spread of infection
- Antigens get carried to local and regional lymph nodes - prevents systemic spread and allows antibodies to be made
What are the harmful effects of acute inflammation
- Destruction of normal tissues
- Swelling within a confined space
What causes fever
Monocyte/macrophage derived TNF and IL-1 cause re-setting of temp control at hypothalamus