Acute inflammation Flashcards

1
Q

What are the two main causes of acute inflammation?

A

tissue death and infection

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2
Q

What are the three main purposes of acute inflammation?

A

clear away dead tissues, locally protect from infection and allow access of immune system components

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3
Q

What are the four clinical features of acute inflammation?

A

CALOR (heat), RUBOR (redness), DOLOR (pain), TUMOR (swelling)

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4
Q

Define serous inflammation

A

an exudative inflammation in which the exudate is predominantly fluid (from the blood)

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5
Q

Define fibrinous inflammation

A

an exudative inflammation in which there is a disproportionately large amount of fibrin

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6
Q

Define purulent inflammation

A

An exudative inflammation where enzymes produced by white blood cells cause liquefaction of the affected tissues, resulting in the formation of pus

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7
Q

What 3 reaction do you get in acute inflammation?

A

vascular, exudative, cellular

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8
Q

Describe the vascualr reaction of acute inflammation

A

microvascular dilation leads to an inital increase of flow followed by a decrease in flow.

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9
Q

Acute inflammatory exudate is rich in which proteins? (2)

A

immunoglobulins and fibrinogen

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10
Q

Where do neutrophils accumulate in acute inflammation?

A

in the extracellular space

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11
Q

What are the commonest white cell in blood?

A

neutrophils

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12
Q

What is directional chemotaxis?

A

movement in response to the influence of chemical stimulation in a specific direction

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13
Q

What is the lifespan of a neutrophil?

A

a matter of hours

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14
Q

Do mediators of acute inflammation have a long or short half-life?

A

Short

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15
Q

Name the plasma derives mediators of acute inflammation (4)

A

kinin system, clotting pathway, thrombolytic pathway, complement pathway

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16
Q

How are cell derived mediators of acute inflammation stored?

A

Histamine

17
Q

Name the cell derived mediators of acute inflammation (6)

A

prostoglandins, leukotrienes, PAF, cytokines, NO, chemokines

18
Q

How can acute inflammatio be assessed in a lab?

A

full blood count, erythrocyte sedimentation rate, acute phase protiens (e.g. C-reactive protein)

19
Q

What SIRS?

A

Systemic inflammatory response syndrome: an inflammatory response affecting the whole body

20
Q

What is acute respiratory distress syndrome?

A

ARDS develops if the lungs become severely inflamed as a result of an infection or injury. This causes fluid from nearby blood vessels to leak into alveoli, making breathing increasingly difficult.

21
Q

What is chronic granulomatous disease?

A

certain cells of the immune system have difficulty forming the reactive oxygen compounds

22
Q

What is hereditary angio-oedema?

A

Angio-oedema is non-pitting, subdermal oedema mainly seen around easily distensible structures

23
Q

What is amyloidosis?

A

deposition of amyloid in the body