Acute inflammation Flashcards
What is the sequence of events in acute inflammation?
Normal Histology
Vasodilation
Increased vascular permeability becomes leaky
Leakage of exudate
Margination, Rolling, Adhesion
Transmigration (DIAPEDESIS)
Chemotaxis
PMN Activation
Phagocytosis: Recognition, Attachment, Engulfment, Killing (degradation and digestion)
Termination
100% RESOLUTION, SCAR, or CHRONIC INFLAMMATION are the three possible outcomes
What are the responses of acute inflammation?
protective response
non specific response
what are the main cells involved in inflammation?
Neutrophil Polymorphonuclear Leukocyte, PMN, PML Leukocyte” Granulocyte, Neutrophilic Granulocyte Poly.” Polymorph
all the same thing
what are the 5 cardinal signs of inflammation?
rubor(red) calor(heat) tumor(swelling) dolor(pain) lost of function -(functio laesa)
what are stimuli for acute inflammation?
INFECTIOUS Tissue Necrosis Trauma, physical, and chemical Foreign Bodies (FBs) Immune Reactions
What are the vascular changes associated with acute inflammation?
Changes in Vascular Flow
and Caliber
Increased Vascular
Permeability
How does increased permeability happen?
DILATATION
Endothelial “gaps”injury by bugs or mediatiors
Direct Injury
Leukocyte Injury
Transocytosis (endo/exo) fluid moving from one side of the cell to the other
New Vessels for start for healing
What is exudate?
mediators opening up the gaps (high protein content and white and red cells)
What is extravasation of PMNs?
moving outside the blood vessels to endothelial lining
What are the steps in extravasation?
MARGINATION (PMNs go toward wall)
ROLLING (tumbling and heaping)
ADHESION
TRANSMIGRATION (DIAPEDESIS
What are the first mediators?
Adhesion molecules
What does the adhesion molecules include?
glycoproteins
selectins- from endothelial
intergrins
what does adhesion molecules affect?
ADHESION and MIGRATION- makes it sticky enough for nuetrophils stick
What is chemotaxis?
PMNs going to the site of “injury” AFTER transmigration
What does PMNs do after activated?
Produce eicosanoids
undergo degranulation
secrete cytokines