Acute inflammation Flashcards

1
Q

Is acute inflammation pathological of physiological

A

pathological

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Is acute inflammation a specific or non specific initial reaction

A

non specific

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the main causes of inflammation

A
ischaemia- cell death
trauma
toxins
chemical insults
thermal injury
radiation
infections- especially pus forming (bacterial)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

define suppuration

A

formation of pus- dead cells, inflammatory cells, bacterial cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what 3 consequences are there of acute inflammation on the cells affected.

A

cell regrow.
cells cannot regrows.
damaging agent persists.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the purpose of acute inflammation

A

Clear away dead tissue- which can become secondarily infected
Local protect from infection- stop infection from spreading.
Allow access of immune system components (e.g. antibodies and complement components)..

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the 4 cardinal signs

A

calor- heat
rubor- redness
dolor- pain
tumour- swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are 3 signs of inflammation which can be seen with the naked eye.
(3 forms of liquid)

A

serous- outpouring of serous fluid which collects/ accumulates in the space.
Fibrinous- accumulation of fibrin.
Purulent- pus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the 3 main components of the acute inflammatory response.

A

vascular reaction- dilation and changes in flow
Exudative reaction- formation of inflammatory exudate, fluid leaks out of vessels.
Cellular reaction- migration of inflammatory cells out of vessels- neutrophils.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the systemic affects of inflammation

A

pyrexia- temperature

acute phase reaction- measuring the levels of certain proteins in the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what happens in the vascular reaction of acute inflammation

A

microvascular dilatation.

Initially flow increases and then decreases (due to permeability)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

why is oncotic pressure not maintained at the venous end in vascular reaction.

A

proteins leak out of vessels

no oncotic pressure is maintained and all the fluids leaks out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what molecules increase dilatation and permeability of vessels in the vascular reaction

A

mediated- histamine, bradykinin, NO, leukotriene, B4, complement components.
Non mediated- direct damage to endothelium, e.g. toxins, physical agents.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the main component of the Exudative reaction

A

protein rich- immunoglobulins and fibrinogen (forms a fibrin mesh and contains barterial infection within it. )

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the function of the exudataive reaction

A
dilution of noxious agents
transport of bacteria to lymph nodes
Supply nutrients, O2-inflammed tissue has a high metabolic demand.
spread inflammatory mediators
spread drugs.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what happens in the cellular reaction

A

neutrophils leave the blood and enter the inflamed tissue.

in severe cases form pus.

17
Q

where are neutrophils produced

A

bone marrow

18
Q

which is the commonest WBC

A

neutrophil

19
Q

what enables neutrophils to detect inflammation

A

Directional chemotaxis – to mediators.

20
Q

Oxygen dependant neutrophils uses enzyme, one enzyme includes

A

myeloperoxidase producing free radicals- H202, Cl-, O2, OH-.- these break down the internal structure of the bacteria

21
Q

oxygen independent neutrophils include

A

lysozyme, which breaks down bacterial cell wall.

22
Q

what is margination in neutrophil activation

A

Neutrophils become closer to the wall of the blood vessel

23
Q

what is pavmenting in neutrophil activation

A

Line up along the endothelial and from adhesions with them via receptors

24
Q

there are 2 types of mediators of neutrophils

A

cellular
Stored- histamine in mast cells.
Synthesised: prostaglandins, leukotriens, PAF, NO, Cytokines (IL1, TNF), chemokines.

Plasma derived
kinin system, clotting pathway and thrombolytic pathway, complement pathway

25
Q

what lab tests are used to see if inflammation is present

A

Full blood count
Erythrocyte sedimentation rate-how quickly RBC cells sediment under gravity.
Acute phase proteins eg C-reactive protein

26
Q

what happens when an inflammatory process goes wrong

A

Systemic inflammatory response syndrome
Acute (adult) respiratory distress syndrome
Chronic granulomatous disease of childhood
Hereditary angio-oedema
Amyloidosis