Acute Inflammation Flashcards
What is acute inflammation?
- Response of living tissue to infection/damage
- develops quickly
- Initiation for INNATE immunity
What are the 3 main processes involved in acute inflammation?
- Vascular Dilation (vasodilation)
- Increased vascular permeability
- Neutrophil activation and migration
What are the 4 main causes of acute inflammation?
- Microbial infection
- Physical agents
- Irritant and corrosive chemicals
- Tissue necrosis (no nutrients/oxygen, or inadequate blood flow)
What are the consequences of acute inflammation?
- Redness
- Heat
- Swelling
- Pain
- Loss of function
What is an Oedema?
Excess of water fluid collecting in the cavities/tissues of the body -
What mediators regulate inflammation?
Chemical & Protein mediators;
Chemical:
- Histamine
- Bradykinin
- Prostaglandins
Protein
- Cytokines
- Chemokines
What is the purpose of Histamine?
- CAUSES VASCULAR DILATION - Main Point
- Chemical mediator
- Stored in granules of immune cells (releases histamine @ degranulation)
- Role as neurotransmitter - Causes ITCHING
- Product of breakdown of amino acid histidine
What is the purpose of Prostaglandins?
- CAUSES VASCULAR DILATION - Main Point
- Chemical mediator
- Product of fatty acid metabolism
- Regulates cytokine production, cell recruitment
What are the 4 enzymatic cascades involved in acute inflammation?
- Complement -> 3 pathways involved
- The kinin system -> production of bradykinins, causing vasodilation
- Coagulation - formation of a STABLE BLOOD CLOT (FIBRIN)
- Fibrinolytic system - Prevents excessive clotting by degrading fibrin
What is Suppuration?
Formation of pus (bacteria with dead and dying neutrophils) creating an abscess
How many types of dental abscess is there?
3 Types of dental abscess;
- Gingival Abscess (due to trauma to surface of gum tissue)
- Periodontal Abscess (due to infection moved deeper into gum)
- Periapical Abscess (due to infection of pulp)
What’s essential for resolving acute inflammation?
- Minimal cell death & tissue damage
- Rapid elimination of causative agent
- Rapid removal of fluid & debris by vascular/lymphatic drainage