Body Response to Tissue Damage: Acute Inflammation (SELF STUDY) Flashcards
What stimulates acute inflammatory response?
microorganisms - bacteria trauma - surgical incision ischaemic necrosis - infarction radiation damage - sunburn chemical damage - acids, alkalis
Purpose of acute inflammatory response?
detroy/neutralise damaging agent
liquefy and remove dead tissue
prepare damaged area for healing
How does the acute inflammatory response work?
production of an acute inflammatory axudate derived from blood components from capillaries adjacent to the damaged areas
What does the acute inflammatory exudate comprise of?
fluid
fibrin
neutrophils, few macrophages and lymphocytes
What does the exudate do?
dilutes any toxins
carries nutrients, mediators and antibodies to site
neutrophils are actively phagocytic of bacteria and necrotic debris
Steps for exudate formation
- blood vessels dilate
- endothelial cells swell and retract
- neutrophils marginate and emigrate
Step 1 of exudate formation
blood vessels near damaged tissue dilates
blood flow initially increases then slows
axial flow pattern of blood is lost
due to substances released by dead tissue
Step 2 of exudate formation
endothelial cells swell and retract
vessels leak
water, salt and proteins (including fibrinogen and immunoglobulins) pass into damaged area
tissue is swollen
Step 3 of exudate formation
neutrophils marginate - adhere to endothelium
and emigratethrough capillary into area of damage
fibrin is formed from fibrinogen
Clinical types of exudate
serous
purulent
fibrinous
fibrino-purulent