Chronic Inflammation Flashcards

1
Q

List the 4 cells involved in chronic inflammation

A
  • Lymphocytes
  • Macrophages
  • Plasma cells
  • Fibroblasts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two different ways chronic inflammation can develop?

A
  • From acute inflammation

- As a primary lesion

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

What is the process of it arising from acute inflammation?

A
  • Large damage
  • Inability to remove debris
  • Failure to resolve
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are examples of chronic inflammation arising as a primary lesion?

A
  • Autoimmune diseases
  • Digestive resistant material
  • Exogenous substances
  • Endogenous substance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are examples of exogenous substances?

A
  • Sutures

- Glass

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

What are examples of endogenous substances?

A
  • Keratin
  • Hair
  • Necrotic tissue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What 2 other things, disregarding scarring, can chronic inflammation result in?

A
  • Fibrosis

- Granuloma formation

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

State 5 things that promote healing and repair

A
  • Cleanliness
  • Apposition of edges (suture)
  • Good nutrition
  • Metabolic stability
  • Normal inflammatory functions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

State 6 things that inhibit proper repair and healing

A
  • Dirty wound
  • Gaping wound
  • Haemophilia
  • Poor nourishment
  • Abnormal CHO metabolism, diabetes
  • Inhibition of angiogenesis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What vitamin deficiencies can result in poor healing

A

Vitamin C

Vitamin A

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

What systemic effects does TB cause?

A
  • Malaise

- Cachexia

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

What is autoimmune thyrodosis an example of?

A

Loss of function

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

What is a plasma cell?

A

Mature B cell in circulation

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

What do macrophages produce in response to viruses?

A

Interferon

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

What are fibroblasts?

A
  • Metabolically active cells

- Assemble structural proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is produced during granulomatous inflammation?

A

Granulomas in tissue/organs

17
Q

What is idiopathic disease?

A

Disease which we don’t know the aetiology of

18
Q

How are granulomas formed?

A
  • They surround giant cells which come about in response to an indigestible antigen/exogenous or endogenous substance
19
Q

What are granulomas normally surrounded by?

A
  • Lymphocytes
20
Q

What immune cells do granulomas contain?

A
  • Neutrophils

- Eosinophils

21
Q

What type of hypersensitivity are granulomas?

22
Q

What do giant cells consist of

A
  • Macrophages fused together
23
Q

Structure of a giant cell?

A
  • Large cytoplasm

- Multinucleate

24
Q

What is langhans giant cell usually found in?

25
What is the structure of langhans type?
- Nuclei on outside | - Large eosinophilic cytoplasm
26
Which giant cell is associated with pyogenic granulation tissue?
Foreign body type
27
What type of giant cell comes about in response to a ruptured silicone implant?
- Silicone associated giant cell
28
Name some infectious granulomatous diseases
- TB | - Leprosy
29
Caseous Necrosis
- Cheesey necrosis
30
What cells surround the dead tissue in caseous necrosis
Macrophages, giant cells, neutrophils
31
Examples of non infective granulomas
- Crohns | - Sarcoidosis
32
What is sarcoidosis?
Granulomas appearing in organs all over the body
33
What is surgical wound healing an example of
Primary intention
34
What is healing larger defects left to?
Secondary intention
35
What is secondary intention?
- Forms large granulation tissue - Large scar - Scar tissue contracts
36
Sequence of events in fracture healing
- Trauma - Bits of dead bone - Acute inf. - Granulation tissue contains osteoblasts as well as fibroblasts
37
What is callous formation a result from?
Osteoblasts laying down new bone
38
What stimulates proliferation of vessels
- Vascular endothelial growth factor
39
What cells release vascular endothelial growth factor?
Hypoxic cells