CP1: Acute Inflammation Flashcards

1
Q

Name some macroscopic changes during inflammation (4)

A
  • Redness
  • Swelling
  • Heat
  • Pain
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2
Q

Name some microscopic changes during inflammation (6)

A
  • Initial constriction then dilatation of vessels
  • Increased blood flow
  • Increased permeability
  • Formation of exudate
  • Migration of leucocytes through wall
  • Oedema
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3
Q

What are the advantages of the blood vessels increasing permeability after inflammation? (4)

A
  • Enhances migration of cells
  • Dilution of toxins
  • Stimulates immune response
  • Deposition of proteins eg fibrin to form mechanical barrier
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4
Q

Explain what happens to the white cells during inflammation (3)

A
  • Movement of white cells from blood flow to focus on injury
  • Chemotaxis
  • Phagocytosis
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5
Q

During inflammation what is the first cell to turn up?

A

Neutrophil polymorphs

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6
Q

What is chemotaxis?

A

Movement of organism from a chemical stimulus

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7
Q

What are the 3 Stages of phagocytosis?

A
  • Recognition and attachment
  • Engulfment
  • Killing and degradation
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8
Q

Where are mediators found? (3)

A
  • Circulating in plasma
  • Intracellular
  • Released from damaged tissue
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9
Q

What are the 2 types of intracellular mediators?

A
  • Preformed

- Synthesised

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10
Q

What are the clinical features of acute inflammation (6)

A
  • Fever
  • Drowsiness
  • Lethargy
  • Leukocytosis
  • Decreased appetite
  • Acute phase proteins in blood
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11
Q

Define acute inflammation

A

The response of living tissue to injury

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12
Q

Explain the process of white blood cell;
– Margination
– Pavementing
– Transmigration

A
  • WBCs build up around injury
  • These then line up next to site of injury (hole)
  • Then transmigrate through the hole to neutralise injury
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13
Q

Which cell is most prevalent in response to an allergy?

A

Eosinophils

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14
Q

Name some stimuli for chemotaxis

A
  • Bacteria
  • Fungi
  • Immune complexes
  • Toxins
  • Complement components
  • Lipoxygenase products
  • White cell breakdown products
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15
Q

During the recognition an attachment stage of phagocytosis, what is opsonisation?

A

We produce opsinonomes, which coat the microbes to help with further recognition

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16
Q

What is the best outcome of acute inflammation?

A

Resolution

Back to normal

17
Q

Explain the repair outcome of acute inflammation

A

Some tissue lost may not be able to regenerate therefore replacement with granulation tissue and fibrosis

18
Q

Acute inflammation could potentially result in chronic inflammation what does this mean?

A

Injury was not dealt with so will have repeated episodes of inflammation

19
Q

What is suppurative inflammation?

A

When injury still isn’t resolved, inflammation carries on repeatedly and pus is formed

20
Q

What is pus?

What is it made of? (4)

A

Pus is more exaggerated form of acute inflammation

Neutrophils, dead cells, bacteria and debris

21
Q

What is septicaemia?

A
  • Organism gains access to lymphatics then blood or blood direct
  • Results in high mortality