Dani - ch 6 Flashcards
chronic inflammation
- follows ___ inflammation
- ____ attacks of acute inflammation
- begins ____
acute
repeated
insidiously
immune response of chronic inflammation
- presence of 3 cells
macrophage
lymphocyte
plasma cells
phagocytosis of chronic inflammation is doen by ____ activated by gamma interferon, Ig, and complement
macrophages
repair of damage tissue from chronic inflammation done by new ___ ___ and proliferation of ___ and ___
blood vessels
fibroblasts
fbrosis
differences from acute inflammation
- ___ onset
- ___ course
- vasodilation: mild (no ___ or ___)
- scanty exudate: no ____
- chronic inflammatory cells: __ and ___ lymphocytes, plasma cells and ____
insidious progressive redness;hotness edema B and T; macrophages
immune activation of monocytes to phagocytize
gamma interferon
non-immune activation of monocytes to phagocytize
bacterial endotoxin
morphology of monocytes in chronic inflammation
- ___ size of cells
- more ___ metabolism
- more ____ enzymes
larger
active
lysosomal
monocytes are ___ cells, kills bacteria by ___ dependent and ____ mechanisms
scavenger
oxygen
independent
___ cells: produce antibodies against foreign antigens or modified tissue antigen
plasma
___: mobilized in both antibody ad cell mediated immune reactions
lymphocytes
___ lymphocytes are activated in antibody immune reactions and ___ lymphocytes are activated in cell mediated immune reactions
B
T
____: immune reaction mediated by IgE and parasitic infection
eosinophils
___: may persist in chronic inflammation
neutrophils
granulomatous chronic inflammation: presence of ____
granuloma
2 types of granulomatous chronic inflammation cells
epitheloid
giant
epitheloid cells
- essential for ___
- are ____ macrophages
- abundant __ ___ cytoplasm
- elongated ____ nucleus
diagnosis
modified
pale pink
vesicular
giant cells
- ____, 40-50
- coalescence of ___
- __ or more nuclei
- ___ and foreign body ___ cell
large macrophages 20 langhan's giant
granulomatous chronic inflammation
- central ___
- peripheral rim of 4 cells
necrosis lymphocytes plasma cells neutrophils collagen fibers
granulomatous chronic inflammation occurs in 2 types of diseases
infections
chemical
non-granulomatous chronic inflammation
- ___ inflammatory cells are scattered ___ throughout the tissue
chronic
throughout
___ and ___ are common in non-granulomatous chronic inflammation
necrosis
fibrosis
systemic manifestation of inflammation:
- heat regulating center in ____ –> ___ stimulation –> ___ of skin vessels –> ___ heat loss –> ____
hypothalamus sympathetic vasoconstriction decreased fever
fever is caused by liberation of pyrogens ___ and ___
IL-1 and TNF