General Pathology Flashcards
Pus contents
Proteins
Enzymes
MO
Cells
Mediators of inflammation
Prostaglandin, bradykinin & kallidin
Histamine
Lymphocytes
WBC enzymes
Specific gravity
A. Exudate
B. Transudate
A. >1.018
B. <1.018
Most important mediator of inflammation
Histamine
Histamine is produced by
Mast cells and Basophils
Vascular permeability results to
Escape of plasma contents towards interstitial tissues
Margination/Pavementing
Peripherally lining up of WBC
Preparation for diapedesis
Diapedesis
Passive movement of blood cells across endothelial wall
What organelle is used by WBC to move across epithelium
Pseudopods
Phenomenon through which blood-borne antigens are attracted and fixed to areas of inflammation
Anachoresis
1st line of defense in passive immunity
Barriers
2nd line of defense for passive immunity
Phagocytes
Activates complement system
Ag-Ab complex
Accumulation of C3b on the antigen
Opsonization
Production of C5b
Membrane attack complex
Humoral
B-cell MHC2 CD4 B-lymphocyte: antibody Ag-Ab complex Complement system activation Opsonization Membrane attack complex
Goal: make an antibody for certain antigen
Cell-mediated
T-cell/ Infected cell/ Damage cell
MHC1
CD8
Goal: prevent spread of infection
Examples of acute bacterial infection
Phlegmon
Ludwig’s angina
Example of chronic bacterial infection
Chronic apical periodontitis
Abscess, granuloma & cyst
Involved structures in Ludwig’s angina
Bilateral:
Submandibular spaces
Sublingual spaces
Submental spaces
Primary concern in LA
Airway obstruction
Treatment of LA
Incisional biopsy
Tracheotomy
Antibiotics
Leukocytosis
Bacterial infection (acute)
Lymphocytosis
Viral infection or
Chronic bacterial infection
Cells in chronic infections
Plas LyMac
Plasma cells
Lymphocytes
Macrophages
Cells in acute infections
Neutrophils
Hypersensitivity reactions
1- Allergic/Anaphylactic/Immediate
2- Cytotoxic
3- Immune complex
4- Delayed/ T-cell mediated
Hypersensitivity reaction 15-30mins after
Type 1
Hypersensitivity reaction after 48 to 72 hours
Type 4
Severe form of allergy
Anaphylactic hypersensitivity
Inflammation of BV
Vasculitis
Immunoglobulin mediator in A. Type 1 B. Type 2 C. Type 3 D. Type 4
A. IgE
B. IgG and IgM
C. Ag-Ab complex
D. Immune cells
Shock due to loss of blood flow
Anaphylactic shock Drug: Epinephrine IM 0.5mg 0.5ml 1:1000
Arthus reaction
Horse serum injected to rabbit
Example of type 1 HSR
Asthma
Urticaria/hives
Example of type 2 HSR
Hemolytic anemia
Erythroblastosis fetalis
Rheumatic fever
Example of type 3 HSR
Arthus rxn
SLE
Serum sickness
Glomerulonephritis
Examples of type 4 HSR
Poison ivy
Nickel
Mantoux test/ tuberculin skin test
Labile cells
Multiplies throughout life
Epithelial cells
Stable cells
Mutiplies when damaged
Liver, kidney & pancreas
Permanent cells
Cannot multiply
Neuron, mature RBC
Skeletal, cardiac muscles
Retrogressive changes in cells and tissues characterized by abnormal structural changes within the cell and decreased function
Cellular degeneration
Reversible
Cloudy swelling
Hydropic/vacuolar
Fatty degeneration
Hyaline degeneration
Irreversible
Necrosis
Swelling of cells resulting to pale or cloudy appearance
Cloudy swellings