Histology Flashcards
One of the early vascular changes in inflammation is adhesion of ________________ to the endothelium. What is this called?
Neutrophils
Pavementing
Neutrophils are attracted to a site of tissue damage by ______________________. Two chemical mediators are: ______ & _____.
Chemotaxis
C5a & LTB4
The 3 major steps in acute inflammation.
- Vascular dilation
- Endothelial activation
- Neutrophil activation
Define opsonization
Coding bacteria with chemical markers (IG’s); this promotes phagocytosis
Name 1 serum test for generalized acute inflammation.
CRP
Define pus
Thick, semi-fluid containing neutrophils, fluid & necrotic tissue
Define abscess
Circumscribed collection of pus
What are the 3 major morphological variants of acute inflammation?
- Supperative/purulent
- Fibrinous
- Serous
Common examples of this type of inflammation include: lobar pneumonia, bronchopneumonia, acute appendicititis
Purulent inflammation
How would you classify these types of baceria? Sterpt, E. Coli, Pneumonia, N. meningitidis, N. gonorrhea
Pyogenic bacteria (promote purulent inflammation)
Describe what happens in pneumonia
Pulmonary alveolar capillaries in the walls between the alveoli are engorged with blood
Describe what happens in lobar pneumonia
Inflammatory response is localized to alveoli immediately adjacent to the fissure
Tracheobroncitis & bronchiolitis spread down the respiratory tract with this morphologic variant of acute inflmmation
Purulent inflammation
When a patient tells you he’s been coughing, what should be the first question you ask?
Is your cough productive, i.e. are you coughing anything up? What does it look like?
Where are you more likely to find fibrinous inflammation?
Serous-lined cavities (i.e. pleural, pericardial, periotoneal)
What is acute fibrinous pericarditis?
Fibrinous inflammation – a mat of fibrin coats the visceral layer of serous pericardium
This type of inflammation is characterized by an acute process by which the main tissue response is accumulation of fluid with a low plasma protein & cell content.
Serous inflammation
Differentiate between exudate & transudate
Exudate: low protein content
Transudate: high protein content
Give 2 examples of acute serous inflammation.
- Burns
2. Pleural effusion
What are the 5 cardinal signs of inflammation (Celus)
- Redness
- Swelling
- Pain
- Heat
(5. ) Loss of fx
What is salpingitis?
Inflammation of Fallopian tube?
What is pleurisy?
Pleuritis / inflammation of the pleura
What is acute cellulitis?
Infection causing inflammation of sub-cutaneous tissues
What is acute cholecystitis?
Inflammation of the gallbladder