Inflammation Flashcards

1
Q

What is the goal of inflammation

A

To bring white blood cells and plasma proteins from circulation to site of infection or damaged tissue with the intent of eliminating casue of damage and regeneration

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2
Q

which phase of the immune response is it associated with

A

the first phase

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3
Q

name the 4 cardinal signs of inflammation and their cause

A

redness(rubor) - increased blood flow
heat(calor) - increased blood flow
swelling(tumor) leakage of cells and fluid into tissues
pain(dolor) - increased nerve sensitivity due to chemical mediators

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4
Q

what was the 5th cardial sign and who added it

A

added by virchow
loss of function (function laesa)

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5
Q

name the 6 causes of inflammation plus an example of each

A

infective agents - bacteria
foreign bodies - splinter
immune reactions - autoimmune reaction
tissue necrosis
physical agents - heat
chemicals - drugs

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6
Q

outline the vascular changes that occur (4)

A
  1. Vasodiolation: chemical mediators (histamine) act on smooth muscles causing arterioles and capillary bed to expand
  2. increased blood flow causes redness and heat
  3. Permeability: gaps form between the cells lining the blood vessels allowing for exudate to leak into surrounding tissue
  4. Edema: leakage causes the are to swell
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7
Q

define exudate

A

protein rich fluid that leaks into extra cellular environment

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8
Q

outline cellular events that occur (4)

A
  1. as leukocytes move through the bv they, they bind to receptors to slow down
  2. leukocytes will exit the blood vessel in a process known as emigration
  3. Chemotaxis: movement of leukocytes to are of interst using chemical signals
  4. phagocytosis
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9
Q

why are neutrophils and macrophages utilised in the inflammatory reaction

A

capable of phagocytosis

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10
Q

characteristics of neutrophils (1)

A

rapidly recruited and tend not to last long

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11
Q

characteristics of macrophages (3)

A
  1. while in the bv they are monocytes but differentiate after exiting bv
  2. respond slowly
  3. produce growth factors and aid in repair
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12
Q

define restoration

A

tissue has returned to a completely normal state after accure inflammation - ideal outcome of inflammation

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13
Q

conditions of resultution and what happens if these conditions aren’t met (4)

A

conditions
1 cell death and tissue damage is minimal
2. damages cells are capable of regen
3. causative agent is eliminated
4. local conditions favour the removal of exudate
what if the are not met; chronic inflammation

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14
Q

in what ways is inflammation classified (4)

A
  1. severity (acute or chronic)
  2. according to affected site (addition of the suffix ‘itis’)
  3. according to predominant component of exudate
  4. according to morphology
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15
Q

Onset (acute vs chronic)

A

A: fast (minutes to hours)
C: slow (days, months years)

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16
Q

cells involved (acute vs chronic)

A

A: neutrophils
C: monocytes/marcrophages, lymphocytes

17
Q

local and systemic sign severity (acute vs chronic)

A

A: prominent
C: less prominent

18
Q

identify the name of inflammation in the following organs
appendix
colon
stomach
skin
fascia
peritoneum
meninges
bone and bone marrow

A

appendicitis
colitis
gastritis
dermatitis
fasciitis
peritonia
meningitis
osteomyelitis

19
Q

what exudate is catarrhal made of + one example

A

mucus e.g. common cold

20
Q

what exudate is serous made of + one example

A

clear and watery e.g blister

21
Q

what exudate is fibrinous made of + one example

A

fibrin e.g. pleurisy (used for clotting)

22
Q

what exudate is suppurative/purulent made of + one example

A

pus e.g. abcess

23
Q

what exudate is haemorhagic made of + one example

A

red blood cells e.g fatal influenza

24
Q

what exudate is granulomatous made of + one example

A

epithelioid cells (modified macrophages)