INFLAMMATION Flashcards
• A protective universal response to tissue damage (mechanical trauma, tissue necrosis, infection)
INFLAMMATION
is not a disease, but a response of the body to a damaged tissue
Inflammation
Inflammation may be
Beneficial
Harmful
FUNCTIONS (BENEFIT) of INFLAMMATION
Contain damage and Isolate injury
Destroy cause of injury
Destroy resulting necrotic cells and tissues
Prepare tissue for healing and repair
HARMFUL EFFECTS of INFLAMMATION
Swelling
Inappropriate inflammatory response
Digestion of normal tissues
CARDINAL SIGNS
RR CHeat with TS to exp DP
RUBOR (redness)
CALOR (heat)
TUMOR (swelling)
DOLOR (pain)
FUNCTIO LAESA (loss of function)
During inflammation, our blood vessels are permeable, therefore it will open and there will be blood entry leading to the redness of the inflamed part
RUBOR (redness)
• Because of increased in permeability, there is transfer of internal heat
CALOR (heat)
Due to the escape of proteins
Example: Edema
TUMOR (swelling)
o Pain on a specific area because of:
the release of prostaglandins responsible for the pain the pressure
DOLOR (pain)
• Example: Diabetic patients - no sensation because there is no blood supply on that specific part, such as feet, of the body
FUNCTIO LAESA (loss of function)
Original 4 cardinal signs-
rubor
calor
tumor
dolor
5th one is functio laesa which was added by
Virchow
COMPONENTS OF INFLAMMATION
Vascular Reaction
Cellular Response
VASCULAR REACTION
VASOCONSTRICTION
VASODILATION
ENDOTHELIAL ACTIVATION
CELLULAR RESPONSE
NEUTROPHIL ACTIVATION
Occurs first and lasts only for seconds
Initial response of the immune system
It will constrict for a short period of time
VASOCONSTRICTION
Increased diameter of blood vessels -> increased blood flow to area -› Erythema
VASODILATION
Prepares for vasodilation
Vasoconstriction
increased vascular permeability -› Edema (extravasation of liquid portion of blood)
Endothelial activation
• WBCs enter site of injury
• Kill organism, remove debris
• Release chemokines
NEUTROPHIL ACTIVATION
(substances that attract
other immune substances to site of inflammation)
chemokines
SEQUENTIAL STEPS OF A TYPICAL
INFLAMMATORY REACTION (5 Rs)
RECOGNITION of stimulus
RECRUITMENT of WBCs and proteins to site
REMOVAL of stimulus
REGULATION of response
REPAIR