Inflammation Flashcards

1
Q

Define the Inflammatory Process

A

Immune system’s response to harmful stimuli by neutralizing and removing injurious stimuli and initiating the healing process

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2
Q

Inflammation may be ____ ___ infection

Inflammation does not ____ infection

A

Caused by

equal

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3
Q

What are the 3 initial steps of clot formation?

A

Vessel Constriction
Primary hemostasis
Fibrin clot conversion

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4
Q

What 2 things does vasodilation do?

What are the effects?

A

Slows blood flow
Brings more cells

Warmth
Redness

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5
Q

What does increased capillary permeability do?

What are the effects?

A

Brings in helpers (albumin drags WBCs and fluids)
-phagocytosis

Edema
Pain
Loss of Function

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6
Q

What is the primary cellular response?

A

Phagocytes:
-Neutrophils- first to arrive

-Monocytes- second
-become macrophages in tissues

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7
Q

What is the secondary cellular response?

A

Lymphocytes

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8
Q

What are the 3 pro-inflammatory cytokines?

A

TNF-alpha
Interleukin 1, 6

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9
Q

CELL MEMBRANE RESPONSE:
Injury causes the ______ in the cell membrane to be converted into…

A

Arachidonic Acid is converted into
-Prostaglandins
-Thromboxane
-Leukotrienes

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10
Q

Prostaglandin functions:
When does it cause vasodilation?
What contracts?
What is stimulated?
What is decreased?
What is recruited?
What is promoted?
What is sensitized?

A

Constriction/dilation of vessels
-Inflammation: dilation
-Smooth muscle contraction–bronchoconstriction
-GI mucus production stimulated
-Stomach acid production decreased
-Allergic rxn cells recruited
-Fever promoted
-Pain sensitization

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11
Q

What 2 things does thromboxane cause?

A

Vasoconstriction
Clotting

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12
Q

What 2 things do leukotrienes cause?

What is a risk?

A

Airway narrowing
RISK: bronchoconstriction

Increased capillary permeability

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13
Q

What is the major inflammatory mediator?
Where does it come from?
What 2 things does it cause?

A

Histamine
Released from degranulated mast cells
Vasodilation
Increased capillary permeability

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14
Q

What 3 things do Kinins cause?

A

Pain sensitization
Increased cap. permeability
Leukocyte recruitment

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15
Q

Explain complement

A

Increased inflammatory response and cell death

Vasodilation, increased cap. permeability

Chemotaxis- phagocytosis

Cell lysis

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16
Q

What causes the hypothalamus to raise the temperature set point?

A

Prostaglandins and shivering

17
Q

What are some systemic manifestations of inflammation?

A

Fever
Malaise
Nausea/anorexia
“Left Shift” of neutrophils
Increase pulse/resp. rate

18
Q

What are 2 labs indicative of inflammation?

A

Elevated C-reactive protein
Elevated ESR (Erthrocyte Sedimentation Rate)