Inflammation Flashcards
Types
Complete (regeneration), Incomplete (repair) and chronic inflam
Vascular Response
Microvascular dilation
Flow increases initially
Flow decreases as permeability increases due to histamine, bradykinin and NO
Exudative Response
Leakly capillaries let big molecules out
Proteins high in Ig+ fibrinogen
Moves to lymph nodes
Cellular Response
Neutrophils externally accumulate then move to site of inflam via chemotaxis
Pus= neutrophils, debris, bacteria
Chronic Inflam
Inappropriate
Slow onset but long-lasting
Involves macrophages, plasma cells and lymphocytes
Get fibrous tissue from granulation tissue and macrophages
Granuloma
Epithelial histiocytes, lymphocytes and histiocytic giant cells
Caused by bacteria, parasites, fungi and synthetic materials
Granulation Tissue
Grows up from base of wound
Myofibroblasts lay down collagen which contract to close wound
Regeneration
Stem cells replicate tissue
Controlled by contact inhibition and growth factors
Perfect in labile cell populations (active stem cells e.g. epithelia)
Okay in stable cell populations (e.g. tubules and liver)
Not possible in permanent populations (e.g. neurons and muscle)
Repair
Normal structure can’t be replaced so scarry occurs
Healing by second intention
Healing
First intention= good haemostasis, clean wound, little granulation tissue
Second= more scarring, tissue lost
Fracture
Haemotoma forms
Osteoblasts make callus
Necrotic parts removed
Lamellar bone formed