Inflammation Flashcards
What is the cause of acute inflammation
Any form of tissue injury
Give the three phases of tissue injury
Fluidic, Cellular, Reparative
Give 4 signs of acute inflammation
Redness and heat (increased blood flow)
Swelling (fluid accumulation)
Pain (chemical release stimulates nerve endings)
Loss of function
Describe the process of cellular and vascular response through acute inflammation
- Momentary vasoconstriction - reflex process to reduce blood loss
- Dilation of Blood vessels - Caused by release of chemical mediators
- Exudation of fluid - Reduced blood flow, proteinaceous fluid released
- Leukocyte migration - Adherence of circulatory WBCs to altered endothelium
- Leukocyte emigration - Migrate into tissues via diapedesis
- Temperature increase
Define transudates and describe their appearance
Extracellular filtrate of plasma with a little protein and few/no nucleated cells
- Glossy, clear and watery appearance
Describe how transudate is produced
Produced by fluid leakage due to increased hydrostatic pressure or reduced osmotic potential in the blood vessels
Define exudates and describe its appearance
ECF that is protein rich and contains high numbers of cells
- Purulent, fibrinous, serous
Describe how exudates are formed
Formed during inflammation due to increased vascular permeability
Define effusion
Accumulation of fluid in a body space or cavity
Describe the process by which pyrexia is produced
= Raised body temperature/fever
- Exogenous factors cause release of endogenous factors which in turn activate the arachidonic pathway and PGE2 release
- PGE 2 acts on the preoptic are of the hypothalamus through the EP3 receptor leading to the stimulation of the sympathetic output system which evokes non-shivering and shivering thermogenesis to produce body heat and skin vasoconstriction to decrease heat loss from the body surface
Where do antipyretic drugs act on the pyrexia process?
Act at the hypothalamus, overriding the action of PGE2 in causing increased temperature
Give three inflammatory mediators that cause vasodilation
Nitric Oxide
Bradykinin
Prostaglandins PGE2
Give three inflammatory mediators that cause inceraced vascular permeabilities
Vasoconstrictive amines e.g. histamine
Complement factors e.g. C5a, C3a
Leukotrines
Give three inflammatory mediators that cause chemotaxis and leukocyte activation
Leukotrines
C5a
Chemokines e.g. IL-8, IL-5
Give two inflammatory mediators that cause tissue damage
Neutrophil granule content : matrix metalloproteinases
ROS