Inflammation and Healing Flashcards

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1
Q

What is inflammation/inflammatory response?

A

The bodies non specific response to tissue injury.

Response is a normal, protective mechanism.

Localise and prevent further injury.

Inflammation is not infection, infection may cause inflammation.

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2
Q

What 2 things stimulates inflammation?

A

Tissue damage
Or
Antigen.

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3
Q

What happens in the inflammatory response?

A

Damaged cells release chemical mediators into interstitial fluid and blood.

Macrophages & mast cells are present in the tissues; they are triggered by signals sent out when tissue damage occurs in minutes.

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4
Q

What do mast cells release when activated?

A

They release histamines, cytokines & lipid mediators.

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5
Q

What are the two lipid mediators?

A

Leukotrienes
Prostaglandins

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6
Q

What do histamines, cytokines and lipid mediators travel around and cause?

A

Retracting of the endothelial cells in the capillary wall.
Capillaries to dilate.
Increase capillary pressure (hydrostatic pressure)
Capiliaries to become more permeable.

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7
Q

What is the result of when histamines, cytokines and lipid mediators travel around?

A

Neutrophils squeeze between the gaps and hoover up pathogens
(phagocytosis).

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8
Q

What does extravasation mean?

A

The leakage of fluids from a vein into the surrounding tissue.

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9
Q

What is the complement system?

A

It is a family of proteins that become activated during the inflammatory response.
They bind to microbes and attract leukocytes.
They can also drill a hole through the membrane of the microbe.

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10
Q

What are the symptoms of inflammation?

A

Swelling
Redness
Heat
Pain
Loss of function
Vascularised tissue (veiny)

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11
Q

What is the healing process regarding inflammation?

A

Its the immediate next step after inflammation.

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12
Q

What are the two main steps to healing?

A

Regeneration
Repair

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13
Q

What is the regenerative step of healing?

A

Replacement of original
tissue with functional tissue
of the same type.

Has to be cells that are capable of mitosis.

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14
Q

Which tissues cannot perform mitosis?

A

Cardiac
Skeletal muscle
Neurons

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15
Q

What is stroma?

A

It is a type of connective tissue.

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16
Q

What is the repair step of the healing process?

A

Replacement of the original tissue with scar tissue.

17
Q

What type of tissue is scar tissue?

A

Connective tissue.

18
Q

What is scar tissue made from?

A

Type 1 and Type 2 collagen.

19
Q

What are the scars in neural tissues primarily made from and are they functional?

A

Non functional
Made up from astrocytes.

20
Q

What are the 3 STAGES of repair in bone?

A

The vessels break
A clot forms
Macrophages flood the area and secrete 3 activating substances.

21
Q

What 3 activating substances do macrophages secrete in the ‘repairing bone’ process?

A

Fibroblast activator
Angiogenesis factor
Osteogenesis factor

22
Q

What does the fibroblast activator do?

A

Secretes the ingredients for collagen.

23
Q

What does the angiogenesis factor do?

A

Promotes revascularisation.

24
Q

What does the osteogenesis factor do?

A

Increase in osteoblasts.

25
Q

How long does it take for a clot to form in fracture healing?

A

Hours since fracture.

26
Q

How long does it take for inflammation to occur in fracture healing?

A

1 day - 5 days since fracture.

27
Q

How long does it take for MSC proliferation to occur in factor healing?

A

2days-14days since fracture.

28
Q

How long does it take for angiogenesis to occur in fracture healing?

A

4 days to 14 days since fracture.

29
Q

How long does it take for MSC differentiation to occur in fracture healing?

A

7 days - 21 days since fracture.

30
Q

How long does it take for bone formation and remodelling to occur in fracture healing?

A

16days- 6weeks/years since fracture.

31
Q

What are the 4 complications of the healing process?

A

Contractures
Strictures
Hypertrophic scars
Keloid scars

32
Q

What are contractures regarding the healing process?

A

A complication

A remodelling of scars after healing, problems arise when there is a large area of scarring (think major burns/acid attack scars)

33
Q

What are strictures regarding the healing process?

A

A remodelling of scars in “tubular” organs/passages.

34
Q

Does healing follow the sae process no matter where in the body the damaged cells are?

A

Yes