Inflammation and Repair Flashcards
5 cardinal signs of inflammation
Heat (calor)
Redness (rubor)
Swelling (tumor)
Pain (dolor)
Loss of function (functio laesa)
Classfication of inflammatory response based on severity
Mild, Moderate, Severe
Classification of inflammatory response based on duration
Peracute, acute, subacute, chronic
Classification of inflammatory response based on distribution
localized/focal, generalized/diffuse, multifocal/disseminated, locally extensive/regionally diffuse
Classification of inflammatory response based on type of exudate
serous, catarrhal, suppurative, hemorrhagic, fibrinous, granulomatous
Lesions are barely discernable histologically
Minimal
Little to no tissue destruction and little cellular exudation. Grossly detectable only if reddened or swollen
Mild
Usually some tissue damage. Usually grossly visible, cellular exudation and vascular reaction easily detectable histologically
Moderate
Considerable tissure damage and extensive cellular exudaation easily detected grossly. Inflammation in the tissue is so severe it is almost not recognizable.
Severe
Inflammation that lasts minutes-hours after initiation.
Hallmarks: edema (pus-filled), hyperemia, possible hemorrhage, minimal cellular infiltration, ex: hives, urticaria
Peracute
Inflammation that lasts hours to 3-5 days after initiation
Hallmarks: edema, extensive vascular engorgement with possible thrombosis, fibrin exudation then neutrophils, lymphatic dilation leading to swollen regional lymph nodes, 5 cardinal signs in inflammation are very evident
acute
Inflammation that lasts several (3-5) to many days (7-14)
Hallmarks:
minimal edema (pus reabsorbed), decreased vascular changes, changes of infiltrating leukocytes from neutrophils to lymphocytes, macrophages, and plasma cells, gradual transformation from acute to subacute and subacute to chronic
subacute
Inflammation that lasts 7-14 days until resolution or death
Hallmarks:
angiogenesis, fibroplasia, regeneration: clear manifestation of host reparative processes, inflammatory cells are predominantly macrophages, possible formation of epitheloid cells and multinucleate giant cells, also infiltration of lymphocytes and plasma cells
chronic
Single lesion, size not indicated, surrounded by normal appearing tissue, discrete (easily recognizeable)
Focal inflammation
Scattered numerous focal lesions, sometimes modified with- to confluence or -to coalescing, when focal begin to merge
Multifocal
used when a large region of an organ is diffusely involved
locally extensive
lengthwisee portions of a tubular organ diffusely involved and interspesed among relatively normal portions, primarily used in the intestine
segmental
all the tissue or organ is involved, severity may vary across the tissue, but the entire organ is invlved
diffuse
Protein-rich fluid exudate
Inflammatory edema
From plasma or secreted by serous mesothelial cells
Watery-type runny nose
Blister (shown here is peracute to acute)
Serous
Inflammation of a mucosal surface which is predominantly characterized by hypersecretion of mucus
Catarrhal
Protein-rich exudate with adequate vascular permeability such that fibrinogen escapes the vessels and polymerizes in the tissue or on a surface to form fibrin
Fibrinous
Gross appearance of fibrin
White to yellow, easily broken down, usually adherent mat of exudate on a serous or mucosal surface
Flecks to clumps of fibrin are frequently free-floating within fibrin exudates
Associated with acute inflammation
Fibrous connective tissue, which is a product of fibroblasts. It is tough, white, and chronic
fibrous
Fibrin & is a product of the coagulation cascade
It has low strength & is associated with acute inflammation
Fibrin forms the scaffold for fibroblasts to migrate across for wound healing
Fibrinous
Used for all inflammatory processes when neutrophils are the principle cellular infiltrate
Suppurative (Purulent)
most frequently associated with pyogenic (pus-forming) bacterial infections
Pure Suppurative Inflammation
the principal component of pus, along with dead cell, serum, etc
Neutrophils